Chris Ryan
Fort Worth,TX
Summary
Dynamic EDI/Claims Supervisor at GI Alliance with expertise in ICD-10 coding and a proven track record in claims processing. Adept at fostering relationships and enhancing team performance, I drive process improvements and ensure compliance with HIPAA regulations, consistently delivering timely solutions to complex challenges.
Overview
14
14
years of professional experience
1
1
Certification
Work History
EDI/Claims Supervisor
GI Alliance
Southlake, USA
01.2017 - 09.2025
- Creation and implementation of new EDI departmental procedures and standards
- Supervised claims processing team, ensuring adherence to company policies and enhancing overall compliance.
- Analyze trends and formulate solutions for process enhancements.
- Corrected medical claims failing scrubber software checks, improving accuracy of processed claims.
- Creation and maintenance of claim holds for newly credentialed providers.
- Oversee and synchronize schedules for team of 10 while working remotely
- Conducting weekly team meetings and team-building activities using Microsoft Teams.
- Cultivated productive relationships with staff and departments across multiple locations, fostering collaboration and communication.
- Guarantee timely completion of projects
- Safeguards privacy and confidentiality in accordance with policy and HIPAA regulations.
- Assigns ICD-CM and CPT codes according to medical records.
- Maintains coding proficiency by keeping up to date on coding guidelines through continuing education.
- Maintaining productivity while working in office followed by full transition to remote during COVID-19
- Facilitated onboarding process for new employees, ensuring they received necessary training and resources.
- Developed training materials to enhance team knowledge and performance.
Scheduling Coordinator II
Presbyterian Medical Group Gastroenterology
Rio Rancho, USA
09.2011 - 09.2015
- Coordinated patient appointments, resolving scheduling conflicts to enhance patient satisfaction.
- Scheduled, canceled, and rescheduled office visits based on customer requests.
- Coordinated referrals directed to other facilities on behalf of patients.
- Acquired prior authorizations from insurance providers for patient services such as MRI, CT scans, colonoscopies, and endoscopes.
- Verified accuracy of ICD-9 and CPT codes for procedures/referrals, ensuring compliance and proper billing.
- Registered and facilitating patients that walk into the clinic for their appointments
- Assisted patients with intake processes and insurance verification procedures.
- Collected co-pays and residual balances, and applying method of payment to accounts according to standard protocols when new appointments are made.
- Addressed patient concerns regarding procedure prep, medications, and office visit times, handling 150-300 calls per shift.
- Provided reminder calls to clients prior to scheduled visits.
- Collaborated with medical staff to prioritize urgent cases and follow-ups.
- Prepared daily deposit report for accounting purposes.
- Train new employees.
Education
Associates - Health Information Management
National American University
Online08.2018
Diploma - General Studies
Cibola High School
Albuquerque, New Mexico05.1998
Skills
- ICD-10 coding
- HIPAA compliance
- Claims processing
- Medical billing
- Relationship building
- Problem solving
- Effective communication
- Time management
- MS office suite
- Performance monitoring
- Customer service
- Medical coding
Certification
- AHIMA, Certified Coding Associate Certification, A045165
- Registered Health Information Technician, 227206
References
GI Alliance, 950 E. State Hwy 114 Suite 200, Southlake, TX, 76092, (888)974-2163, Presbyterian GI Silver Clinic, 1100 Lead Ave SE, Albuquerque, NM, 87106, (505) 923-8750, Crystal Johnson, (972) 464-8580, Amy Decoux, (979) 633-8265, Deliris Lam, (818) 626-4087
Timeline
EDI/Claims Supervisor
GI Alliance
01.2017 - 09.2025
Scheduling Coordinator II
Presbyterian Medical Group Gastroenterology
09.2011 - 09.2015
Associates - Health Information Management
National American University
Diploma - General Studies
Cibola High School