Ruby Hankins
Montalba,TX
Summary
Highly experienced in accounts receivable and billing operations. Improved efficiency in past roles by streamlining AR processes and enhancing overall accuracy. Recognized for high productivity and ability to complete tasks swiftly. Utilizes strong organizational skills, accuracy, and problem-solving abilities to excel in fast-paced environments. Brings effective communication and teamwork capabilities to manage workflow and meet deadlines consistently.
Overview
39
39
years of professional experience
1
1
Certification
Work History
HCC Coder
CSI Companies
Jacksonville, FL
02.2023 - 02.2024
- Determined the appropriate ICD-10 diagnoses codes based on clinical documentation that follows the Official Guidelines for Coding and Reporting and Risk Adjustment guidelines for Hierarchical Condition Categories (HCC).
- Reviewed retrospective medical record documentation and ensured that the codes are appropriately assigned and capture the chronic conditions and disease burden of the members while providing accurate documentation to be utilized in coding per guidelines.
- Reviewed medical records for second pass and identify potential deletes that vendor partnerships did not identify.
- Utilize available encoder, grouper software, and other coding resources to determine the appropriate ICD-10-CM diagnosis codes mapped to HCCs.
Ensure documentation in the medical record follows the official coding guidelines that adheres to.
Medical Biller
Internal Data Resources
Alpharetta, GA
09.2021 - 02.2023
- 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
03.2021 - 08.2021
- Provided policy and service information
- Responded to claim inquiries
- Resolved customer information and complaints
Recruiting Assistant
U.S. Census Bureau
Irving, TX
03.2019 - 06.2020
- 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
Customer Service Representative
The Results Companies
Palestine, TX
10.2018 - 01.2019
- Presented existing and prospective customers with valuable service or product information to aid in decision-making.
- Answered inbound calls, chats and emails to facilitate customer service.
- Collected deposits or payments and arranged for billing.
- Utilized job-related software to prepare change of address records and issue service discontinuance orders.
- Updated databases with new and modified customer data.
Clerk II
UTMB Michael Unit
Galveston, TX
09.2002 - 10.2003
- 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
06.2000 - 08.2002
- 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
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 a relationship with area wound care clinics and hospitals which aided in inventory management
Medical Biller
Memorial Mother Frances Hospital
Palestine, TX
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
Dallas, TX
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 to meet the client company's deadlines
Claims Examiner
Claim Services Resource Group
Dallas, TX
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
Austin, TX
11.1984 - 02.1989
- Processed group claims for the Texas Utilities account
- Promoted to team coder after 2 years of service
Education
COC Facility Outpatient Coding Course
AAPC-American Academy of Professional Coders
05-2024
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
- Denials and appeals experience
- Familiarity with EOB and reading medical policies from payers
- Ten years of experience in medical billing and collections
- Proficient with Microsoft Office applications (Outlook, Word, Excel)
- Interpersonal skills that enhance collaboration and communication
- Self-motivated and able to work independently without close supervision
- Handles contracted and non-contracted; HMO, PPO, EPO, POS, Worker’s Com, self-pay and third-party reimbursement issues
- attention to detail, accountability, teamwork, and professional behavior and a focus that extends to patients, clients and other departments
- Accurate and timely follow up and resolution for all accounts receivable
Certification
- CBCS Certified Billing and Coding Specialist, 09/2020, 09/2024
- CPC Certified Professional Coder, 09/2021, 09/2024
Accomplishments
- Medical Billing and Coding Diploma With Honors, 07/01/20
- Electronic Medical Records Certificate With Honors, 07/01/20
Timeline
HCC Coder
CSI Companies
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
10.2018 - 01.2019
Clerk II
UTMB Michael Unit
09.2002 - 10.2003
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
COC Facility Outpatient Coding Course
AAPC-American Academy of Professional Coders
Career Diploma - Medical Billing and Coding
Ashworth College
Associate degree - Fashion Merchandising
Trinity Valley Community College
High school diploma -
Palestine High School
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