Vanessa Ramos
Los Angeles,CA
Summary
A professional with 21 years of experience in insurance verification and prior authorizations. Skilled in workflow optimization with a proven ability to train teams and improve authorization processes, resulting in increased operational efficiency and accuracy.
Overview
21
21
years of professional experience
1
1
Certification
Work History
Manager, Patient Communications
De La Pena Eye Clinic
Commerce, CA
11.2025 - Current
- Reviewed Systems and processes for The Call Center, Eligibility, and Authorization department.
- Managed EMR template. Creating, editing, and blocking schedules.
- Ensuring the team consistently meets daily/weekly/monthly goals through effective guidance and time management.
- Administrator of the phone system. Create scripts, mapping, auditing, and trouble shooting.
- Training team members on the authorization submission process to enhance efficiency.
- Identifying errors and proposing solutions to improve accuracy.
- Provide support to other departments as needed.
- Monitoring workloads and organized schedules to prioritize tasks and meet deadlines.
- Developing plans for improving the authorization process to boost quality and efficiency.
- Review systems and flow, for a more optimum workflow.
- Roll out communication to the team by holding team huddles, emails, or via teams.
- Work closely with upper management to maintain proper communication, workflow, and compliance.
- Served as a trainer and educator for peers, physicians and patients.
- Developed training tools implemented throughout the company.
- Specialize in Ophthalmology, Optometry, Oculoplastic, and Retina
Lead Um Dept
De La Pena Eye Clinic
Montebello, CA
07.2010 - 11.2025
- Ensuring the team consistently meets daily goals through effective guidance.
- Training team members on the authorization submission process to enhance efficiency.
- Identifying errors and proposing solutions to improve accuracy.
- Provide support to other departments as needed.
- Monitoring workloads and organized schedules to prioritize tasks and meet deadlines.
- Developing plans for improving the authorization process to boost quality and efficiency.
- Assist in interviewing.
- Review systems and flow, for a more optimum workflow.
- Roll out communication to the team by holding team huddles, emails, or via teams.
- Work closely with management to maintain proper communication, workflow, and compliance.
Front Desk
Star Optometry
Huntington Park, CA
10.2005 - 06.2010
- Conducted pretest for patients prior to physician consultations.
- Managed sales of eyeglasses and oversight of contact lens orders.
- Processed insurance billing for various providers, including HMO/PPO plans.
- Verified insurance coverage and collected patient co-pays.
- Trained patients for proper usage of contact lenses and eyewear.
Education
Associate of Arts -
Cerritos Community College
Cerritos, CAHigh School Diploma -
Huntington Park High School
Huntington Park, CASkills
- Knowledge in ICD-10, ICD-9, and CPT coding
- Ability to work independently and manage multiple priorities in a fast-paced, deadline-driven environment
- Excellent group facilitation skills
- Proficient in PC-based software programs
- Bilingual(English/Spanish)
- Experience in workflow planning, staff cost management, and business development
- Experience in conducting performance reviews and facilitating hiring and onboarding
- Knowledge of Medical, Medicare, HMO’s, Vision Plans, and PPO’s
Certification
- Basic Life Support (BLS), American Heart Association
- HIPAA Compliance Training
Languages
Spanish
English
Timeline
Manager, Patient Communications
De La Pena Eye Clinic
11.2025 - Current
Lead Um Dept
De La Pena Eye Clinic
07.2010 - 11.2025
Front Desk
Star Optometry
10.2005 - 06.2010
Associate of Arts -
Cerritos Community College
High School Diploma -
Huntington Park High School