Open to opportunities

Jessica De Ramos

@jessicaderamos

Healthcare Operations Specialist at a private practice, managing U.S. medical billing, prior authorizations, and remote team workflows.

Philippines

Message

In my current Healthcare Operations, Medical Billing, RCM & Virtual Team Lead role, I manage daily operations for a private practice and clinical practice, including scheduling, patient communication, records, and workflow development. I also handle claims, ERA posting, payer follow-up, referrals, and prior authorizations.

I lead remote healthcare team workflows through task assignment, staff training, payroll coordination, and KPI tracking. At Hello Rache, I supported U.S.-based practices across specialties, adapting to different client workflows and EMR systems; earlier, at AXA Philippines, I worked in life claims administration and insurance collections.

Experience

Work history, roles, and key accomplishments

Current

Healthcare Operations, Medical Billing, RCM & Virtual Team Lead

Current

Private Practice and Clinical Practice

Feb 2023 - Present (3 years 9 months)

Managed daily healthcare operations, medical billing, and revenue cycle management. Led a remote healthcare team, developed SOPs, and provided training and performance support.

Healthcare Administration Patient Scheduling Medical Billing Revenue Cycle Management Insurance Verification Claims Management ERA EOB Payment Posting Payer Follow Up Referrals Prior Authorizations Medical Records SOP Development Workflow Optimization Team Leadership Corporate Trainer KPI Tracking Payroll Coordination

Healthcare Operations Specialist

Dermatology Practice

Feb 2023 - Jun 2024 (1 year 4 months)

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 Communication Referral Management Prior Authorizations Medication Coordination Patient Scheduling EMR Documentation

Healthcare Virtual Assistant

Hello Rache

Dec 2021 - Jun 2024 (2 years 6 months)

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 Scheduling Insurance Verification Medical Billing Claims Management Referrals Medical Records Prior Authorizations Patient Communication EMR EHR Systems Payer Portals

Administrative Virtual Assistant

Behavioral Health Practice

Feb 2023 - Feb 2023 (0 months)

Provided temporary administrative and patient support coverage, managing appointments, patient intake, and insurance verification. Maintained accurate patient records in the EMR.

Patient Scheduling Patient Intake Insurance Verification EMR Telehealth Administrative Support

Medical Billing & Insurance Specialist

Podiatry Practice

Oct 2022 - Jan 2023 (3 months)

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 Verification Eligibility and Benefits Claims Management Denial Resolution EMR Payer Requirements Billing Guidelines

Patient Services & Care Coordination Specialist

Hepatology & Clinical Research Practice

Dec 2021 - Sep 2022 (9 months)

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 Support Care Coordination Triage Scheduling Referral Management EMR Clinical Documentation Fax Management

Life Claims Administrator

AXA Philippines

Nov 2019 - Mar 2021 (1 year 4 months)

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 Processing Documentation Customer Service Communication Skills Case Management Triage

Collections Specialist

AXA Philippines

May 2018 - Nov 2019 (1 year 6 months)

Processed billing statements, reconciled premium payments, and followed up on past due receivables. Prepared credit memos and journal vouchers for adjustments.

Billing Collections Reconciliations Accounts Receivable Credit Memos Journal Voucher Customer Service

Customer Care Representative

The Insular Life Assurance Co., Ltd

May 2014 - Mar 2017 (2 years 10 months)

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 Administration Claims Processing Billing Customer Service Communication Skills Financial Statements