Ruth Howard Wilch
Carey,OH
Summary
Proven track record in enhancing patient and client satisfaction at Enterprise Solution Inc, leveraging HIPAA compliance and exceptional communication skills. Expert in insurance verification and claims processing, significantly reducing claim denials and streamlining workflows. Skilled in training staff and managing high-volume caseloads, demonstrating a commitment to quality and efficiency. Collaborative individual with expertise in providing exemplary service regarding benefits support. Multitasking Benefits Specialist knowledgeable in state and federal regulations and maintaining employee confidentiality. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
7
7
years of professional experience
Work History
Benefit Verification Specialist
Enterprise Solution Inc
05.2024 - 08.2024
- Improved patient satisfaction by accurately verifying benefits and providing timely responses to inquiries.
- Reduced claim denials with thorough insurance eligibility assessments prior to service provision.
- Assisted with staff training on new software systems and procedures, promoting a cohesive team environment focused on quality assurance.
- Leveraged advanced problem-solving skills in navigating complex cases involving multiple policies or payers, ultimately securing coverage approvals where possible.
- Enhanced workflow efficiency by implementing a streamlined benefit verification process for the team.
- Managed high-volume caseloads while maintaining strict deadlines for completing benefit verifications and authorizations.
- Facilitated smooth transitions for patients between care providers by coordinating authorizations for outpatient services.
Medicaid Eligibility Specialist
Aston Carter
09.2023 - 02.2024
- Provided support to colleagues, sharing expertise on complex cases and assisting in the training of new team members.
- Assisted clients in gathering necessary documentation, leading to smoother application processes.
- Managed high caseloads efficiently, prioritizing tasks effectively and utilizing time-management skills to meet deadlines consistently.
- Negotiated with state representatives on behalf of clients, securing rightful benefits.
- Reduced errors in eligibility determinations by implementing quality control review system.
- Enhanced Medicaid eligibility determinations by thoroughly analyzing applicants'' financial and personal information.
- Simplified application submission process, resulting in higher applicant satisfaction.
- Negotiated payment plans for applicants with outstanding medical debts, achieving mutually beneficial arrangements that satisfied both parties'' needs.
Patient Care Coordinator
Wyandot Memorial Hospital
04.2021 - 09.2023
- Managed sensitive patient information with strict adherence to HIPAA guidelines, maintaining confidentiality and privacy at all times.
- Coordinated with insurance companies for accurate billing and claim processing, reducing errors and financial discrepancies.
- Delivered excellent patient experiences and direct care.
- Enhanced patient satisfaction by efficiently scheduling appointments and managing patient flow.
- Assisted in the development of care plans tailored to individual patient needs, improving overall health outcomes.
- Provided exceptional customer service by addressing concerns, answering questions, and ensuring patient satisfaction with their care experience at the clinic.
- Acted as a knowledgeable resource for patients seeking information about community resources and support services available to them in their healthcare journey.
Medical Assistant
Tarhe Trail Providers Office(Wyandot Hospital)
03.2019 - 04.2021
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Sanitized, restocked, and organized exam rooms and medical equipment.
- Performed medical records management, including filing, organizing and scanning documents.
- Built strong relationships with patients through effective communication skills that foster trust in the clinic''s commitment to quality care.
- Obtained client medical history, medication information, symptoms, and allergies.
- Performed phlebotomy tasks efficiently while ensuring minimal discomfort for patients during blood collection procedures.
Copart Title Procurement
Copart Inc
03.2017 - 02.2020
- Ensured timely processing of title applications by efficiently managing a high volume of daily tasks.
- Improved department efficiency by implementing strategic filing systems for easy access to critical information.
- Coordinated with escrow officers to ensure seamless closings on real estate transactions involving title transfers.
- Expedited title application approvals by accurately preparing all necessary documentation for submission to appropriate agencies.
- Maintained accurate records and ensured timely completion of all necessary paperwork.
Education
Associate of Applied Science - Skin Graph Therapy
School For Natural Skincare
04.2025
Associate of Applied Science - Medical Assisting/Medical Office Business
Kaplan University
Columbus, Ohio06.2002
Skills
- HIPAA Compliance
- Microsoft Office
- Claims Processing
- Follow-up skills
- Insurance Verification
- Benefits Explanation
- Written and oral communication
- Verbal and written communication
Timeline
Benefit Verification Specialist
Enterprise Solution Inc
05.2024 - 08.2024
Medicaid Eligibility Specialist
Aston Carter
09.2023 - 02.2024
Patient Care Coordinator
Wyandot Memorial Hospital
04.2021 - 09.2023
Medical Assistant
Tarhe Trail Providers Office(Wyandot Hospital)
03.2019 - 04.2021
Copart Title Procurement
Copart Inc
03.2017 - 02.2020
Associate of Applied Science - Skin Graph Therapy
School For Natural Skincare
Associate of Applied Science - Medical Assisting/Medical Office Business
Kaplan University
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