Medical Billing Patient Service

AMANDA RUIZ

630-***-**** • ***************@*****.***

Compassionate, dedicated and results-focused medical professional and holistic wellness practitioner seeking to secure a challenging new position within a progressive organization providing direct support and care to diverse individuals.

SUMMARY OF QUALIFICATIONS:

» Professional and academic experience in case management, service coordination, report writing and needs identification.

» Establish and maintain trusting, sensitive and caring client relationships focused on achieving the best interests of all involved.

» Quickly assess needs, evaluate alternatives and present tailored solutions.

» Dedicated to maintaining continuous support and long-term advocacy to generate positive results.

» Serve as a client advocate; counsel individuals through stressful, life-changing situations.

» Very conscientious regarding accuracy and follow-through with client care, information gathering, data analysis, reporting and documentation.

CORE COMPETENCIES:

•Medical Administration •Medical Staff Training/Development

•Human Resources •Policies & Procedures

•Resource Management •Staff Scheduling

•Medication Administration •Facility/Staff Evaluations

•Communication •Payroll/Budget Maintenance

•Medical Sciences •Treatment Follow Up

EDUCATION: ST. JOSEPH COLLEGE, St. Joseph, Trinidad

Completed Coursework in Medical Sciences

ADDITIONAL • Medical Assistance/Phlebotomy/EKG Technician

TRAINING: • Home Health Aid

• CPR/AED Certification

• Kundalini RYT, 200 hours

• Hatha RYT, 200 hours

• Reiki Master/teacher

• Sound healing practitioner

PROFESSIONAL CLARETIAN MISSIONARIES, Chicago, Illinois 2017 to 2020

EXPERIENCE: Health Care Coordinator

Responsible for the daily management and coordination of office operations for a medical office. Oversaw the completion of administrative tasks including filing, database management, record keeping and phone/email inquiries. Liaised with insurance agencies regarding policy and billing inquiries. Extensive experience dealing with Medicare, Medicaid and commercial insurance. Worked directly with patients, insurance companies and maintained strong focus on confidentiality, accuracy and follow through for patient service, information gathering, data analysis, reporting and documentation.

• Coordinated and scheduled patient appointments.

• Served as liaison with a sister office in California; coordinated billing, meetings and established Power of Attorney (POA) status for patients.

• Managed and mentored a staff of three assistants including scheduling, training and annual performance evaluations.

• Ensured patient coverage using insurance verification program.

• Identified, streamlined and managed corrective action procedures for billing issues.

• Communicated with medical personnel, insurance carriers and patients to clarify

discrepancies or secure additional data for medical billing procedures.

• Coordinated and produced financial reports and revenue projections on a daily, weekly

and monthly basis.

• Ensured the privacy and security of protected health information per HIPAA and

Joint Commission requirements.

RAY GRAHAM ASSOCIATION, Elmhurst, Illinois 2010 to 2014

Program Manager/Coordinator

Accountable for coordinating and overseeing all daily operations for this social services organization that serves the needs of more than 2,000 people with disabilities. Provided leadership and direction to 13 direct reports and coordinated three sites. Regularly monitored staff performance to determine effectiveness; developed action plans to enable improved performance.

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AMANDA RUIZ Page Two

RAY GRAHAM ASSOCIATION

Program Manager/Coordinator (Continued)

• Oversaw the completion of administrative tasks including filing, database management, record keeping and phone/email inquiries.

• Liaised with insurance agencies regarding policy and billing inquiries.

• Updated patient information and physician notes into medical records.

• Accurately managed payroll process including timesheet verification and validation.

• Worked directly with patients, and insurance companies; maintained strong

focus on confidentiality, accuracy and follow through for patient service, information

gathering, data analysis, reporting and documentation.

• Responsible for ensuring accuracy for all database activities.

TRINITY SERVICES, INC., Des Plaines, Illinois 2010 to 2014

Residential Group Home Team Leader

Responsible for efficiently managing a residential group home for adults and seniors with various developmental disabilities and/or mental illnesses. Oversaw daily team operations and designed, organized and implemented daily educational curriculum for adults. Interviewed, hired and trained new team members and interns. Designed and implemented quarterly in-service training initiatives for all team members and interns. Assisted with the planning and facilitation of staff schedules in order to ensure adequate shift coverage as well as management of budget and payroll.

• Responsible for recruiting and screening potential clients as well as their families.

• Maintained high levels of client success and satisfaction through daily coordination of problem solving with Leadership, team members and client family members.

• Ensured adults received correct daily dosage of necessary medications.

• Served as experienced mediator for both staff members and clients.

ARC MARTIN COUNTY, Stuart, Florida 2009 to 2010

Residential Group Home Manager

Responsible for managing and directing the care of adolescents and adults with developmental disabilities and/or mental illnesses. Performed comprehensive assessments of physical and mental state of newly admitted patients to maximize patient comfort and to enhance the quality of life to the patient/family unit. Applied critical thinking skills within team in making decisions regarding patient care and support. Identified and coordinated patient/family needs while providing preventative and supportive care to the patient/family unit.

• Developed care and management plans that addressed the specialized mental and physical needs of each patient.

• Worked with a team of professionals including physicians, therapists and social workers in support of patient health and mental well being.

ALLIES, INC., Brick Township, New Jersey 2008 to 2009

Residential Group Home Manager

Responsible for management and supervision of staff members as well as coordination of daily assignments and quality level evaluation; facilitated training to enhance s taff’s proficiency with certification requirements (policies, procedures, regulations). Managed operations of case management staff; analyzed and approved service plans/ court reports for children with mental and developmental disabilities.

ARC OCEAN COUNTY, Brick Township, New Jersey 2006 to 2008

Social Worker

Professional References Available Upon Request.

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