Semaria Ruiz
Tigard,OR
Summary
Patient Services Specialist with exceptional communication skills offering patient-centric approach to comprehensive administrative support in healthcare clinics and facilities. Demonstrated to deliver outstanding customer service and leverage technology to manage patient registration processes to facilitate great patient care. Skilled in fostering positive patient experiences while maintaining cost-efficiency and compliance. High-functioning Patient Services Specialist with successful background in Insurance Verification. Encourages positive patient experiences through excellent customer service and quality patient care. Coordinates clerical activities to support healthcare team by expertly facilitating patient scheduling, registration and insurance verification procedures. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. Organized Patient Service Representative with 2 years of experience in healthcare. Adept at patient advocacy and education with commitment to efficiency. Skilled at coordinating busy offices and maintaining professionalism in stressful situations.
Overview
6
6
years of professional experience
Work History
Patient Services Specialist
Providence Health & Services
09.2021 - Current
- Applied administrative knowledge and courtesy to explain procedures and services to patients. Entered patient demographic and insurance data into EPIC electronic medical record system.
- Investigated insurance claims denials and appeals.
- Resolved complex billing issues effectively, minimizing financial stress on patients while maximizing revenue collection for the practice.
- Provided exceptional customer service, addressing patient concerns promptly and professionally.
- Trained new staff on filing, phone etiquette and other office duties.
- Trained new Patient Services Specialists, resulting in increased department productivity and accuracy.
- Cross Trained in multiple departments such as: Emergency, Surgical Services, and Medicare Deliveries.
- Investigated, triaged and resolved patient issues to encourage positive experience during clinical, emergency and ambulance check in.
- Consistently maintained confidentiality of sensitive information in accordance with regulatory guidelines to protect privacy rights of all parties involved in care provision process.
- Assisted in billing processes, contributing to quicker reimbursement times from insurance companies.
- Responded to inquiries by directing calls to appropriate personnel
- Handled customer service inquiries in person, via telephone and through email.
- Delivered support to medical staff in completion of patient paperwork.
- Worked effectively in several fast-paced environments.
- Gained extensive knowledge in data entry, analysis and reporting.
Manager
Springridge At Charbonneau Assisted Living
08.2020 - 09.2021
- Scheduled Staff's Daily Itineraries,
- Alert clinical staff if the resident needs immediate attention
- Verify residents dietary needs for proper dish placements. Verify and prepare all necessary forms, documents, plates, labels, and sitting reservations for servers to ensure resident safety and satisfaction.
- Available to work multiple roles, such as front desk receptionist, Interview residents & guests in a courteous, efficient, and accurate manner to ensure correct and complete information.
- Onboarded new employees with training and new hire documentation.
- Accomplished multiple tasks within established timeframes.
- Resolved staff member conflicts, actively listening to concerns and finding appropriate middle ground.
Host
Chapala Express
09.2017 - 08.2020
- Organized, stocked and cleaned establishment's front lobby during shifts to maintain welcoming appearance.
- Trained new hostesses on customer service best practices and restaurant policies to maintain high standards of service.
- Supported team morale by fostering positive relationships with coworkers through reliable communication and teamwork efforts.
- Communicated effectively with servers and kitchen staff to ensure seamless dining experiences for guests.
- Cultivated positive guest relations by managing information and orchestrating speedy seating.
- Answered customer questions about hours, seating, and menu information.
- Collected credit card, cash and gift certificate payments and dispensed change for cash transactions.
- Took reservations by phone and walk-in, keeping scheduling demands, and kitchen output in time to avoid overbooking.
Education
Bachelor of Arts - Human Resources Management
Portland State University
Portland, OR03.2025
Associate of Arts - General Studies
Clackamas Community College
Clackamas, OR06.2022
High School Diploma -
Canby High School
Canby, OR06.2019
Skills
- Spanish Fluency
- Providing Information and Resources
- Medical Services Administration
- Explaining Policy and Procedures
- Patient Confidentiality and Data Security
- Claims Handling and Coverage Verification
- Medical Terminology
- Experience In Epic System Updates
- Directing Callers
Fluent Languages
- English
- Spanish
Volunteer Experience
- Canby Kiwanis, Organize accessories in store; clean bathrooms, dismantle equipment.
- Portland Providence Hospital, Serve and provide help to nurses and patients., Make sure the unit is well maintained and patients felt comfortable.
References
- Maesen Gutierrez, Colleague (971)381-2181
- Fatima Hadgi-Abdi, Colleague (503) 547-7174
- Trisha Nath, Former Colleague (971) 219 -4295
Timeline
Patient Services Specialist
Providence Health & Services
09.2021 - Current
Manager
Springridge At Charbonneau Assisted Living
08.2020 - 09.2021
Host
Chapala Express
09.2017 - 08.2020
Bachelor of Arts - Human Resources Management
Portland State University
Associate of Arts - General Studies
Clackamas Community College
High School Diploma -
Canby High School