Allison Ruiz
Fort Worth
Summary
Proficient and caring nursing team member offering outstanding patient-facing experience. Adept at addressing patient needs with compassionate care and attention to detail. Diligent about maximizing satisfaction, safety, and wellness while serving patients of all backgrounds.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Payment Integrity Support Analyst
UMR
09.2023 - Current
- Obtain all available data relevant to investigation/overpayment identifications
- Analyze large data sets and identify trends and patterns
- Use statistical tools to interpret data sets, paying particular attention to trends and patterns that could be valuable for diagnostic and predictive analytics efforts
- Document and communicate outcomes of claims investigations/overpayment reviews to applicable stakeholders
- Assisting with projects related to investigation
Senior Customer Service Representative
UMR
08.2021 - 09.2023
- Ensure quality customer service for internal and external customers with focus on needs identification, problem solving and partnering with billing and eligibility specialists
- Monitor delegated customer service issues to ensure timely and accurate resolution
- Use appropriate communication techniques with responding to customers, particularly in stressful situations
- Inform and educate new customers regarding billing/invoicing set up and billing/payment procedures
- Investigate claim and/or customer service issues as identified and communicate resolution to customers
Quality Medical Assistant
WellMed Medical Management
07.2021 - 05.2022
- Receive and collate all quality lists from insurance plans for medication adherence and other medication quality measures
- Perform outreach to patients, pharmacies, and insurance providers to include but not limited to education and medication list clarifications
- Assist and provide coverage for the Pharmacy Program Coordination Specialist in helping patient’s access medications through medication patient assistance programs
- Obtain and record patient information and vitals during triage in EMR via in-office visit or virtual telehealth
- Obtained referral authorization for out-patient consultations and diagnostic procedures
- Insurance verification
Certified Float Medical Assistant
WellMed Medical Management
03.2019 - 07.2021
- Administered vaccines and immunizations
- Performed venipuncture for lab draw
- Performed EKGs, Spirometry, Flu, Strep, and COVID-19 tests
- Obtain and record patient information and vitals in EMR via in-office visit or virtual telehealth
- Maintain medical supplies inventory and performed preventative maintenance to keep medical equipment operating
- Create excel sheets and record patient updates to share with management and within office
- Manage referral authorizations and appointments for outpatient consultations and diagnostic procedures
- Obtain medical records and diagnostic imaging results prior to office visits
Certified Medical Assistant Extern
The Center for Cancer and Blood Disorders
11.2018 - 12.2018
- Obtain and record patient vital signs in EMR
- Room and discharge patients
- Charting and documenting patient health information and updates
- Process referrals for out-patient consultations
Education
Licensed Vocational Nurse -
Concorde Career College
Grand Prairie, TX12-2024
Certified Medical Assistant - undefined
The College of Health Care Professions
12.2018
High school diploma - undefined
R. L. Pascal
07.2016
Skills
- EMR software (eCW and Kareo)
- Bilingual
- Detail Oriented
- Knowledgeable in ICD-10 & CPT designations
- Complaint resolution
- Typing proficiency
- Nursing plan development
- Case management
- Staff direction and task delegation
- Empathetic and compassionate
Certification
- Certified Medical Assistant (CMA)
- Certified Phlebotomy Technician
- CPR and AED Certified (American Red Cross)
Timeline
Payment Integrity Support Analyst
UMR
09.2023 - Current
Senior Customer Service Representative
UMR
08.2021 - 09.2023
Quality Medical Assistant
WellMed Medical Management
07.2021 - 05.2022
Certified Float Medical Assistant
WellMed Medical Management
03.2019 - 07.2021
Certified Medical Assistant Extern
The Center for Cancer and Blood Disorders
11.2018 - 12.2018
Certified Medical Assistant - undefined
The College of Health Care Professions
High school diploma - undefined
R. L. Pascal
Licensed Vocational Nurse -
Concorde Career College
Similar Profiles
Marin ChristensenMarin Christensen
Senior Customer Service Representative at UMRSenior Customer Service Representative at UMR
Christina Hardin-WilsonChristina Hardin-Wilson
Care Management Support Specialist at UMRCare Management Support Specialist at UMR
Carrie CopelandCarrie Copeland
Operations Support Manager at UMROperations Support Manager at UMR