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Jessica De Ramos
Open to opportunitiesHealthcare Operations, Medical Billing, RCM & Virtual Team Lead
Healthcare Operations Specialist at a private practice, managing U.S. medical billing, prior authorizations, and remote team workflows.
PhilippinesHealthcare Operations, Medical Billing, RCM & Virtual Team Lead at Private Practice and Clinical Practice
Experience
Healthcare Operations, Medical Billing, RCM & Virtual Team Lead
Managed daily healthcare operations, medical billing, and revenue cycle management. Led a remote healthcare team, developed SOPs, and provided training and performance support.
Healthcare AdministrationPatient SchedulingMedical BillingRevenue Cycle ManagementInsurance VerificationClaims ManagementERA EOB Payment PostingPayer Follow UpReferralsPrior AuthorizationsMedical RecordsSOP DevelopmentWorkflow OptimizationTeam LeadershipCorporate TrainerKPI TrackingPayroll Coordination
Healthcare Operations Specialist
Managed high-volume patient calls, reviewed and followed up on referrals, and handled prior authorization workflows. Coordinated medication-related workflows and maintained accurate patient documentation in the EMR.
Patient CommunicationReferral ManagementPrior AuthorizationsMedication CoordinationPatient SchedulingEMRDocumentation
Healthcare Virtual Assistant
Provided remote healthcare support to U.S.-based practices across multiple specialties, including scheduling, insurance verification, billing, and patient communication. Adapted to various EMR systems and workflows.
Patient SchedulingInsurance VerificationMedical BillingClaims ManagementReferralsMedical RecordsPrior AuthorizationsPatient CommunicationEMR EHR SystemsPayer Portals
Administrative Virtual Assistant
Provided temporary administrative and patient support coverage, managing appointments, patient intake, and insurance verification. Maintained accurate patient records in the EMR.
Patient SchedulingPatient IntakeInsurance VerificationEMRTelehealthAdministrative Support
Medical Billing & Insurance Specialist
Verified patient insurance eligibility and benefits, reviewed and resolved denied claims, and submitted accurate claims. Updated patient information in the EMR and assisted with billing discrepancies.
Insurance VerificationEligibility and BenefitsClaims ManagementDenial ResolutionEMRPayer RequirementsBilling Guidelines
Patient Services & Care Coordination Specialist
Served as primary point of contact for patients, triaged calls, scheduled appointments, and coordinated referrals. Sent clinical documentation to external facilities and maintained accurate EMR records.
Patient SupportCare CoordinationTriageSchedulingReferral ManagementEMRClinical DocumentationFax Management
Life Claims Administrator
Received and assessed life insurance claims, ensured accurate documentation, and responded to inquiries. Monitored open cases and coordinated with team to meet processing timelines.
Claims ProcessingDocumentationCustomer ServiceCommunication SkillsCase ManagementTriage
Collections Specialist
Processed billing statements, reconciled premium payments, and followed up on past due receivables. Prepared credit memos and journal vouchers for adjustments.
BillingCollectionsReconciliationsAccounts ReceivableCredit MemosJournal VoucherCustomer Service
Customer Care Representative
Managed account administration for group businesses, processed medical and life insurance claims, and provided customer service. Billed accounts and provided financial statements to clients.
Account AdministrationClaims ProcessingBillingCustomer ServiceCommunication SkillsFinancial Statements
Education
University of Perpetual Help System Laguna
Completed Bachelor of Science in Nursing from 2010 to 2013.
Completed Bachelor of Science in Nursing from 2010 to 2013.
Far Eastern University
Studied Bachelor of Science in Nursing from 2008 to 2010.
Studied Bachelor of Science in Nursing from 2008 to 2010.