Yixsenia Ruiz
Miami,FL
Summary
Registered Behavior Technician with Medicaid Provider number and NPI
More than 10 years as a Medical Assistant, phlebotomist, referrals and authorization and insurance verification. Motivated in seeking a position in a Medical Office that a can enhance my skills and experience and where I can grow in a working environment.
Insurance professional with strong background in verifying insurance coverage and benefits. Skilled in navigating complex systems, resolving discrepancies, and ensuring accurate information. Known for excellent team collaboration and adaptability to changing needs. Efficient in communication, problem-solving, and maintaining high standards for quality and results.
Experienced with insurance verification processes, ensuring accurate and timely handling of patient information. Utilizes strong analytical skills to identify and resolve discrepancies, maintaining seamless operational flow. Knowledge of industry regulations and best practices, contributing to overall efficiency and reduced claim rejections.
Overview
22
22
years of professional experience
1
1
Certification
1
1
year of post-secondary education
Work History
Insurance Verification Specialist
Miami Gastro
10.2015 - Current
- Create, confirm and manage all appointments for procedures and interventions
- Manage patient insurance operations
- Register patients and manage their educational understanding of procedures and interventions
- Laboratory Work (intra-muscular injections, phlebotomist, managed collection of bodily fluids, PDD testing)
- Sterilizing of medical equipment
- Close working with pharmacies and third-party physicians
- Calling to pharmacies, dispensing, preparation, manual counting, and documentation of medications
- Verify Insurance elegibility and benefits
- Prior Authorization and referrals request
Social Worker
Social Work Department
09.2002 - 12.2005
Education
RBT Board Certified - Behavioral
Developing New Horizons
Doral, FL01-2024
Miami Dade College
2010
Florida Institute of Technology
2009
High School Diploma -
Social Worker School
Cuba 07.2000 - 07.2001
Skills
- Microsoft Suite, Peachtree, Profit Monster, Advance MD, Practice Fusion
- CureMD, Availity, Insurance Strong problem-solving skills
- Skills
- Skills:
- Microsoft Suite, Peachtree, Profit Monster, Advance MD, Practice Fusion, CureMD, Availity
- Insurance Strong problem-solving skills
- 50 key typing
- Medical office experience
- Experience Administering Injections
- Insurance Verification
- Vital Signs
- Medical Scheduling
- Phlebotomy
- EMR Systems
- Patient Care
- Venipuncture
- ICD-10
- Laboratory Experience
- Typing
- EMR systems
- Customer service
- Vital signs
- Front desk
- Cash register
- Cash handling
- Laboratory experience
- EClinicalWorks
- Medical terminology
- Bilingual
- Spanish
- English
- Microsoft Office
- Communication skills
- Medical scheduling
- Computer skills
- Organizational skills
- EHR systems
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
- Insurance verification
- Medical receptionist
- Blood sampling
- Clinical research
- Medical records
- Ob/Gyn
- Phone etiquette
- Social media management
- Leadership
- Office experience
- Medical coding
- OSHA
- HIPAA
- Specimen collection / processing
- ICD coding
- Writing skills
- Administrative experience
- CPT coding
- Sales
- Patient care
- Patient monitoring
- Care plans
- Primary care
- Experience administering injections
- Patient service
- Computer literacy
- Windows
- Appointment scheduling
- Documentation review
- Multi-line phone systems
- Outpatient
- Inpatient
- FDA regulations
- Research
- Project scheduling
- Medication administration
- Private practice
- Pediatrics
- Databases
- Microsoft Powerpoint
- Records management
- Data entry
- Driving
- Customer support
- Medicare
- Hospital experience
- Personal assistant experience
- Behavioral therapy
- Data entry proficiency
- Insurance Coverage Verification
- HIPAA Compliance
- Patient confidentiality
- Attention to Detail
- Eligibility Determination
- Data Entry and Review
- Communication and Interpersonal Skills
- Coverage and Authorizations
- Coordination and Scheduling
- Medicaid knowledge
- Insurance Billing
- Healthcare Industry Knowledge
- Medical Billing
- Electronic Medical Records
- Patient contact
- Prior authorization processing
- Customer Relationship Management
- Skilled in [Software]
- Data Security and Confidentiality
- Document Management
- Medical Terminology
- Understanding of medical terms
- Data Verification
- Account Maintenance
- Patient Communication
- Proficient in [Software]
- Customer Service
- Documentation and Correspondence
- Accuracy and Precision
- Referral Coordination
- Analytical Thinking
- Follow-Up Procedures
- Meditech
- Patient Rapport
- Claims Processing
- Process evaluation
Certification
Technologist Board Certified Autism Technician Certified Behavioral Health Technician RBT Certification
RBT 40 hrs training
Registered Behavior technician Certificate Letter
HIV/AIDS Certificate of Completion
Medic First Aid from American Safety and Health Institute
APD Zero Tolerance Course Certification
OSHA Certified
CPR/AED Certification
HIPAA Compliance Certification
Medical Assistant Driver's License RMA
FDOH Domestic Violence Substance abuse, Mental Health Disorders and Child Abuse Certified
FDOH Infection Control Training
DCF Security Awareness Basics training
DCF Civil Rights Employment Basics
American Citizen
Additional Information
- Authorized to work in the US for any employer
Languages
English
Full Professional
Spanish
Native or Bilingual
Timeline
Insurance Verification Specialist
Miami Gastro
10.2015 - Current
Social Worker
Social Work Department
09.2002 - 12.2005
High School Diploma -
Social Worker School
07.2000 - 07.2001
Florida Institute of Technology
RBT Board Certified - Behavioral
Developing New Horizons
Miami Dade College
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