Vanessa Ramos
Los Angeles
Summary
Organized and motivated professional with strong time management and organizational skills. Ready to contribute to company growth while gaining valuable experience in diverse environments. Proven ability to prioritize tasks and meet deadlines effectively.
Overview
20
20
years of professional experience
Work History
Lead Um Dept
De La pena eye clinic
Commerce
06.2023 - Current
- 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.
UM Department
De La Pena Eye Clinic
Montebello
07.2010 - 06.2023
- Verified patient insurance coverage and benefits, ensuring compliance with eligibility and payer requirements.
- Processed and obtained prior authorizations for medical procedures efficiently.
- Communicated with providers, insurance companies, and patients to expedite authorization processes.
- Managed denied and delayed authorizations to resolve issues promptly.
- Conducted status verification of authorizations with IPAs and primary care physicians.
- Executed daily tasks accurately to maintain operational efficiency.
Optical Assistant
Star Optometry
Huntington Park
10.2005 - 06.2010
- Conducted pretests 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 efficiently.
- Trained patients on proper usage of contact lenses and eyewear.
- Performed repairs and adjustments on eyeglasses as needed.
- Facilitated training sessions for new employees to ensure operational readiness.
- Filed claims and followed up on outstanding reimbursements.
Education
Associate of Arts -
Cerritos Community College
Cerritos, CA01.2006
High School Diploma -
Huntington Park High School
Huntington Park, CA06-2004
Skills
- Prioritization of tasks
- Bilingual Spanish/English skills
- Typing speed of 40 wpm
- Insurance checking expertise
- Billing and coding knowledge
- Telephone and reception skills
- Customer service support
- Microsoft Word
Timeline
Lead Um Dept
De La pena eye clinic
06.2023 - Current
UM Department
De La Pena Eye Clinic
07.2010 - 06.2023
Optical Assistant
Star Optometry
10.2005 - 06.2010
Associate of Arts -
Cerritos Community College
High School Diploma -
Huntington Park High School