SHANNON RAMOS

Work History

Omni Therapy

07.2023 - 10.2024

Used company's software (Devero) and databases to maintain records of services performed and patient conditions in accordance with HIPAA regulations.
Managed about 100+ patients' cases efficiently for optimal patient outcomes for consistent quality of service delivery and timely follow-up and appropriate interventions.
Streamlined communication (phone/email) between patients, home health agencies, and therapists to ensure timely responses to inquiries and concerns.
Monitored, tracked, and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
Collaborated with interdisciplinary teams to create seamless transitions between various stages of treatment plans, enhancing continuity of care, and discharge.
Liaised with other healthcare professionals to develop comprehensive patient care plans and provide highest quality of care.
Provided compassionate support and built strong relationships with home health agencies, therapists, and patients to deliver emotional support and companionship.
Advocated for patients during care team discussions, ensuring their preferences and needs were prioritized.
Enhanced patient satisfaction by efficiently scheduling appointments and managing patient flow.

Advanced Home Medical

09.2017 - 03.2023

Answered phone calls and messages to communicate with doctors, nurses, patients and other employees to resolve healthcare needs and schedule follow-ups when needed.
Liaised with other healthcare professionals from home health agencies to develop comprehensive patient care plans and provide highest quality of care.
Analyzed complex EOBs forms to verify correct billing of insurance carriers and calculated adjustments, premiums, refunds, deductibles/copay and post payments.
Processed and maintain at 20+ referrals daily/50+ monthly and obtain authorizations from Medicaid/Medicare/HMO/PPO insurance when needed.
Correctly completed CMS 1500 for outpatient services including modifiers, patient records, identified medical codes, and created invoices for billing purposes.
Follow-up correspondence from insurance carriers and obtained denials to be generated, posted, and attach claim files needed to work on appeals and grievances.
Performed various administrative tasks by filing, copying, scanning and faxing documents.

Behavior Frontiers

06.2019 - 12.2019

Utilized behavior analysis methods to create and design individualized behavioral interventions to promote positive behaviors and prevent problems with Autism.
Developed and implemented treatment plans for at least 5 kids to improve gross and fine motor coordination, movement, and functioning of upper extremities.
Implemented treatment programs to be able to collect behavior data and assess change within behavior by communicating between client's family and case manager to ensure goals are met with each treatment.
Documented patient information through analyzing data, interview notes, and test results and identified and diagnosed nature of clients' problems.