Suzan Ramos
Kennewick,WA
Summary
Pursuing full-time role that presents professional challenges and leverages interpersonal skills, effective time management, and problem-solving expertise.
Detail-oriented individual with exceptional communication and project management skills. Proven ability to handle multiple tasks effectively and efficiently in fast-paced environments. Recognized for taking proactive approach to identifying and addressing issues, with focus on optimizing processes and supporting team objectives.
Overview
28
28
years of professional experience
Work History
Revenue Cycle Representative III
Yakima Memorial Hospital Multicare
08.2022 - Current
- Improved revenue cycle efficiency by streamlining processes and implementing best practices.
- Established strong working relationships with insurance representatives to expedite claim resolution.
- Maintained up-to-date knowledge of payer policies, regulations, and guidelines, ensuring compliance throughout the revenue cycle process.
- Audited patient accounts for discrepancies, resolving issues for timely reimbursement.
- Reduced outstanding accounts receivable balances through diligent follow-up and effective communication with payers.
- Identified root causes of claim denials through thorough analysis, implementing corrective actions for improved results moving forward.
- Reached out to insurance companies to verify coverage.
Medical Biller Follow-up
Astria Hospital
01.2022 - 07.2022
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Filed and updated patient information and medical records.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
- Enhanced revenue collections for the medical practice with diligent follow-ups on unpaid claims.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Established strong relationships with insurance representatives, facilitating prompt resolution of billing issues.
- Reduced instances of denied claims, carefully reviewing and rectifying coding errors before submission.
- Collaborated with customers to resolve disputes.
Office Assistant III
Benton County Treasurer's Office
03.2021 - 08.2021
- Maintained confidentiality in handling sensitive information while performing administrative tasks.
- Enhanced office efficiency by managing schedules, organizing files, and maintaining a clean workspace.
- Facilitated smooth operations by efficiently handling incoming mail, phone calls, and visitor inquiries.
- Expedited document processing with accurate data entry and timely filing.
- Prepared and edited documents to produce precise, accurate and professional communication.
- Facilitated smooth workflow by efficiently handling multiple administrative tasks simultaneously, prioritizing according to urgency and importance.
- Managed incoming and outgoing correspondence, ensuring prompt and accurate delivery of information.
- Input data into spreadsheets and databases.
- Kept office supplies well organized and sufficiently stocked, placing orders promptly to replenish materials before depleted.
- Utilized office management software to record and track customer information.
Director Medical Billing/Authorization Coordinator
Lynx Healthcare
01.2016 - 09.2020
- Developed high-performing teams by providing mentorship, guidance, and opportunities for professional growth.
- Enhanced team collaboration through regular communication, goal setting, and performance evaluations.
- Established a culture of continuous improvement by fostering open communication channels and empowering employees to voice their ideas.
- Cultivated a positive work environment that fostered employee engagement, increased retention rates, and boosted overall team morale.
- Strengthened internal controls by reviewing existing policies and procedures, ensuring compliance with regulatory requirements..
- Increased company revenue by streamlining processes and implementing cost-saving measures.
- Evaluated employee performance objectively using established metrics, leading to fair compensation adjustments based on meritocracy principles.
- Navigated company through periods of significant change, maintaining focus on long-term strategic goals.
- Trained and guided team members to maintain high productivity and performance metrics.
- Assisted in recruiting, hiring and training of team members.
- Interacted well with customers to build connections and nurture relationships.
- Observed each employee's individual strengths and initiated mentoring program to improve areas of weakness.
- Calculated estimated copay based on current insurance benefits.
- Maintained up-to-date knowledge of insurance policies, enabling accurate evaluation of coverage eligibility criteria for patients.
- Stayed informed about regulatory changes relevant to the healthcare industry, ensuring compliance in all authorization activities.
- Provided exceptional customer service to patients, addressing their concerns related to insurance coverage and authorizations promptly and empathetically.
- Communicated with executives about consistent customer issues.
Lead Medical Biller
Sunnyside Hospital
10.1996 - 12.2015
- Implemented new software solutions that increased productivity within the department while reducing administrative burden on staff members.
- Improved billing accuracy by diligently reviewing and updating patient information in the system.
- Resolved complex billing issues by conducting thorough research, working closely with insurance providers to reach favorable outcomes for both parties involved.
- Developed comprehensive training materials for new hires, facilitating their smooth transition into the medical billing team.
- Secured timely reimbursements from insurers through persistent appeals of denied claims backed up with detailed evidence supporting each case made.
- Led a team of billers, providing guidance and training to ensure timely completion of tasks.
- Streamlined claim submission processes for faster reimbursements, collaborating with insurance companies on a regular basis.
- Assisted patients in understanding their medical bills, addressing concerns and clarifying any confusion regarding charges or insurance coverage.
- Monitored changes in insurance policies, keeping abreast of updates affecting medical billing procedures and informing staff accordingly.
- Verified insurance of patients to determine eligibility.
- Posted payments and collections on regular basis.
- Collected payments and applied to patient accounts.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Liaised between patients, insurance companies, and billing office.
- Delivered timely and accurate charge submissions.
- Collaborated with customers to resolve disputes.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
Education
High School Diploma -
Sunnyside Senior High
Sunnyside, WA06-1989
Skills
- HIPAA compliance
- Positive attitude
- People management
- Insurance claims
- Effective time management
- Office administration
- Invoicing and billing
- Microsoft office
- Document control
- Medical claims submission
- Claims review
- Professional and mature
Languages
Spanish
Professional Working
Timeline
Revenue Cycle Representative III
Yakima Memorial Hospital Multicare
08.2022 - Current
Medical Biller Follow-up
Astria Hospital
01.2022 - 07.2022
Office Assistant III
Benton County Treasurer's Office
03.2021 - 08.2021
Director Medical Billing/Authorization Coordinator
Lynx Healthcare
01.2016 - 09.2020
Lead Medical Biller
Sunnyside Hospital
10.1996 - 12.2015
High School Diploma -
Sunnyside Senior High
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