Ruby Love Email & Phone Number

Scotts Valley, California

Monterey, Ca

Supervisor, Patient Business Services/Customer Service

Aptos, Ca

Implemented conversions to new systems: * HCFAs to CMS forms * ICD9 to ICD10 codes * paper billing to electronic billing and clearing house set up * billing software (TPS) to new billing software (Clinic Source)Accounts Receivable: Posting payments, and reconciliation of EOBs and other payment methods.Updates and manages diagnosis lists, coordinates routine documentation and coding auditsReviews and validates accuracy of charges, authorizations, including dates of service, coding, units and charge entry.Generates invoices for School district and county and government agencies.Communicates and problem solves with School District liaisons, and follows up with accounts.Collaborates and communicates with Health insurance liaisons to improve efficiency of proceduresCoordinated and managed Infant Development ProgramAccounts PayableManages front officePrepares patient statements and financial conferencing with ClientsContract negotiationOversees authorizations/re-authorizations and Letters of agreements, to ensure all services are reimbursable.Posting EOBs and reconciling accountsFollow up on past due invoices and delinquent accounts to reduce number of unpaid and outstanding balancesEstablished written financial policies

Entered procedure and diagnosis codes, and requisite patient information into billing software to streamline invoicing and account management; added modifiers, verified diagnosis, and coded narrative diagnosisCoordinated effective flow of data between Admitting, Pediatrics, Medical Records, and Patient Accounting, ensuring that all charges are on the correct accounts and accurate CPT codes are used.

Responsible for the accurate and timely management of clinical, clerical, and financial information.Coordinated effective flow of data between Admitting, Pharmacy, Medical Records, Patient Accounting, and Insurance companies to ensure accurate and timely reimbursement by insurance companies.Medi-Cal Billing, follow up of denied claims, and Reconciliation of accounts.Correspondence with insurance companies to identify internal problems and provide resolutions.

Medical Insurance Specialist Certificate

Courses in Medical Terminology, ICD9 and CPT coding, Medical Office Management, Medical Office Etiquette.

Associate Of Arts (Aa), General Ed With Emphasis In Science

Course In Coding And Billing For Therapy And Rehab,

Pre- Nursing And Occupational Therapy Courses