Liset Ruiz

Interview all surgical patients.
• Obtain all personal data, enter them in the system, collect their co-insurance and co-pays monies for that day.
• Answer all incoming calls.
• Balance monies at the end of the day and scan all medical records into EMR cerner/epic/e-Clinicals/Advantix.
• Call patients to collect overage payments on all elective surgeries.
Add and modify cancellations, patient payment. Make sure to go by each case and add % expected payment every day on the log (digital log).
Make sure to call the nurses in Pre-op to come and get the charts on all the patients that have been registered and paid.

• Communicated effectively with team members to ensure smooth workflow throughout the day.

Providing front desk duties, including greeting all patients, checking in patients, entering all patient data, verifying insurance, collecting co-payment, scanning insurance and ID cards into chart, taking patients back and triaging them with vitals, and getting them ready for the provider. Answering multiple phone lines, performing all DOT and drug screen tests, and immigration, workers comp, and school physicals, etc.

• Provided technical support to physicians by answering questions about product features, benefits, and uses.

Check in patients, verify insurance, collect co-payment, get the referral from primary provider or generate a referral, schedule hospital procedure, check out patients, answer multi phone lines, scan all medical records, enter all patient data, prep all medical charts for appointments next day, enter day's charges and balance at end of day.

• Utilized customer service skills and detailed system knowledge to support health insurance operations, provide all insurance and medication benefits to all enrolled patients, answer all inbound phone calls, assist with open enrollment for all Medicare patients, and order patients' monthly medications. Translated on all Spanish calls and entered data for all enrollees into BCBS Medicare policy.

• Expertly assigned charges and payments for medical procedures and diagnostic testing and procedures
• Assessed medical codes on patient records for accuracy.
• Reviewed medical records to meet insurance company requirements.
• Expertly assigned charges and payments for medical procedures.
• Assigned CPT procedure and evaluation and management (E&M) codes for services to ensure appropriate billing and reimbursement.
• Performed with precision by entering data accurately and researching to resolve questions.
• Reviewed all claims for accuracy and appropriateness. Also, answer all inbound billing calls, etc.

Check in all cardiac patients, enter all their data in their medical chart, verify health insurance, collect co-payment, get all referrals from their primary care provider, answer all incoming calls, schedule all cardiac procedures and testing at the hospital, and get them authorized through health insurance. Enter day charges and balance them, and do the end of day.

• Developed relationships with key opinion leaders within the medical community.

• Determined customer eligibility for benefit programs and services.
• Maintained current working knowledge of CPT and ICD-10 coding principles, government regulations, protocols, and third-party billing requirements.
• Performed quality control of data entry system to verify proper posting of claims and payments.
• Consistently informed patients of financial responsibilities prior to services being rendered.
• Prepared and submitted claims to insurance companies electronically and manually.
• Posted charges, payments and adjustments.
• Tracked and recorded status of delinquent accounts and sent follow-up letters to request payment.
• Meticulously tracked and resolved underpayments.
• Entered procedure codes, diagnosis codes and patient information into [Software].

Check in all patients, enter their personal data into the EMR system, verify health insurance, scan ID and health insurance into their medical electronic chart, collect co-payment, triage patients, get all their vital signs, their chief complaint, and history and physical for the provider, administer vaccines, phlebotomy, pap smears, pulmonary function test, electrocardiogram, and call in medications to the pharmacy, answer all multiline phones, etc.

• Guided patients to room, recorded vital signs, discussed patient medical history, and entered information for physician or other clinical staff to review.
• Assisted patients with registration, new patient paperwork, and check-out process. Set up, cleaned, and stocked examination rooms with medical supplies.
• Closed and submitted all patient insurance claims by the end of each day.
• Scheduled patients by collecting screening information, or presented nurse with clinical information to triage urgent patient needs.
• Prepared daily charts by creating and updating electronic health records system data prior to patient visits.
• Assisted with diagnostic testing by collecting and packaging biological specimens for internal and laboratory analyses.
• Assisted physicians by preparing patients for procedures, including electrocardiogram, phlebotomy, glucose testing, and pulmonary function tests.
• Used software to process patient payments and update accounts.
• Maintained inventory, vaccination, and product expiration logs to record updated documentation for tracking purposes.
• Performed, validated, and reported laboratory tests for prognosis, diagnosis, treatment, and research.
• Executed insurance verification processes