Ruofei Shen
Elmhurst,NY
Summary
With 13 years of operation experience in the bank back-office setting, including payment assistance, customer service assistance, KYC screening, and AML reporting process. Received customer service satisfactory silver award from the line of business head. With Patient-focused, detail-oriented, and
computer-savvy medical receptionist with two years of fast-paced medical office experience in the USA. In my current role as a Medical Biller at Rendr Physician, I am a Dedicated and detail-oriented person with 3 years of experience in medical billing and coding. Proficient in utilizing medical billing software and staying up-to-date with changes in healthcare regulations and standards. Strong communication skills and possess a deep understanding of the system and are able to navigate it with ease.
Overview
12
12
years of professional experience
Work History
Medical Biller
Rendr Physicians
New York
06.2022 - Current
- Accurately resubmitted rejected claim by the clearinghouse and follow up on Denial claim by the payer
- Verify insurance eligibility and benefits for patients
- Review and analyze patient medical records for proper billing and coding
- Ensure compliance with healthcare regulations and standards
- Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
- Maintained compliance with industry regulations by staying updated on changes to medical billing codes and requirements.
- Analyzed complex Explanation of Benefits forms to verify the correct billing of insurance carriers.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
Medical Receptionist
Rendr Physicians
New York, NY
02.2021 - 06.2022
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Checked patient insurance, demographics, and health history to keep information current.
- Completed patient referrals to other medical specialists.
- Helped patients complete necessary medical forms and documentation.
- Maintained strict confidentiality of patient information, adhering to HIPAA regulations and medical office policies.
- Managed high call volumes, directing calls to appropriate departments while maintaining a polite and professional demeanor.
- Assisted healthcare providers with administrative tasks, enabling them to focus on quality patient care.
Front Desk Receptionist
Focus OT
Flushing, NY
11.2019 - 11.2020
- Greeted guests at the front desk and engaged in pleasant conversations while managing the check-in process.
- Maintained an organized and clean front office area to create a professional and welcoming environment for visitors and employees.
- Scheduled, coordinated, and confirmed appointments
- Delivered outstanding first impressions by warmly greeting visitors upon arrival at the front desk.
- Collect patient insurance details, work comp, and no-fault claim details to ensure that all necessary information is collected and that the reimbursement process runs smoothly
- communicating with healthcare providers and insurance companies to resolve any issues related to authorization and billing
- submit the patient claim to the insurance in a timely manner.
Receptionist
DaNutri PLLC
Flushing, NY
04.2019 - 11.2020
- Answer phone calls and schedule appointments, including general office duties such as copying, faxing, filing, cleaning, etc.
- communicating & Assisting between the Nutritionists and daycare centers & Assisting the marketing team to fulfill special projects and assignments.
- Conduct insurance verifications, submit accurate billing information (CPT/ICD codes), \and review claim.
- Assist with inventory management and ordering of supplies and products.
External Investigation Officer
HSBC Bank (China) Co
Shanghai, China
07.2017 - 11.2018
- Monitor customer transactions to prevent the suspect from laundering illegal money through the banking system.
- Check and identify customers who have potential risks, such as politicians, terrorist activities, OFAC, sanctioned list, and monitor customer bank account transactions with suspicious activity.
- Draft a comprehensive analysis of the suspect transaction report escalates to the Senior managementteam or legal team to determine the SAR Filing.
Regulatory Account Monitoring Assistant
HSBC BANK (CHINA) CO LTD
Shanghai, China
01.2012 - 07.2017
- Collecting and reporting of large-amount transaction report data to the regulator portal, completing other tasks assigned by the leading group of the anti-money laundering Department
- To supervise and verify the legality and compliance of the unit trust fund subscription and the redemption & distribution of Unit Trust interest.
- Escalate the system defect for watchlist generation (PEP list, local watch list, OFAC sanction list &, etc.
- Communicate with the project team to enhance the system enhancement.
- Regularly organize communication meetings with the Compliance department to improve the operation audit findings.
Education
Associate of Arts - English Language And Literature
Shanghai International Studies University
Shanghai, China12.2005
Skills
- Multitasking and Organization
- Teamwork and Collaboration
- Knowledgeable in Microsoft
- Insurance Claims
- Records Maintenance
- Cantonese
- Analytical skills
- Payment Transactions
- Microsoft Office
Languages
Chinese (Cantonese)
Professional Working
Chinese (Mandarin)
Native or Bilingual
English
Professional Working
Timeline
Medical Biller
Rendr Physicians
06.2022 - Current
Medical Receptionist
Rendr Physicians
02.2021 - 06.2022
Front Desk Receptionist
Focus OT
11.2019 - 11.2020
Receptionist
DaNutri PLLC
04.2019 - 11.2020
External Investigation Officer
HSBC Bank (China) Co
07.2017 - 11.2018
Regulatory Account Monitoring Assistant
HSBC BANK (CHINA) CO LTD
01.2012 - 07.2017
Associate of Arts - English Language And Literature
Shanghai International Studies University