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)
Orlando, FL
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)
Kissimmee, FL
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
Windermere, FL
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