Ruby Hankins
Montalba,TX
Summary
Knowledgeable medical office professional 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 OPTUM
02.2023 - 02.2024
- Risk Adjustment coding inpatient and outpatient facility charts
- To assign accurate HCC codes representing chronic health conditions that are correlated with costly treatment
- The codes help identify a score to each person to estimate the cost of future care for them.
Medical Biller
Internal Data Resources
09.2021 - 02.2023
- Follow up of outstanding A/R all payers including self pay and resolution of denials
- Handling all correspondence related to an insurance or patient account, contacting insurance carriers, patients and other facilities as needed to get maximum payment on accounts and identify issues or changes to achieve client profitability
- Working EDI transaction and ERA files, including reconciling carrier submissions, edits and rejection reports
- Research and resolve accounts on Delinquent Insurance Report, Collection Ledger and Government Payor report making appropriate decisions on accounts to be worked to maximize reimbursement.
Customer Service Representative
Concentrix
03.2021 - 08.2021
- Provided policy and service information
- Responded to claim inquiries
- Resolved customer information and complaints.
Recruiting Assistant
U.S. Census Bureau
03.2019 - 06.2020
- Promote census jobs throughout the community
- Locate training sites with internet access
- Distribute recruiting materials to local community based organizations, events, and businesses.
Customer Service Representative
The Results Companies
10.2017 - 01.2018
- Used multiple computer applications to respond to customer needs
- Assisted customers with basic troubleshooting and questions regarding account issues
- Documented customer calls, notes, and resolutions in the database system.
Clerk II
UTMB Michael Unit
09.2002 - 10.2003
- Maintained medical records for clinic, scheduled offender appointments for dental, medical, and psychiatric departments.
Project Manager
Advanced Receivables Strategy
06.2000 - 08.2002
- Resolved balances on aged patient accounts for contracted hospitals
- Effectively reduced receivables by identifying errors and communicating with insurance companies for prompt claims resolution.
Office Manager
Convalescent Aids
08.1996 - 06.2000
- 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 and maintained a relationship with area wound care clinics and hospitals provide required supply inventory for patients.
Medical Biller
Memorial Mother Frances Hospital
09.1994 - 07.1996
- 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
02.1992 - 08.1994
- Processed group medical claims for insurance temporary service
- Required a high degree of speed, accuracy, and ability to quickly adapt to billing systems in order to meet the client company's deadlines.
Claims Examiner
Claim Services Resource Group
03.1989 - 01.1992
- Processed group and individual health insurance claims for major companies in the Dallas Ft Worth area.
Claims Examiner/ Coder
Metropolitan Life Insurance Co
11.1984 - 02.1989
- Processed group claims for the Texas Utilities account
- Promoted to team coder after 2 years service.
Education
High School Diploma -
Palestine High School
Palestine, TXCareer Diploma - Medical Billing and Coding
Ashworth College
Norcross, GA07.2020
Associate - Fashion Merchandising
Trinity Valley Community College
Athens, TX05.1981
Skills
- Certified Professional Coder (CPC)
- Medical Billing Processing
- HCPCS Level II Familiarity
- CPT coding knowledge
- Medicare and Medicaid Billing
- Denial Management
- Commercial Insurance Billing
- ICD-10 Proficiency
- Revenue Cycle Management
- Appeals processing
- HIPAA Compliance
- Interpersonal Skills
Certification
- CBCS, 09/01/20, 09/01/24
- CPC-A, 09/01/21, 09/01/23
Groups
- AAPC
- NHA
Awards
- Medical Billing and Coding Diploma With Honors, 07/01/20
- Electronic Medical Records Certificate With Honors, 07/01/20
Work Preference
Work Type
Full TimeContract WorkWork Location
RemoteImportant To Me
Career advancementWork from home optionPersonal development programsTimeline
HCC Coder
CSI OPTUM
02.2023 - 02.2024
Medical Biller
Internal Data Resources
09.2021 - 02.2023
Customer Service Representative
Concentrix
03.2021 - 08.2021
Recruiting Assistant
U.S. Census Bureau
03.2019 - 06.2020
Customer Service Representative
The Results Companies
10.2017 - 01.2018
Clerk II
UTMB Michael Unit
09.2002 - 10.2003
Project Manager
Advanced Receivables Strategy
06.2000 - 08.2002
Office Manager
Convalescent Aids
08.1996 - 06.2000
Medical Biller
Memorial Mother Frances Hospital
09.1994 - 07.1996
Claims Examiner
American Multi Line Claims Overload
02.1992 - 08.1994
Claims Examiner
Claim Services Resource Group
03.1989 - 01.1992
Claims Examiner/ Coder
Metropolitan Life Insurance Co
11.1984 - 02.1989
High School Diploma -
Palestine High School
Career Diploma - Medical Billing and Coding
Ashworth College
Associate - Fashion Merchandising
Trinity Valley Community College
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