Sandra Ramirez
Optum
Santa Teresa
1
Language
8
years of professional experience
Adaptable healthcare professional with a versatile background in medical records management and customer service. Known for strong attention to detail and effective problem-solving skills, contributing to enhanced patient satisfaction and operational efficiency.
Work History
Medical Records Specialist
3 Years 1 Month- Reviewed and verified medical records for compliance with regulatory standards.
- Collaborated with healthcare providers to resolve discrepancies in patient information.
- Implemented process improvements that enhanced data retrieval efficiency and accuracy.
- Managed electronic health record systems to ensure accurate patient data maintenance.
- Reviewed charts and flagged incomplete or inaccurate information.
- RADV and HEDIS
Medical Biller and Coder
1 Year 11 Months- Processed and submitted medical claims using ICD-10 and CPT coding standards.
- Reviewed and corrected billing discrepancies to ensure accurate patient accounts.
- Collaborated with healthcare providers to resolve claim denials efficiently.
- Maintained up-to-date knowledge of insurance policies and reimbursement guidelines.
- Correctly coded and billed medical claims for various hospital and nursing facilities.
Customer Service Representative
1 Year- Resolved customer inquiries through multi-channel communication, enhancing overall satisfaction rates.
- Streamlined issue resolution processes, resulting in faster response times for customer concerns.
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
Youth Care Worker
11 Months- Implemented individualized treatment plans to address behavioral and emotional needs of clients.
- Monitored and documented progress of youth, ensuring compliance with program protocols.
- Collaborated with multidisciplinary teams to develop strategies for conflict resolution among residents.
- Facilitated daily activities and educational programs for youth in residential care setting.
Customer Service Representative
1 Year 4 Months- Collaborated with cross-functional teams to address recurring service challenges, driving improvements in support strategies.
- Responded to customer requests for products, services, and company information.
- Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
- Developed strong product knowledge to provide informed recommendations based on individual customer needs.
Education
Medical Biller And Coder - Medical Billing
No Degree - Human Services
High School Diploma
Medical Assistant - Medical Assistant
Skills
Medical records management
Insurance verification
Records management
Medical office procedures
Telephone etiquette
Clinical documentation
Medical terminology
EMR EHR
Claims processing
HIPAA compliance
Procedural coding
Diagnostic coding
Digital documentation
Payment collection
Information verification
Medical billing and coding
Records audits
Customer service
Scheduling appointments
Records management
Insurance eligibility
Data entry
Medical billing
Administrative support
RADV and HEDIS
Languages
Spanish
Native or Bilingual
Timeline
Medical Records Specialist
Optum
06.2023 - CurrentRead More
Medical Biller and Coder
El Paso Pulmonary Association
03.2021 - 02.2023Read More
Customer Service Representative
Agero Inc.
02.2020 - 02.2021Read More
Youth Care Worker
Southwest Key Programs
02.2019 - 01.2020Read More
Customer Service Representative
TTECH
03.2018 - 07.2019Read More
University of Phoenix
No Degree from Human Services
Read More
Western Technical College
Medical Biller And Coder from Medical Billing
Read More
Montwood High School
High School Diploma
Read More
Western Technical College
Medical Assistant from Medical Assistant
Read More