Summary
Work History
Education
Skills
Timeline
Generic

STEPHANIE RUIZ

Jersey City,United States

Summary

Dedicated and results-oriented professional with a proven track record in medical billing, client engagement, and operational excellence within the healthcare industry. Demonstrated success in ensuring accuracy in the entry and submission of insurance claims, resolving patient billing inquiries promptly, and implementing strategic approaches to track and report on denied insurance claims. Proficient in navigating appeals and denials, maximizing revenue recovery, and minimizing financial discrepancies. Adept at utilizing technical tools for data management, collaborating with cross-functional teams, and maintaining compliance with industry standards.

Work History

RCM Senior Collection Representative

The Cigna Group| Accredo
2022 - 2023
  • Conducted in-depth analysis of accounts receivable, identified trends, and implemented proactive strategies for debt recovery.
  • Collaborated with team members to achieve monthly collection targets, resulting in increased revenue recovery.
  • Managed high volume of accounts, prioritizing tasks to maximize productivity and results.
  • Ensured timely follow-up on outstanding accounts, minimizing potential losses due to non-payment or delayed payments.

Account Specialist

Altomare Financial Group
2015 - 2021
  • Efficiently managed high-pressure situations such as claim denials or unexpected policy cancellations
  • Answered inbound calls from policyholders to answer inquiries and discuss insurance options
  • Educated clients about health insurance benefits
  • Responded to customer inquiries regarding health insurance coverage, policies, and claims
  • Verified insurance coverage by telephone and online to guarantee proper reimbursement of benefits and estimate patients' financial responsibilities
  • Assisted clients with filing and tracking health insurance claims to facilitate swift settlements
  • Calculated premiums and established payment methods

Medical Billing / Customer Service

Lifeline Medical Associates
2012 - 2014
  • Successfully navigated appeals and denials of medical insurance, resulting in maximized revenue recovery and reduced financial losses.
  • Enhanced customer satisfaction by promptly addressing billing inquiries and resolving disputes.
  • Reconciled discrepancies between billed amounts and actual charges, improving overall accuracy of invoices.
  • Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt
  • Monitored outstanding accounts receivable balances for trends that could indicate payer issues or potential collection problems
  • Managed high volume of claims, consistently meeting deadlines without compromising accuracy or quality

Medical Billing / Receptionist

Iron Bound MRI, LLC
2011
  • Resolved denied insurance claims with efficiency, minimizing financial discrepancies and maintaining healthy revenue stream
  • Communicated verification and authorization status updates with other departments to facilitate decision-making for patient admissions and insurance coverage
  • Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents
  • Optimized workflow processes by identifying bottlenecks within the system, implementing necessary changes for increased efficiency
  • Managed high volume of claims, consistently meeting deadlines without compromising accuracy or quality

Education

Associate of Applied Science - Surgical Technology

Eastwick College
Ramsey, NJ
2015

High School Diploma -

Rutherford High School
Rutherford, NJ
2005

Skills

  • Claim Processing
  • HIPAA Compliance
  • Medicare and Medicaid Billing
  • Insurance Verification
  • Administrative Support
  • Electronic Medical Records
  • Payment Collection
  • Records Management
  • EMR / EHR
  • Medical Billing
  • Documentation Review
  • Insurance Claims

Timeline

RCM Senior Collection Representative

The Cigna Group| Accredo
2022 - 2023

Account Specialist

Altomare Financial Group
2015 - 2021

Medical Billing / Customer Service

Lifeline Medical Associates
2012 - 2014

Medical Billing / Receptionist

Iron Bound MRI, LLC
2011

Associate of Applied Science - Surgical Technology

Eastwick College

High School Diploma -

Rutherford High School

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STEPHANIE RUIZ