CHARLETTE RUIZ

Supported full-cycle medical billing by creating claims, submitting claims, following up on claims, posting payments, and reconciling accounts.

Reviewed patient accounts for accuracy, correcting billing errors to ensure timely reimbursement.

Checked insurance benefits and secured prior authorizations to help reduce claim denials and delays.

Followed up with insurance carriers on unpaid and denied claims, resolving outstanding billing issues to facilitate payment.

Applied CPT, ICD-10, and HCPCS coding knowledge when reviewing claims and fixing billing issues.

Communicated professionally with patients regarding outstanding balances, billing questions, and payment plans to enhance understanding and compliance.

Maintained accurate records of billing activity, collections, insurance correspondence, and account follow-up.

Worked closely with clinical and administrative teams to resolve account and billing issues.

● Counseled patients regarding financial responsibility, insurance balances, statements, and payment options.

● Collected patient payments and established tailored payment arrangements to meet patient needs and adhere to practice policies.

● Reviewed patient accounts and communicated account details, ensuring clarity on current and collection balances.

● Coordinated financial concerns with internal departments and external parties to resolve account issues.

● Provided clear explanations of patient financial responsibility and billing information.

● Maintained accurate documentation and handled sensitive financial information professionally.

Led daily front-office operations while providing high-quality patient service.

● Verified insurance benefits and authorizations to ensure smooth patient appointment and procedure scheduling.

● Registered new and established patients and maintained accurate demographic information.

● Collected copayments, coinsurance, deductibles, and outstanding patient balances.

● Scheduled follow-up appointments and diagnostic testing to facilitate timely patient care.

● Prepared clinic paperwork and ensured the front office was organized and ready for daily operations.

● Communicated appointment information and wait times to patients.

● Coordinated patient needs between clinical, scheduling, and financial departments to enhance overall patient experience.

Managed front-office operations for a multi-provider pediatric practice serving four physicians.

● Registered new patients and maintained accurate demographic and insurance information.

● Verified insurance eligibility and benefits and assisted with patient account questions.

● Reviewed billing and coding information on daily medical charts for accuracy and completeness.

● Collected and posted patient payments and reviewed outstanding account balances.

● Scheduled patients and coordinated physician and clinical staff schedules.

● Maintained quality control of provider schedules and helped ensure efficient daily patient flow.

● Answered phones, addressed patient questions, and provided guidance regarding insurance and account concerns.

● Worked closely with clinical and administrative staff to resolve patient and account issues.