Michael Ruppert Email & Phone Number

Burr Ridge, Illinois, United States

Burr Ridge, Illinois, United States

Westmont, Il

Perform tasks necessary to promote member compliance such as verifying appointments, obtaining lab results.Assess and monitor inpatient census. Screen for eligibility and benefits. Identify members without a PCP and refer to Member Services. Screen members by priority for Care Management assessment.Coordinates services with community based organizations. Attends marketing and outreach meetings as directed to represent the plan. Produces and mails Care Management letters and program educational material. Train new Program Coordinators on system and usage. Guide staff regarding benefits, authorization requirements and policy and procedure.Data enters assessments and authorizations into the system. Maintains database as directed.

Westmont

Assist in monitoring utilization of medical services to assure cost effective use of medical resources through processing prior authorizations.Initiate authorization requests for inpatient services in accordance with the prior authorization list. Route to case managers.Enter all newborn NICU cases into Trucare.Create birth events for all NICU cases.Create and approve elective inpatient surgery requests. Create and approve Vaginal and C-section maternity requests.Verify eligibility and benefits on all inpatient requests.Provide authorization numbers to requesting providers.Request clinical documentation from requesting providers. Answer phone queues and process faxes within established standards

Elk Grove Village, Il

Verify insurance on all new patient referralsReview medical documentation to ensure orders meet coverage guidelines.Submit & obtain authorizations for equipment & supply ordersDetermine & communicate patient’s financial responsibility on orders to customer service department.

Elk Grove Village, Il

Accept and process new patient referralsObtain the necessary medical documentation for insurance coverageCoordinate deliveries with patient / family and our distribution centerTroubleshoot problems / issues over the phoneWork in a team environment to provide excellent customer serviceProcess patient census reports to ensure our patients do not run out of their supplies

Mokena, Il

Interact with prospective customers at trade shows, community fairs, storefronts regarding Bath Fitter products and services.Generate leads and book appointments for in home evaluation of client's bathroom needs.

Crestwood, Il

Acted as liaison between client, referral sources, sales and management.Qualified medical and insurance documents to ensure timely payment/compliance to government, insurance & company standards.Assisted with scheduling of daily appointments for delivery technicians and respiratory staff.

Naperville, Il

Coordinated pricing and coding of product based on contracts with referral sources; obtained approvals from insurance providers.Scheduled and routed weekly appointments for service technicians.Facilitated reviewing/ordering of parts for repairs of mobility equipment.

Oak Forest, Il

Coordinated & supervised open gym program.Assisted with routine maintenance as required. Assisted with higher level maintenance projects.(painting, floor stripping/buffing)

Orland Park, Il

Followed up with all new CPAP machine customers (10-20 a month)Increased Sales numbers on a monthly basis (supply replacement program & sales specials)Achieved a minimum number of contacts daily(60-85 phone calls/e-mails on a daily basis. (June-Dec.) Prospected via calling existing customers and responding to incoming calls.Identified business opportunities with new clients and corporate accounts.Developed & maintained customer activity and opportunities for commercial accounts (sales specials)Established ability to develop and maintain new business relationships.

Burr Ridge, Il

Customer Quality Supervisor/Payer SpecialistHired and/or trained staff within the pricing/coding & insurance verification departments.Ensured staffs assignments were completed accurately, efficiently & in a timely manner.Provided ongoing training/education to improve staffs productivity.Communicated with customer service, sales reps & management regarding orders to ensure profit margin.Managed all United Healthcare orders for entire rehab division.Revenue Qualification Team Lead/Payer SpecialistOperated as Q.A. Lead to ensure orders met insurance/billing requirements.Reviewed Medicare order documentation to ensure compliance prior to ordering.Established the centralized pricing and coding department to improve revenue.Created and maintained pricing & coding spreadsheets utilizing Microsoft Excel.Supported all outside branches regarding compliance and pricing & coding of orders.Quality Assurance CoordinatorReviewed orders to ensure compliance to government, insurance & company standards.Communicated with Customer service reps & management to improve efficiency in order flow. Educated staff regarding changes in insurance company guidelines. Provided training for new employees in Customer Service. & Q.A. Department. Customer Service SpecialistResponded to telephone inquiries from customers and multiple referral sources.Communicated with sales representatives regarding new and existing orders.Developed and maintained profiles of new and existing customers.Submitted requests to insurance companies for authorization of customized medical equipment.

Melrose Park, Il

Account ManagerMaintained and expanded business with existing and new customer relationships Developed an analysis of prospective customers in assigned territory.Educated prospective customers about products and services offered.Sales Support RepresentativeIdentified and attended to the priorities of accounts in Cook, Dupage, Will, Kane & Lake Counties. Developed and maintained a protocol book which was utilized by the company to service each existing account’s need.Generated a minimum of five business leads per month for each of three account managers. Quality Assurance RepresentativeProvided monthly training; Followed up on new orders Visited 20-30 accounts on a weekly basis to assess customer satisfaction. Inspected equipment being utilized in accounts to maintain proper function.

Berwyn, Il

Provided customer service through home visitation and storefront assistance. Oversaw the maintenance, cleaning and repair of all medical equipment.Trained employees on the features of medical equipment to ensure proper instruction to customers.

Browdview,Il

Respiratory CoordinatorManaged customer follow up protocol by scheduling education sessions for customers with the respiratory staff; Attended to the needs of respiratory customers over the phone and in personManaged equipment maintenance protocol by scheduling quarterly visits for the respiratory staff to maintain equipment in the customer’s home. Set up & maintained a customer history by utilization of a database and manual filing system. when needed; ensured proper document maintenanceRespiratory TechnicianProvided maintenance of respiratory equipment in existing customers homes. Educated customers on the usage of specialized medical equipment.Participated in an after hours rotation to attend to customer needs.Medical Services TechnicianInstructed customers on usage of medical equipment in the home environment.Responsible for providing service to all customers in the southwest suburbs.Provided daily service to the homes of fifteen to twenty-five customers.

Healthcare

*President's Honor List

Business

Education record