Ryan Trujillo

• Conducts rounds with unit-based patient experience specialists and interdisciplinary teams in assigned clinical areas to obtain pre-emptive feedback.
• Manage timely investigation and response to all patient concerns/complaints/grievances for clinical service areas, including interviewing staff and reviewing medical records.
• Manage high-quality, timely coding of diagnoses and procedures for inpatient and outpatient accounts, using ICD-10, CPT-4, and HCPCS classification systems.
• Collaborate with clinical service area management and administrative leadership, front-line staff, or other hospital service area management and administrative leadership to provide real-time support and improvement strategies to reach an effective resolution.
• Generate specific reports to highlight clinical services areas opportunities for improvement efforts, Including progress, obstacles, and trends in complaints and compliment data.
• Monitor staff compliance with key business initiatives and Key Performance Indicators including patient satisfaction, co-pay, and previous balance collections, registration processing\

time, and denials.

• Maintained strong knowledge of basic medical terminology to better understand services and procedures.
• Utilized EPIC electronic health records (EHR) to enhance patient care coordination and maintain accurate and up-to-date patient records.
• Establish and continuously assesses the effectiveness of the internal controls within the unit and compliance with university policies and procedures.
• Established and maintained relationships with insurance providers for productive communications.
• Complied with HIPAA guidelines and regulations for confidential patient data.
• Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
• Generated reports to track insurance verifications and claim progress.
• Prepared and processed patient referrals and transfer requests.
• Complete administrative patient intakes with case histories, insurance information and mandated forms.
• Assured timely verification of insurance benefits prior to patient procedures or appointments.
• Communicated verification and authorization status updates with departments to facilitate decision-making for patient admissions and insurance coverage.
• Maximized performance by monitoring daily activities and mentoring team members.

• Reviews pricing proposals, prepares comparative pricing analysis reports and submissions to the appropriate leadership teams
• Partner with stakeholders to optimize value, improve processes, rationalize supply base, leverage growth, and reduce costs.
• Increase corporate profitability using improved inventory activities such as inventory optimization, safety stock management, excess and obsolete inventory management or right inventory levels to meet hospital and supply chain expectation with a minimum possible inventory.
• Manage a team of employees to ensure all the daily duties are done efficiently and correctly
• Inventory optimization, safety stock management, excess expectations inventory management, or right inventory levels to meet hospital and supply chain expectation with a minimum possible inventory
• Drive the inventory strategy, including defining and communicating target stock levels across multiple facilities and efforts to minimize excess and obsolete inventory
• Establish key performance indicators and develop reporting to identify exceptions and communicate performance
• Manage monthly performance monitoring and prioritizing strategic initiatives to ensure all annual metrics and KPI
• Execute daily meetings with inpatient services, registration, and surgery department to verify that all patient verifications have been completed and received for the following day.
• Meet department goals while managing timelines, and working collaboratively leaders within Supply Chain and hospital
• Monitored proprietary systems and applications to prevent unauthorized access.
• Execute and explain the MOR month end report with accounting to ensure that all the hospital accounts have been closed as well as verified.
• Place orders for department specialties; verify orders, requisition numbers and process surgical bills daily for the Operating Room and clinics.
• Created annual review plans in collaboration with management.
• Monitored staff organization and suggested improvements to daily functionality.