Sacha Pino Ramirez
Orlando,FL
Summary
Over 10+ years of professional experience, seeking to provide a skill set through determination, dedication, and organization.
Results-oriented achiever with proven ability to exceed targets and drive success in fast-paced environments. Combines strategic thinking with hands-on experience to deliver impactful solutions and enhance organizational performance.
Overview
14
14
years of professional experience
Work History
Case Manager for Worker Compensation Claims
Select Provider Network (SPNet)
12.2018 - Current
- Works directly with the provider to obtain clinical documentation.
- Communicates with Nurse Case Manager or Adjustor directly to provide compliance updates.
- Complete weekly reports per management while maintaining productivity.
- Work with clinicians to obtain and forward Functional Capacity Evaluations within contracted time.
- Utilizes Healthesystems to provide compliance updates and update authorization information.
- Process Approval and denials from insurance companies
Patient Registration Coordinator
The Center for Employee Health (School District of Osceola County)
10.2016 - 12.2018
- Inputs claimant medical and demographic data
- Evaluates claimant eligibility and develops plan to address disability obstacles and plans with claimants, attending physician and employer
- Monitors medical condition of claimant, discusses return to work with employer
- Integrates individual rehab/return to work plans into ongoing medical treatment
- Organize overflowing paper documents and distribute required information on NextGen system.
- Schedule appointments-( Worker's Comp, PCP, Nutrition, Physical Therapy, & Urgent Care)
Assistant Business Office Manager
The Health Center of Windermere
12.2012 - 10.2016
- Assist in implementing the day to day functions of the accounting department
- Management of Accounts Receivables through 3rd party and Private Pay collections
- Maintain Cash Collection goals set by Corporate Office
- Insurance Verifications
- Processing Medicaid Applications
- Billing, Processing, and appealing claims
Education
General Studies -
Valencia Community College
Orlando, FL01-2011
Dental Assistant - undefined
Dental Assistant Training School
Maitland, FL03-2009
Skills
- Problem-solving
- Case management
- Time management
- Case documentation
- Organization and multitasking
- Documentation and reporting
- Client advocacy
- Care coordination
- Case management tracking
Languages
Spanish
Native or Bilingual
English
Native or Bilingual
Timeline
Case Manager for Worker Compensation Claims
Select Provider Network (SPNet)
12.2018 - Current
Patient Registration Coordinator
The Center for Employee Health (School District of Osceola County)
10.2016 - 12.2018
Assistant Business Office Manager
The Health Center of Windermere
12.2012 - 10.2016
Dental Assistant - undefined
Dental Assistant Training School
General Studies -
Valencia Community College