Irma D. Ramirez
*** ***** ***** **** ******, CA *1790 626-***-**** **********@*****.***
Objective
Seeking a professional position where my knowledge, abilities, and education can be utilized. Looking forward to working with a company that offers the opportunity for growth and advancement.
Education
HIGH SCHOOL DIPLOMA, JUNE 1977, SAINT MATHIAS HIGH SCHOOL Experience
MEDICAL BILLER PHYSICIANS BILLING SERVICES NOVEMBER 2021- MARCH 2023
· Responsible for insurance billing; review computer-generated forms for accuracy and completion. Send out billings on group insurance, Second Insurance, and HMO on a timely basis. Follow-up on accounts including timely submission of tracers and denials, requests for review.
· Communicate with patients on the phone regarding the patient’s account; counsel patients on financial ability to pay.
· Respond to correspondence received from patients’ insurance carriers, patients’ guardians regarding outstanding accounts.
· Review collection reports for current status. Contact patients and insurance companies as a follow-up.
· Evaluate accounts for possible write/off eligibility, for all financial classes. Prepare adjustment forms, utilizing the established write/off procedures, as needed.
· Evaluate accounts for processing transfers and refunds, utilizing the establish transfer and refund procedures.
· File EOBs, documents.
· Contact insurance companies to obtain patient insurance benefits.
· Prepare data entry payment information for computer input.
· Prepare and make bank deposits.
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MANAGER/REIMBURSEMENT SPECIALIST BEVERLY ONCOLOGY & IMAGING APRIL 1981– OCTOBER 2021
· Responsible for insurance billing; review computer-generated forms for accuracy and completion. Send out billings on group insurance, Medi-cal, Second Insurance, and HMO on a timely basis. Follow-up on accounts including timely submission of tracers and denials, requests for review/hearing reviews.
· Communicate with patients in person and/or on the phone regarding the patient’s account; counsel patients on financial ability to pay.
· Respond to correspondence received from patients’ insurance carriers, patients’ guardians regarding outstanding accounts.
· Review collection reports for current status. Contact patients and insurance companies as a follow-up.
· Work in coordination with Patient Financial Services staff on special reports/special projects.
· Evaluate accounts for possible write/off eligibility, for all financial classes. Prepare adjustment forms, utilizing the established write/off procedures, as needed.
· Evaluate accounts for processing transfers and refunds, utilizing the establish transfer and refund procedures.
· Submit transfer and/or refund accounts identified to controller, utilizing the established procedure for this type of transaction.
· File EOBs, documents the suspend list Medi-Cal claim forms.
· Contact insurance companies to obtain patient insurance benefits.
· Prepare data entry payment information for computer input.
· Responsible for accounts associated with the operation report to Administrator.
· Prepare and make bank deposits.
· Private consulting for medical facilities to provide training to staff in proper bookkeeping
· Other duties as assigned by CEO and/or Medical Director. Skills & Abilities
· Bilingual- English/Spanish
· Proficient with MS Word and Excel
· Typing Speed 40-45 wpm, 10- Key by Touch
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References
Furnished Upon Requests