Ruby Hankins
Medical Billing Specialist
Montalba,TX
Summary
Knowledgeable medical office professional with certifications in Medical Billing and Coding proficient at correcting and resubmitting claims, filing appeals and reviewing health records to identify proper diagnosis and procedure codes for billing. Offers background in reviewing, analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure payment
Overview
39
39
years of professional experience
2
2
Certification
Work History
HCC Coder
CSI Companies
Jacksonville , FL
2023.02 - 2024.02
- Assigned accurate HCC codes representing chronic health conditions correlated with costly treatment
- Identified a score for each person to estimate the cost of future care
- Reduced EDI edit rejections by reviewing documentation in charts for errors
Medical Biller
Internal Data Resources
Alpharetta , GA
2021.09 - 2023.02
- Obtained maximum payment on accounts through follow-up of outstanding A/R and resolution of denials
- Achieved client profitability and identified issues and changes with handling of correspondence related to patient accounts
- Created working EDI transaction and ERA files by contacting insurance carriers, patients, and other facilities
- Reconciled carrier submissions, and edit and rejection reports
- Maximized reimbursement through research and account resolution on Delinquent Insurance Reports, Collection Ledger and Government Payor report making appropriate decisions on accounts to be worked to
Customer Service Representative
Concentrix
Jacksonville , TX
2021.03 - 2021.08
- Provided policy and service information
- Responded to claim inquiries
- Resolved customer information and complaints
Recruiting Assistant
U.S. Census Bureau
Irving , TX
2019.03 - 2020.06
- Promoted census jobs by distributing recruiting materials to local community organizations, events, and businesses averaging 75 miles daily in assigned areas
- Reduced office expenses by 25% with the procurement of free training sites with internet access in offices and libraries
- Posted approximately 50 messages daily on social media
- Enhanced candidate experience by implementing personalized follow-up communication strategies
Clerk II
UTMB Michael Unit
Galveston , TX
2002.09 - 2003.10
- Filing and issuance of medical records in the correctional facility clinic and scheduled offender appointments for dental, medical, and psychiatric departments
Advanced Receivables Strategy
Madison , TN
2000.06 - 2002.08
- Resolved balances on aged patient account for contracted hospitals
- Effectively reduced receivables by identifying errors and communicating with insurance companies for prompt claims resolution
Office Manager
Convalescent Aids
Palestine , TX
1996.08 - 2000.06
- Accounts payable, billing, and collections for durable medical equipment, rentals, purchases, supplies, and sleep studies
- Assisted storefront in sales
- Introduced wound care line to the company
- Established a relationship with area wound care clinics and hospitals which aided in inventory management
Medical Biller
Memorial Mother Frances Hospital
Palestine , TX
1994.09 - 1996.07
- Billed electronic and paper claims to insurance companies, Medicare, and Medicaid for physicians contracted with the hospital's rural health clinic
- Set up payment arrangements with patients on account balances, submitted adjustments and write off requests to the hospital accounting department for account reconciliation
Claims Examiner
American Multi Line Claims Overload
Dallas , TX
1992.02 - 1994.08
- Processed group medical claims for insurance temporary service
- Required a high degree of speed, accuracy, and ability to quickly adapt to billing systems in to meet the client company's deadlines
Claims Examiner
Claim Services Resource Group
Dallas , TX
1989.03 - 1992.01
- Processed group and individual health insurance claims for major companies in the Dallas Ft Worth area
Claims Examiner/ Coder
Metropolitan Life Insurance Co
Austin , TX
1984.11 - 1989.02
- Processed group claims for the Texas Utilities account
- Promoted to team coder after 2 years of service
Education
Career Diploma - Medical Billing and Coding
Ashworth College
Norcross, GA07.2020
Associate degree - Fashion Merchandising
Trinity Valley Community College
Athens, TX05.1981
High school diploma -
Palestine High School
Palestine, TXSkills
- Experience with Medicare, Medicaid, MCO, and Veteran
- Ten years of experience in medical billing and collections
- Working knowledge of ICD-10, CPT, and HCPCS coding.
- Appeals and Denials Management
- Strong interpersonal and communication skills, both written and verbal
- Strong attention to detail
- Ability to work independently under tight deadlines
- Knowledge of HIPAA compliance and other federal and state requirements
- Provides outstanding customer service to clients and business partners
Certification
- CBCS - Certified Billing and Coding Specialist
- CPC - Certified Professional Coder
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Affiliations
AAPC-American Academy of Professional Coders
NHA -National Healthcareer Association
Timeline
HCC Coder
CSI Companies
2023.02 - 2024.02
Medical Biller
Internal Data Resources
2021.09 - 2023.02
Customer Service Representative
Concentrix
2021.03 - 2021.08
Recruiting Assistant
U.S. Census Bureau
2019.03 - 2020.06
Clerk II
UTMB Michael Unit
2002.09 - 2003.10
Advanced Receivables Strategy
2000.06 - 2002.08
Office Manager
Convalescent Aids
1996.08 - 2000.06
Medical Biller
Memorial Mother Frances Hospital
1994.09 - 1996.07
Claims Examiner
American Multi Line Claims Overload
1992.02 - 1994.08
Claims Examiner
Claim Services Resource Group
1989.03 - 1992.01
Claims Examiner/ Coder
Metropolitan Life Insurance Co
1984.11 - 1989.02
Career Diploma - Medical Billing and Coding
Ashworth College
Associate degree - Fashion Merchandising
Trinity Valley Community College
High school diploma -
Palestine High School
- CBCS Certified Billing and Coding Specialist, 09/2020, 09/2024
- CPC Certified Professional Coder, 09/2021, 09/2024
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