Summary
Overview
Work History
Education
Skills
Languages
Timeline
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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
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
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
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
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
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
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, China
12.2005

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

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