Patient Access Data Entry
Resume:
Janice Ruiz
**W*** Lexington St Elmhurst Illinois 60126
Professional Summary
Experienced and reliable healthcare reimbursement specialist with over 10 years of expertise in patient access, billing, and insurance follow-up. Known for delivering exceptional customer service, maximizing collections, and resolving complex claim denials. Adept at using multiple EHR and billing platforms including Cerner, Meditech, Athena, and Availity. Highly organized, professional, and detail-oriented with strong communication and intermediate Spanish language skills. Currently seeking a PRN or remote-based opportunity to leverage my strengths in medical office operations and insurance reimbursement.
Core Competencies
● Patient Registration & Scheduling
● Insurance Verification & Appeals
● Revenue Cycle Management
● Billing & Coding (EOBs, Denials, CPT/ICD)
● Payment Posting & Reconciliation
● Data Entry & Recordkeeping
● Multi-line Phone Systems
● EHR Systems: Cerner, Meditech, Availity, Athena, Centricity, Ahiqa, PCC
● HIPAA Compliance
● Bilingual: English/Spanish (Intermediate)
Professional Experience
NorthShore/Edward-Elmhurst Health (Endeavor Health) Patient Access Specialist / Registrar
2020 – Present Elmhurst, IL
● Register patients, verify insurance eligibility, and collect co-pays in a fast-paced hospital setting.
● Handle pre-registration and point-of-service collections, consistently meeting and exceeding daily collection targets.
● Serve as a first point of contact, offering compassionate service and accurate data entry under high-volume conditions.
● Maintain up-to-date and accurate medical records in both electronic and paper formats.
Florida Hospital Medical Group – Altamonte Springs, FL Patient Account Specialist / Front Desk
2018 – 2018
● Scheduled appointments, collected payments, and facilitated referrals and authorizations.
● Reviewed and resolved rejected claims and payment denials using billing software and payer portals.
Florida Hospital Waterman – Tavares, FL
Medical Receptionist / Insurance Verification
2014 – 2018
● Verified insurance, explained benefits to patients, and ensured billing compliance with payor policies.
● Assisted patients in navigating payment plans and Medicaid enrollment support.
PCC Community Wellness Center – Oak Park, IL
Medical Receptionist
2013 – 2013
● Welcomed patients, entered demographic data, obtained authorizations, and maintained compliance with HIPAA standards.
Elmhurst Memorial Hospital – Elmhurst, IL
Patient Access Specialist
2008 – 2013
● Handled multi-line phone systems, registered emergency department patients, and collected time-of-service payments.
● Communicated with insurance reps to correct claim errors and reduce AR days.
Education
Harold Washington College – Chicago, IL
Associate of Arts in Social Work (50 Credit Hours) 1995 – 1998
Technical Skills
● Meditech Cerner Athena Availity Centricity Ahiqa PCC Microsoft Office
● Fast and accurate typing (60+ WPM)
● Familiar with CPT, ICD-10, and HCPCS coding
● Knowledge of Medicare, Medicaid, and commercial payor policies
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