Riley Rice
South Charleston,OH
Summary
Experienced in fast-paced environments and adaptable to last-minute changes. Thrives under pressure and consistently earns high marks for work quality and speed. Proactive and versatile professional with a dedication to quickly adapting to new challenges. Strong problem-solving abilities and a proven track record of fostering strong relationships with clients and team members. Focused on supporting team success and achieving positive results.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Protective Services Officer
Nationwide Children’s Hospital
10.2023 - Current
- Conducts random, but frequent, patrols in his/her assigned area to detect and appropriately respond to safety and/or security issues
- Intervenes in interpersonal conflict safely and effectively to maintain order
- Provides appropriate intervention and/or assistance by detaining perpetrators of criminal acts, restraining hostile or uncooperative patients, escorting belligerent visitors from the premises
- Conducts preliminary investigations, as appropriate and/or when requested, regarding those incidents that amount to a criminal act or any incident that requires safety/security intervention
- Documents, by utilizing standard departmental/hospital forms, activities and incidents that are required to be or should be recorded
- Conducts lock/unlock activities as required and appropriate
- Performs staff escorts and/or provides transportation to staff and/or visitors, as appropriate
- Performs vehicle assistance (jump starts, lock-outs,) as required and appropriate
- Enforces hospital parking policies and procedures, as appropriate
- Responds to internal disaster incidents and provides appropriate assistance
Guest Services
AEG Worldwide (Promowest Productions)
10.2022 - Current
- Ticket scanning
- Assisting guests with needs/concerns
- Enforce venue rules and policies
- Seating guests and assisting with ADA patrons
- Act as member of emergency evacuation if they occur
- Working venues such as Kemba Live!, Newport Music Hall, A&R Bar and The Basement
Guest Services
Best
01.2023 - 03.2024
- Assisting guests with needs/concerns
- Enforce venue rules and policies
- Seating guests and assisting with ADA patrons
- Act as member of emergency evacuation if they occur
- Working venues such as Nationwide Arena, Palace Theater, OSU Stadium, Schottenstein Center, NFL Football games such as the Bengals, Ohio State Fair
Engagement Specialist
Equitas Health
12.2021 - 10.2023
- Engaging HIV positive patients into care who are newly diagnosed or out of care
- Scheduling patients for appointments
- Assisting with Medicaid applications
- Completing Presumptive Medicaid for patients
- Completing and enrolling patients into Ryan White part A & B
- Building professional relationships with outside agencies and hospitals
- Collaborating with other departments when engaging patients
- Completing intake assessments for case management
- Knowledge in PAPI assistance
- Completing referrals for community support services
- Providing outside resources for individuals who are in need
- Setting up and providing transportation for individuals such as Uberhealth, bus passes or gas cards
- Supporting individuals with plans for their future and maintaining an undetectable status
- Familiarity with the local and national epidemiological distribution of HIV and other sexually transmitted diseases
Delivery Driver
Nonstop Logistics LLC
07.2020 - 12.2021
- Contracted with Amazon
- Deliver packages to customer’s homes directly
- Multi-task daily
- Time management
- Quickly and efficiently deliver packages
- Adapting to different driving conditions
- Identifying potential clients
Patient Access Representative
Ensemble Health Partners
02.2018 - 07.2020
- Interview patients by phone to obtain demographic, employment, insurance, and financial information
- Verified patient’s eligibility and claims status with insurance agencies
- Money collecting through a POS system
- Adding insurance information to patients’ accounts
- Assisting customers with Self-Pay options
- Training new hires
- Running estimates for insurance pricing
- Manage high call volume
- Review of Self-Pay and Insurance related procedures
- Obtain authorization for inpatient admissions
- Contact insurance companies to verify eligibility and authorization status
Courier
Frontier Logistics, LLC
02.2019 - 05.2020
- Delivered prescriptions to hospice and patients
- Experience with package delivery
- Worked specifically beside Labcorp and other courier services
Registration Specialist
Robert Half
10.2017 - 02.2018
- Verified patients’ eligibility and claims status with insurance agencies
- Managed a high-volume call center of inbound and outbound customer calls
- Provided patient education
- Determined prior authorizations for medication and outpatient procedures
- Transitioned from temporary to permanent with Ensemble Health Partners
Prior Authorization Specialist
Concentrix
09.2016 - 10.2017
- Answer phone calls for physician offices, hospitals, and patients using customer service skills accurately into a database
- Maintain confidentiality
- Managed high call volumes
- Encountered and surpassed service and quality standards every review period
- Verified patients’ eligibility and claims status with insurance agencies
- Determined prior authorization for medications and outpatient procedures
- Aggressively maintained current working comprehension of ICD-10 coding principles, government regulation, protocols and third-party requirements concerning billing
Education
High School Diploma -
Deep Run High School
Glen Allen, VA01.2011
Skills
- Communication
- Quick learner
- Strong attention to detail
- Experience with public health and social determinants of health
- Organization
- Flexibility
- Medical terminology
- Capable to perform multiple responsibilities
- Community engagement
- Microsoft office, word, excel, powerpoint knowledge
- Ochin epic knowledge
- 3 years revenue cycle experience
- First aid proficiency
- De-escalation techniques
- Situational awareness
- Incident documentation
- Crisis management
Certification
- International Association for Healthcare Safety and Security, 05/24, Columbus, OH
- BLS Certification – American Heart Association, 05/24, Columbus, OH
Timeline
Protective Services Officer
Nationwide Children’s Hospital
10.2023 - Current
Guest Services
Best
01.2023 - 03.2024
Guest Services
AEG Worldwide (Promowest Productions)
10.2022 - Current
Engagement Specialist
Equitas Health
12.2021 - 10.2023
Delivery Driver
Nonstop Logistics LLC
07.2020 - 12.2021
Courier
Frontier Logistics, LLC
02.2019 - 05.2020
Patient Access Representative
Ensemble Health Partners
02.2018 - 07.2020
Registration Specialist
Robert Half
10.2017 - 02.2018
Prior Authorization Specialist
Concentrix
09.2016 - 10.2017
High School Diploma -
Deep Run High School