Ruby Gaines
Marietta,GA
Summary
Dedicated administrative professional well-versed in communication and team building. Knowledgeable in medical terminology and scheduling. Ready to bring 15 years of relevant work experience to the team.
Overview
20
20
years of professional experience
1
1
Certification
Work History
Patient Access Specialist II
Wellstar Cobb Hospital
01.2023 - Current
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
- Collected and validated patient demographics and insurance information.
- Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
- Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
- Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
Team Leader Manager
Walgreen's Pharmacy
11.2022 - Current
- Stayed calm, collected and logical during stressful moments to identify and implement optimal solutions.
- Resolved customer service issues by finding immediate solutions, increasing customer confidence, and decreasing escalations to executive office.
- Led employee relations through effective communication, coaching, training, and development.
- Identified and corrected deficient performance and behaviors to achieve maximum productivity.
- Cash handling and closing paperwork
Patient Financial Counselor and Billing Rep.
Marietta Dermatology & The Skin Cancer Center
04.2008 - 08.2022
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Verified insurance of patients to determine eligibility.
- Collected payments and applied to patient accounts.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Posted payments and collections on regular basis.
- Filed and updated patient information and medical records.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Charge Entry
- Payment Posting
- Determine eligibility for payment plans
- Research all denials and scheduled peer to peer when necessary
Front Office Manager
Marietta Dermatology & The Skin Cancer Center
06.2016 - 12.2018
- Reconciled end-of-day reports to determine accurate billing and payment processing.
- Supervised and guided new employees and responded quickly to questions to improve understanding of job responsibilities.
- Coached employees through day-to-day work and complex problems.
- Managed files and records for clients and adhered to safety procedures to prevent breaches and data misuse.
- Set priorities and problem-solved workflow issues to maintain rapport with customers and managers.
- Delivered performance reviews, recommending additional training or advancements.
- Recruited, interviewed and hired employees and implemented mentoring program to promote positive feedback and engagement.
- Independently managed a team of 15 employees
- Learned the providers availability to scheduled patients accordingly
Bank Teller
Wachovia Bank
04.2007 - 04.2008
- Answered customer inquiries regarding account balances, transaction history, services charges, and interest rates.
- Processed customer transactions promptly, minimizing wait times.
- Built and strengthened customer relationships by leveraging excellent interpersonal and communication skills.
- Completed highly accurate, high-volume money counts via both manual and machine-driven approaches.
- Provided customer records, account statements and copies of checks.
Assistant Manager
McDonald's Restaurant
04.2003 - 04.2007
- Supervised day-to-day operations to meet performance, quality and service expectations.
- Monitored cash intake and deposit records, increasing accuracy, and reducing discrepancies.
- Completed regular inventory counts to verify stock levels, address discrepancies, and forecast future needs.
- Offered hands-on assistance to customers, assessing needs, and maintaining current knowledge of consumer preferences.
- Increased employee performance and job satisfaction to strengthen retention and engagement.
- Opened and closed location and monitored shift changes to uphold successful operations strategies and maximize business success.
Education
Diploma - Medical Insurance Billing And Coding
Medix
Marietta, GASkills
- Epic
- E-ClinicalWorks
- Modernizing Medicine EMA
- Team Leadership
- Statistical Data Management
- Business Management Principles
- Registration Processing
Certification
Certified Revenue Cycle Representative
Timeline
Patient Access Specialist II
Wellstar Cobb Hospital
01.2023 - Current
Team Leader Manager
Walgreen's Pharmacy
11.2022 - Current
Front Office Manager
Marietta Dermatology & The Skin Cancer Center
06.2016 - 12.2018
Patient Financial Counselor and Billing Rep.
Marietta Dermatology & The Skin Cancer Center
04.2008 - 08.2022
Bank Teller
Wachovia Bank
04.2007 - 04.2008
Assistant Manager
McDonald's Restaurant
04.2003 - 04.2007
Diploma - Medical Insurance Billing And Coding
Medix