Ruth Rodriguez

**** **** *** ****** ****, De ****5 ad3u5d@r.postjobfree.com Mobile: 302-***-****

SUMMARY:

Experienced and Hardworking professional looking to explore an opportunity in Health Care Management Company to utilize the professional and educational background and skills for the development of the company. Reputed as a strong, dependable, and responsible employee with excellent communication skills. Qualifications include:

Experience in Bookkeeping, Finance, Banking, and various computer software’s.

EDUCATION:

High School Diploma (1997): Wilmington High School, Wilmington, DE

SKILLS:

Software: Medman, Intergy, Greenway, Emdeon, Microsoft outlook, Word, and Excel, Office Machinery, Scanner, Postage machine, DTSearch, and Connectwise ticketing system.

Other: Customer service skills, Data Entry, Billing of Medical claims, Cash Posting, Insurance Verification, Mailroom and Scanning procedures, Bilingual, team player and able to work under pressure. HIPPA, Medical, Pharmacology and anatomy terminology, Medisoft Software, All Script Software, Filing and Scan Transfer, Desktop, PDF Search, Connectwise, Greenway Prime Suite, Energy Enterprise, Inventory, Account payable/receivable.

EXPERIENCE:

American Flag Inc. August 2016 to Present

Flagger

●Direct traffic

●Help traffic keep flowing through a construction zone.

D’Souza & Associates Inc. Hockessin, DE November 2007 to August 2016

Claims Processing Manager

●Manage employees and evaluate the number of hours worked/overtime accumulated by employees.

●Manage and guide multiple resources to process the medical claims of different practices

●Partnered with other departments to process mailroom operations including sorting

●Validates the patient insurance coverage by accessing the insurance companies web site and ensure that the coverage is active

●Responsible for entering data in the system like patient entry, insurance entry and medical charges

●Scan all physicians’ deposits, encounters, and patient demographics.

●Process all incoming, outgoing mail and complete inventory.

●Complete all the processing and tracking of electronic claim.

●Complete Data entry, cash posting, accounts receivable, and inbound and outbound patient calls

●Creates the morning reports and distributes to appropriate team member

●Accurately complete log scan transfers, Web MD denials

●Generate monthly AR reports and provides to upper management on cash flow forecast

●Obtain dollar amount of Medicare checks for over 30 practice

●REFERENCES: Available upon request