Ruby Gaines
Marietta,GA
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
16
16
years of professional experience
Work History
Patient Financial Counselor
Wellstar Heath System
09.2023 - Current
- Increased patient confidence in the billing process by providing clear explanations of insurance benefits and coverage limitations.
- Managed sensitive patient information with utmost discretion, adhering to all HIPAA guidelines.
- Explained the requirements of financial assistance and assist patients in the preparations of documents.
- Educated patients on payment plan options and offer assistance in establishing one
- Adhere to LD-90 policy
- Ran report daily to target high dollar accounts that needs attention
Patient Access Service -Registration
Wellstar Health Systems
01.2023 - 09.2023
- 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.
Medical Billing Specialist and A/R Representative
Marietta Dermatology & The Skin Cancer Center
04.2020 - 12.2022
- Contacted insurance companies regarding denied claims
- Filed and updated patient information and medical records.
- Communicated with patients when their insurance deemed patient responsibility for denial
- Communicated standard denials with team
- Made sure claim was error free prior to submitting for payment
- Adhere to various payers guidelines
- Made sure authorizations were attached to claims
- Review Explanation of Benefits for any possible errors
Medical Office Manager
Marietta Dermatology & The Skin Cancer Center
01.2017 - 01.2020
- Successfully manage an office with four providers and 10 staff
- Maintain provider schedules and reschedule when necessary
- Informed employees of all changes and educated on policies
- Conducted interviews
- Counsel employees when needed
- Maintain supplies
Patient Financial Counselor
Marietta Dermatology & The Skin Cancer Center
04.2008 - 01.2017
- Provided face to face counseling with patients regarding balances and future treatment.
- Establish payment plans and educated patients on Care Credit
- Completed charge entry
- Researched denials
- Wrote appeal letters when necessary to insurance companies regarding claims
- Monitor the day to day
activities of patient account balances, decide when collection action
will be pursued, - Collected patients and insurance providers payments
Education
Diploma - Medical Billing And Coding
Medix College
Marietta, GA2007
Skills
- Financial Counseling
- Claims Processing
- Medicaid knowledge
- Healthcare regulations
- Epic, Eclinical Works, Modernizing Medicine- EMR
- Certified Revenue Cycle Representative
- Certified Specialist Accounting and Finance
Timeline
Patient Financial Counselor
Wellstar Heath System
09.2023 - Current
Patient Access Service -Registration
Wellstar Health Systems
01.2023 - 09.2023
Medical Billing Specialist and A/R Representative
Marietta Dermatology & The Skin Cancer Center
04.2020 - 12.2022
Medical Office Manager
Marietta Dermatology & The Skin Cancer Center
01.2017 - 01.2020
Patient Financial Counselor
Marietta Dermatology & The Skin Cancer Center
04.2008 - 01.2017
Diploma - Medical Billing And Coding
Medix College
Similar Profiles
Raven MengoRaven Mengo
IT Service Desk Analyst I at Wellstar Heath SystemIT Service Desk Analyst I at Wellstar Heath System
Niaishyia SmithNiaishyia Smith
Medical Assistant at Wellstar Heath SystemMedical Assistant at Wellstar Heath System
Janin PalaciosJanin Palacios
Medical Assistant at Wellstar Heath SystemMedical Assistant at Wellstar Heath System
Cierra WilliamsCierra Williams
Medical Scheduler at Wellstar Heath SystemMedical Scheduler at Wellstar Heath System
Trevor GoldenbergTrevor Goldenberg
Camp Counselor at URJ Camp ColemanCamp Counselor at URJ Camp Coleman