Daniel Clement-Ruiz Email & Phone Number

Philadelphia, Pennsylvania, United States

- Led and resolved outstanding projects while concurrently introducing and executing new processes and systems, including optimizing supply purchasing, implementing a visitor management system, and decommissioning outdated technology, resulting in significant monthly savings and improved office functionality.- Successfully implemented new employee benefits, including commuter options, Business Journal memberships, a password manager, and enhanced Paylocity/Benefits integration, improving employee satisfaction, data security and engagement.

Philadelphia

- Served as advisor and execution partner to the Chief of Staff, driving cross-program initiatives, internal and external collaborations, and establishing effective management processes within a prosecution office of over 600 personnel.- Identified gaps in communication, navigated interpersonal relationships, streamlined operational processes, and enhanced documentation contributing to organizational efficiency.- Acted as point of contact for external vendors or maintenance staff based on office needs and Chief of Staff requests.- Facilitated the expansion of an additional floor and coordinated with multiple city departments to acquire discounted furniture, saving the office $200K+.- Organized onboarding/offboarding processes by facilitating communications and action plans between HR, IT, and Finance.- Led group discussions regarding and created Emergency Response Protocols, documenting procedures per emergency event.- Created an office roster that was updated and maintained amongst multiple units in real-time, significantly reducing the turnaround time of relocating and transferring staff.- Reorganized and consolidated office inventory and auto-fleet management lists to optimize processes and budgetary clarity.

- Extracted and standardized data from multiple databases, created standard monthly reports, analyzed data trends, and identified improvement opportunities across multiple physician groups to maintain and improve their regional revenue cycle processes- Provided support and facilitated project implementation amongst leadership in physician groups and the Revenue Process department - Lead EPIC Resolute Professional Billing training classes for regional Accounts Receivable representatives, for seven days per month with an average of ten attendees

Blue Bell

- Reviewed medical claim denials, developed corrective action plans, analyzed denial trends, and maintained data to ensure resolution within required timeframes and logging of actions- Handled communications with providers and patients to resolve unpaid insurance claims for behavioral health, acute care, and home healthcare- Facilitated company growth by recruiting, interviewing, and training

Conshohocken, Pennsylvania

- Analyzed medical billing and client contracts and identified $720,000 in overpayments within the first two months by analyzing patterns in data- Utilized multiple internal and external client-based systems- Repriced overpaid claims, reviewed provider contracts and client systems, analyzed payment methodologies, and identified coding errors- Proficient with multiple client systems (Aetna, Anthem, Centene, Wellcare), trained new employees, and performed quality assurance

Conshohocken, Pennsylvania

- Compiled and validated large data sets, created inventory reports, and identified over 3,000 claims that were out of compliance for $4 million- Performed as the primary contact between the client and managers- Completed extensive outreach to over 475 delinquent healthcare systems to ensure billing accuracy, resulting in $2.25 million in overpayment recoveries- Developed and managed a centralized contact list of providers, which increased efficiency and productivity across the department

Bachelor Of Arts, Psychology

Activities and Societies: Sigma Phi Epsilon, Psychology, Resident Student Association

High School Diploma