Sylvia L. Ramos
Harrisburg,PA
Summary
Motivated professional offering proficiency in Medical assistance combined with strong data entry and analytical thinking skills. Personable team player with exceptional customer service abilities. Fast learner and committed to continuous, self-directed learning.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Data Entry Specialist
Maximus
03.2023 - Current
- Entered applicants information from application to Maximus system using Maximus Enrollment Broker system
- Had to maintain a 97% production with insuring that there were little to no errors as far as spelling and abbrations
- Used PA compass to verify consumer demographics and eligibility with MAW
- Verified MD's on BPOA website
- Used excel worksheet to keep up with production for each day
- Made sure data that was being entered was being entered and submitted within timely fashion to ensure consumer eligibility for getting extra care if eligible.
Central Scheduler
UPMC Cardiovascular Institute
04.2022 - 01.2023
- Used epic system for patient accounts
- Received inbound calls for about 60 Cardiovascular providers to schedule, reschedule and cancel appointments
- Sent high priority messages to nurses and providers regarding patients concerns, health, medication and test results.
- Also made calls to patients due to providers schedule change
- Replied to patients voicemails
- Registered new patients
- Verified patient insurance
- Took about 60-80 calls average a day
Patient Account Representative
New York Presbyterian Hospital
10.2017 - 03.2022
- Support billing department by verifying health insurance, inpatient and outpatient billing, self-pay collections, and insurance follow up
- Follow up on denials and started proper appeals for denials.
- Sent in medical records and proper documentation to insurance plans for proper processing of claims.
- Correct denials and claim errors to get claims paid in timely fashion.
- Reviewed payments to make sure contracted claims were paid correctly.
- Review denials including COB issues, termed policies and coding errors
- Use 3M for Medicaid claim to verify claim was coded and paid correctly
- Used Eagle Cintrix system and AEOS from 2017-2020 then used EPIC to follow up with patient accounts and claims.
Customer Service Representative
Hamilton Health Center
03.2016 - 03.2017
- Schedule patient appointments for adult medical, pediatrics, dental and women's health
- Manage the provider's schedules in all departments according to set protocol of each department
- Direct all incoming calls of the PBX in a manner that will enhance corporate image and increase customer satisfaction
- Had an average of 75 or more calls a day, scheduled around 200 appointments a week
- Cancelled and rescheduled appointments when appropriate
- Registered new patients and entering demographics and health insurance
Patient Care Specialist
Keystone Community Mental Health Services
02.2010 - 06.2015
- Assist individuals in a home with personal care including dressing, bathing, diet, daily hygiene skills and personal appearance.
- Provides leadership responsibilities as required to train new staff.
- Prepare and cook meals
- Perform immediate action procedures to ensure safety of individuals and household maintenance such as laundry.
- Monitor and administer patient medication/ documented time and date when medication was taken
- Scheduled medical and psych appointments when necessary
- Responsible for carrying on call pager on a rotating basis
- Was responsible for refilling consumer medical prescription with the pharmacy
Education
High School Diploma -
Freedom House 2.0
Harrisburg05-2026
High School or equivalent -
Red Land High School
Lewisberry, Pennsylvania06-2007
Graduate Certificate -
Freedom House 2.0
Harrisburg05-2026
Skills
- Accuracy and attention to detail
- Spreadsheet management
- Data collection
- Data processing
- Punctual
- Analytical
Certification
CPR Certified
LANGUAGES
Spanish
Native or Bilingual
Timeline
Data Entry Specialist
Maximus
03.2023 - Current
Central Scheduler
UPMC Cardiovascular Institute
04.2022 - 01.2023
Patient Account Representative
New York Presbyterian Hospital
10.2017 - 03.2022
Customer Service Representative
Hamilton Health Center
03.2016 - 03.2017
Patient Care Specialist
Keystone Community Mental Health Services
02.2010 - 06.2015
High School Diploma -
Freedom House 2.0
High School or equivalent -
Red Land High School
Graduate Certificate -
Freedom House 2.0