Summary
Work History
Education
Skills
Accomplishments
Timeline
Career Overview
Career Overview
Generic

Yesenia Ramos

Davie,Fl

Summary

Hardworking and Organized Medical Debt Collector working with billing and credentialing coordinators. Meticulous worker identifies discrepancies and issues related to billing and reimbursements and implements corrective actions and adjustments. Familiar with processing online appeals, refund requests and billing audit information. Uses strong customer service skills to communicate with patients and third-party carriers. Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills. Accustomed to answering questions, providing information and resolving concerns. Good communication, organizational and multitasking abilities.

Work History

Coordinator 2 Medicare/Medicaid Collection

VITAS Healthcare Corporation
Miramar, FL
  • Reviewed and processed Medicaid claims for accuracy, completeness, and compliance with applicable regulations.
  • Processed appeals on denied claims in a timely manner to maximize reimbursements from third-party payers.
  • Executed account updates and noted account information in company data systems.
  • Monitored past due accounts and pursued collections on outstanding invoices.
  • Submitted claims to insurance companies.
  • Maintained up-to-date knowledge of healthcare industry changes impacting coding standards and reimbursement policies.
  • Ensured timely submission of required documentation for processing of claims.
  • Processed appeals and requests for reconsideration of denied claims.
  • Contacted insurance companies to check status of claim payments.
  • Investigated billing discrepancies and implemented effective solutions to resolve concerns and prevent future problems.
  • Developed and maintained relationships with healthcare providers to ensure accurate billing procedures were followed.

Business Development Center Representative

Rick Case Kia Sunrise
Sunrise, FL
  • Accomplished Business Development Representative offering expertise in marketing, sales and operations. Consults with customers, builds strong relationships and increases hard sales numbers.
  • Assisted in the development of new customer relationships by responding to inquiries and providing information regarding services, products, and promotions.
  • Initiated follow-up calls to customers to ensure satisfaction with their experience.
  • Responded quickly to inquiries from potential customers via phone or email.
  • Maintained positive working relationship with fellow staff and management.
  • Collaborated with sales team members to develop strategies for targeting new prospects.
  • Used excellent verbal skills to engage customers in conversation and effectively determine needs and requirements.
  • Provided customers with product pricing information while maintaining a professional demeanor.
  • Identified needs of customers promptly and efficiently.
  • Participated in weekly team meetings discussing progress on current projects.

Healthcare Marketer Liaison

Dial 4 Care, Inc.
Miami Lakes, FL
  • Followed HIPAA regulations to maintain confidentiality of sensitive patient information.
  • Provided customer service and support to patients, families, and healthcare providers.
  • Facilitated communication between patients and physicians regarding treatment plans and follow-up care instructions.
  • Actively participated in team meetings focused on improving patient care outcomes.
  • Coordinated with patients and healthcare professionals to meet patient needs.
  • Collaborated closely with family members or caregivers to ensure continuity of care across settings.
  • Answered patient calls promptly, providing assistance or referring them to appropriate personnel when needed.
  • Reviewed referrals from hospitals, physicians' offices, nursing homes., ensuring that all necessary documents are completed prior to initiating service.

Wholesale Pharmaceutical Sales Representative

Paragon Enterprises, Inc.
Weston, FL
  • Responded promptly to customer inquiries regarding products or services.
  • Resolved any customer complaints or issues in an efficient manner.
  • Assessed client needs and sold appropriate products.
  • Built strong, professional relationships through identification of client needs, which increased overall sales and opportunities.
  • Assisted customers during selection process and helped choose perfect products to meet individual needs.
  • Analyzed sales performance and service feedback to drive organizational and operational changes for greater profitability.
  • Communicated effectively with clientele to maintain customer satisfaction and loyalty.
  • Listened to customer needs to identify and recommend best products and services.
  • Generated sales by prospecting leads, cold calling and negotiating advantageous deals.
  • Coordinated shipping schedules for timely delivery of products ordered by customers.
  • Created and maintained relationships with key stakeholders, including medical professionals, healthcare providers, and pharmaceutical distributors.

Patient Access Representative

Mount Sinai Medical Center
Miami Beach, FL
  • Greeted patients and visitors in a courteous and professional manner.
  • Registered patients by completing face-to-face interviews to obtain demographic, insurance and medical information.
  • Managed incoming and outgoing calls for busy outpatient department office.
  • Verified demographics and insurance information to register patients in computer system.
  • Managed incoming faxes related to patient registration processes.
  • Scanned documents into electronic medical records system.
  • Assisted with preparing daily cash reports for accounting department.
  • Maintained confidentiality of all patient information in accordance with HIPAA regulations.
  • Performed pre-registration functions such as verifying demographic information, obtaining authorizations, and collecting deposits and co-payments.
  • Assisted with scheduling outpatient appointments.
  • Cultivated positive relationships with patients to help facility meet satisfaction scores and patients obtain best possible care.

Education

High School Diploma -

Escuela Superior Miguel De Cervantes Saavedra
Bayamón, PR
05.2000

Some College (No Degree) - Business Administration And Management

Universidad Interamericana De Puerto Rico
Bayamón, PR

Medical Billing Insurance and Coding Specialist -

National School of Technology
01.2006

Skills

  • Fluent in English and Spanish
  • Good verbal/written communication skills
  • Team player with positive attitude
  • Energetic work attitude
  • Strong organizational skills
  • Goal-oriented
  • Customer service expertise
  • Account Management
  • Exceeds Sales Goals
  • Sales and Marketing
  • Medical Billing & Collections Specialist
  • Problem-Solving

Accomplishments

  • Field and process up to 80 calls per day.
  • Met monthly sales goals for six months straight.
  • Medical Billing Insurance and Coding Specialist Diploma.

Timeline

Coordinator 2 Medicare/Medicaid Collection

VITAS Healthcare Corporation

Business Development Center Representative

Rick Case Kia Sunrise

Healthcare Marketer Liaison

Dial 4 Care, Inc.

Wholesale Pharmaceutical Sales Representative

Paragon Enterprises, Inc.

Patient Access Representative

Mount Sinai Medical Center

High School Diploma -

Escuela Superior Miguel De Cervantes Saavedra

Some College (No Degree) - Business Administration And Management

Universidad Interamericana De Puerto Rico

Medical Billing Insurance and Coding Specialist -

National School of Technology

Career Overview

Dedicated Customer Service Representative motivated to maintain customer satisfaction and contribute to company success.

Career Overview

Dedicated Customer Service Representative motivated to maintain customer satisfaction and contribute to company success.
Yesenia Ramos