Clarice Froline A. Ramos

CLARICE FROLINE A. RAMOS Address: #166 Slaughter Compd., Brgy. Sto. Niño, Baguio City Contact No.:- E-mail:-Skype ID: live:alvarc_2 OBJECTIVE: Seeking a challenging opportunity where I will be able to utilize my strong organizational skills, educational background, and ability to work well with people which will allow me to grow personally and professionally. WORK EXPERIENCE: ***Customer Service Representative / Medical Biller / Coder SITEL-Baguio Account: (Office-Based) Horizon Blue Cross Blue Shield of New Jersey-HMO Site 3 EPZA Compd. Loakan Rd., Baguio City November 18, 2013-March 28, 2017 Duties and responsibilities: ● Language: Fluency in English ● Communication, Comfortable writing and speaking ● Computer Literacy. Proficient MS Excel, MS Word and MS PowerPoint ● Catering health insurance of US Based clients. ● Communicate and provide best resolutions to customers through e-mail, chat, and phone. ● Set up appointments for customers with regards to health insurance through CRM ● Handled inbound calls from customers regarding their appointments, benefits, medical bill, claims and other related inquiries regarding their insurance. ● Handled and received follow up from customers through email. ● Educate customers regarding the process and conditions that abide with the service or product that they had purchased/avail. ● Load authorizations and referral for services. ● Used HCPC, ICD-9 to ICD-10 Codes. ● Overview of HIPAA Guidelines. ***Medical Biller / Coder RCCG BPOS: (Office-based) LifeCare Nevada / Vegas Medical 17 North Central, Aurora Hill, 2600 Baguio City September 4, 2017-December 4, 2018 Duties and responsibilities: ● Language: Fluency in English ● Communication, Comfortable writing and speaking ● Computer Literacy. Proficient MS Excel, MS Word and MS PowerPoint ● Reviewing medical procedures as documented by doctors ● Communicate and provide best resolutions to customers through e-mail. ● Handled emails from customers regarding their appointments, benefits, medical bill, claims and other related inquiries regarding their insurance. ● Handled patient billing ● Translating medical procedures into codes that can be translated by payers, other medical codes, and other medical facilities. ● Transmitting coded patient treatment information to payers and other recipients. ● Coordinating insurance reimbursement of care providers. ● Handled patient billing. ● Fax request for requirements on authorizations and referrals. ● Used HCPC, ICD-9 to ICD-10 Codes. ● Overview of HIPAA Guidelines. ***Medical Biller/Coder/Telemarketer Healthy BOS: (Home-based) ANNOVERA/ Therapeutics MD November 7, 2019- February 28, 2020 Duties and responsibilities: ● Language: Fluency in English ● Communication, Comfortable writing and speaking ● Computer Literacy. Proficient MS Excel, MS Word and MS PowerPoint ● Reviewing medical procedures as documented by doctors ● Communicate and provide best resolutions to customers through e-mail. ● Handled emails from customers regarding their appointments, benefits, medical bill, claims and other related inquiries regarding their insurance. ● Handled patient billing ● Translating medical procedures into codes that can be translated by payers, other medical codes, and other medical facilities. ● Transmitting coded patient treatment information to payers and other recipients. ● Coordinating insurance reimbursement of care providers. ● Handled patient billing. ● Fax request for requirements on authorizations and referrals. ● Used HCPC, ICD-9 to ICD-10 Codes. ● Overview of HIPAA Guidelines. ● Offer sales/products regarding ANNOVERA/ Therapeutics MD Accomplishments: TOP-AGENT (Overall Provider) Month of April 2016 CUSTOMER SERVICE MASTER (CSAT Master) Month of October 2016 TOP-AGENT (Overall Provider) Month of November 2016 ACADEMIC BACKGROUND: Tertiary: Bachelor of Science in Hospitality Management University of the Cordilleras Gov. Pack Road, Baguio City (Undergrad) Vocational: Hotel and Restaurant Services (2yr. course) Baguio City School of Arts & Trades Upper Session Rd., Baguio City (S.Y. 2010 – 2013) Secondary: Baguio City National High School (main) Gov. Pack Road, Baguio City (S.Y. 2007 – 2010) Primary: Magsaysay Elementary School New Lucban, Baguio City (S.Y. 2001 – 2007) CHARACTER REFERENCE: KAMILO TACBAS Brgy. Captain Slaughter Compd., Brgy. Sto. Niño, Baguio City- MICHELLE EZRA LARA Supervisor/Team Leader/Coach SITEL-Baguio Account: Horizon-HMO Site 3 EPZA Compd. Loakan Rd., Baguio City- CELIAMAR LAVARIAS Public School Teacher Quezon Hill Elementary School, Baguio City-