Electronic Medical Records (EMR) - EPIC, Meditec, Care Logic and Midas
Genize Ruddock
Utilization Manager
Dallas,GA
Summary
Talented professional with experience in business, as well as a background in behavioral health, utilization review, and case management. Equipped with the skills and qualities essential for a successful career in Utilization Management.
Overview
15
15
years of professional experience
Work History
UM Assistant Program Manager
Tanner Medical Center
Villa Rica, GA
10.2013 - 03.2021
- Demonstrated proficiency in inpatient and outpatient settings.
- Worked in environment that required coordination of benefits and utilization of multiple groups and resources while advocating patients' care.
- Experience working with Commercial, Medicare, Medicaid and Managed Care companies.
- Dual diagnosis experience with mental health and substance abuse.
- Proven excellent communication skills both verbal and written.
- Demonstrated exceptional time management and attention to detail.
- Monitored daily operations and enhanced processes to improve efficiency, as well as supervised employees.
Chief Financial Officer
Renters Plus
Rockmart, GA
05.2006 - 07.2013
- Conducted weekly payroll, performed auditing, bookkeeping activities, and prepared budgets.
- Handled all accounts receivable/payable duties, and reconciled monthly bank statements.
- Prepared and completed all monthly sales tax reports, federal and state quarterly reports.
- Prepared annual income tax paperwork for all employees/1099 vendors.
- Managed PTO and vacation schedules, and maintained company databases.
- Analyzed financial results to identify trends and recommended actions to improve organization financial status.
UR Department Supervisor
Family Intervention Specialist
Hiram, GA
06.2007 - 02.2009
- Successfully met and exceeded monthly insurance authorization requirements by actively engaging in communication and collaboration with various stakeholders to ensure smooth operations and financial success.
- Assessed department outcomes, monitored progress, completed production reports, performance evaluations, and made recommendations for improvement while ensuring deadlines are met.
- Demonstrated proficiency in medical terminology, ICD-9/ICD-10, CPT, and DRG coding.
Education
MBA - Business Administration
State University of New York
Oswego, NYBachelor of Arts - Psychology
State University of New York
Oswego, NYSkills
Excellent problem-solving skills
Strong communication skills
Ability to work collaboratively across multiple teams
Proficient in electronic medical record and documentation
Time management and attention to detail
Software
MS Office - Outlook, Word, Excel, Access, PowerPoint
Accounting Software - QuickBooks Pro
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
UM Assistant Program Manager
Tanner Medical Center
10.2013 - 03.2021
UR Department Supervisor
Family Intervention Specialist
06.2007 - 02.2009
Chief Financial Officer
Renters Plus
05.2006 - 07.2013
MBA - Business Administration
State University of New York
Bachelor of Arts - Psychology
State University of New York