Yamilet Alvarez Ramos
Lakeland,FL
Summary
Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
7
7
years of professional experience
Work History
IMA Medical Group
Billing Specialist
Orlando, FL
04.2023 - Current
- Reviewed patient insurance information to ensure accuracy and completeness of claims submission.
- Verified medical codes for diagnosis, treatments, procedures and supplies using ICD-10 coding system.
- Compiled and processed data for billing purposes utilizing billing software programs.
- Submitted electronic claims to various insurance carriers.
- Ensured compliance with HIPAA guidelines when handling confidential patient information.
- Maintained accurate records of all billing activity in accordance with departmental standards.
- Reviewed claims for coding accuracy.
- Checked claims coding for accuracy with ICD-10 standards.
- Researched and resolved issues related to billing errors or discrepancies.
IMA Medical Group
Medical Records Specialist
Orlando, FL
06.2021 - 04.2023
- Reviewed medical records to ensure accuracy and completeness.
- Collected, filed, scanned, and retrieved confidential patient information.
- Identified discrepancies between paper and electronic records.
- Maintained accurate documentation of all activities related to medical records.
- Assisted in the development of new policies and procedures for medical record keeping.
- Collaborated with multiple departments to coordinate release of information requests from patients, legal representatives, insurance companies.
- Documented patient histories in accordance with established standards.
- Processed requests for copies of patient medical files within designated timeframes.
- Ensured that all required forms were completed accurately and completely prior to storage or release.
- Answered inquiries regarding the status of patient records or their availability.
- Adhered to HIPAA guidelines when handling protected health information.
- Prepared correspondence related to changes in patient care plans or treatment protocols.
- Maintained electronic medical records for all clients.
Angels for Kids on Call 24/7
Medical Billing Specialist
Orlando, FL
05.2018 - 03.2021
- Submitted electronic claims to various insurance carriers.
- Compiled and processed data for billing purposes utilizing billing software programs.
- Performed follow up activities on unpaid claims with insurance companies or other third party payers by phone or written correspondence.
- Ensured compliance with HIPAA guidelines when handling confidential patient information.
- Completed and submitted appeals for denied claims.
- Reviewed claims for coding accuracy.
- Submitted claims to insurance companies.
Education
Diploma -
Florida Technician College
Lakeland, FL12-2022
Associate Degree in Pharmacy Technician -
National University College
Bayamon, PR01-2015
Skills
- Proficiency in ECW
- Records Management
- Claims Processing
- Teamwork and Collaboration
- Billing and Collection Procedures
- Commercial and Private Insurance
- Multitasking and Organization
- Claims review
- Insurance claims processing
- Electronic medical records (EMR) systems
- Medical Records Documentation
- ICD-10
Languages
Spanish
Native/ Bilingual
English
Limited
Timeline
IMA Medical Group
Billing Specialist
04.2023 - Current
IMA Medical Group
Medical Records Specialist
06.2021 - 04.2023
Angels for Kids on Call 24/7
Medical Billing Specialist
05.2018 - 03.2021
Diploma -
Florida Technician College
Associate Degree in Pharmacy Technician -
National University College
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