Martha Rulis
Park Falls,Wisconsin
Summary
Bilingual Benefits Specialist dedicated to assisting employees with open enrollment for smooth and simple process. Offering more than 15 years of documenting and reporting changes in relation to benefits. Composed, talented and considered effective team player.
Overview
10
10
years of professional experience
Work History
Member Benefit Specialist
Kindbody
08.2022 - Current
- Explain benefits to plan participants in easy to understand terms in order to educate each on available options.
- Resolved issues and inquiries from plan participants regarding their benefits,financial and billing issues through the phone,email or the patient portal.
- Checked employees' benefits enrollment for accuracy and inputted all data into the KindEMR
- Schedule New Patients.
- Follow up with outreach and onboarding of new members,
Insurance Verification Coordinator
Center Of Reproductive Medicine
04.2014 - 07.2022
- Verified client information by analyzing existing evidence on file.
- Posted payments to accounts and maintained records.
- Determined appropriateness of payers to protect organization and minimize risk.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Established and maintained relationships with insurance providers for productive communications.
- Updated patient records with accurate, current insurance policy information.
- Trained new staff on current, correct insurance verification procedures.
- Achieved insurance pre-authorizations to enable timely patient procedures.
- Assisted patients with understanding personalized insurance coverage and benefits.
Education
No Degree - Medical Insurance Billing
AAPC
Remote05.2021
LPN - Nursing Practice
Mech-Tech College Dba Ramirez College of Business And Technology
Rio Piedras, PR05.2003
Skills
- Fluent in English/Spanish
- Knowledge on Medical Insurance coverage and pre-authorizations
- Proficient in Windows,EMR,Hubspot
- Work well under pressure and fast paced environments
- Verbal and Written Communication
- Written and Oral Communication
- Documentation and Reporting
- Attention to Detail
Timeline
Member Benefit Specialist
Kindbody
08.2022 - Current
Insurance Verification Coordinator
Center Of Reproductive Medicine
04.2014 - 07.2022
No Degree - Medical Insurance Billing
AAPC
LPN - Nursing Practice
Mech-Tech College Dba Ramirez College of Business And Technology