Summary
Overview
Work History
Education
Skills
Timeline
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Elizabeth S. Ruff

Nashville,TN

Summary

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Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth.

Overview

17
17
years of professional experience

Work History

CRMS Clinical Revenue Management Systems
09.2015 - 06.2021
  • Apply insurance payments according to specific dates and procedures according to the EOB
  • Balance all posted batches by generating a batch summary report and reviewing for variances
  • Printing, pulling, and filing of EOB
  • Payments and adjustments are accurately recorded in the patient account system daily
  • Responsible for cash applications to update patient accounts with billing data
  • Completes tasks accurately, maintaining quality standards
  • Ensure notes are entered in the patient account, as well as, copies of EOBs, denials and other correspondence are provided to the collector
  • Meet monthly losing deadlines as set by the company
  • Meets or exceeds departmental productivity standards on a consistent basis

PMG Practice Management Group
09.2010 - 04.2014
  • Experienced billing for orthopedic and podiatry specialties
  • Insure accuracy of insurance claims by evaluating medial record documentation for coding completeness and appropriate CPT and ICD-9 codes
  • Enter daily charges; file medical claims; group and send billing electronically to insurance companies
  • Research, analyze, and respond to inquiries regarding compliance, coding, denials, and billable services
  • Interact with physicians and other patient care providers regarding billing and documentation policies, procedures, and regulations
  • Post payments from patients and insurance companies
  • Responsible for the follow-up on insurance and patient aging. Re-submit insurance claims, as necessary
  • Monthly collections calls and set-up collections payment plans, if necessary
  • Responsible for daily account balancing
  • Send secondary claims upon processing of primary insurance

Complex Claims Adjuster

First Acceptance Insurance
07.2004 - 10.2007
  • Negotiated favorable settlements with claimants, attorneys, and other insurance carriers to minimize financial risk for the company.
  • Examined claims forms and other records to determine insurance coverage.
  • Verified insurance claims and determined fair amount for settlement.
  • Maintained compliance with state regulatory requirements through meticulous documentation and adherence to company policies.
  • Provided exceptional customer service during emotionally difficult situations for policyholders following accidents.

Education

Medical Billing and Coding Program - Academic Excellence Awards

High Tech Institute
Nashville, TN
05.2010

Bachelor of Arts -

College of Charleston
Charleston, SC
05.2003

Skills

  • Customer service
  • Advanced oral and written communication skills
  • Flexible and adaptable
  • Dependable and responsible
  • Critical thinking
  • Teamwork and collaboration
  • Insurance claims
  • Data entry
  • Highly motivated

Timeline

CRMS Clinical Revenue Management Systems
09.2015 - 06.2021

PMG Practice Management Group
09.2010 - 04.2014

Complex Claims Adjuster

First Acceptance Insurance
07.2004 - 10.2007

Bachelor of Arts -

College of Charleston

Medical Billing and Coding Program - Academic Excellence Awards

High Tech Institute

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Elizabeth S. Ruff