Gardenia Ruiz

• Coordinated patient scheduling and appointment management for efficient care delivery.
• Communicated with patients to address concerns and provide information on services.
• Schedule and confirm patient appointments; review daily calendar for add-ons and ensure efficient time slot utilization
• Verify insurance eligibility prior to scheduling patients
• Monitor and respond to emails in Outlook, including patient messages, provider communications, and eligibility inquiries
• Complete provider requests submitted through Signal and the EHR system
• Check and process incoming faxes regularly
• Conduct recall outreach for past-due patients and assist in scheduling future appointments
• Educated patients on pre- and post-operative instructions for sedation procedures.
• Coordinated patient authorization requests with insurance companies for timely approvals.
• Reviewed medical documentation to ensure compliance with authorization guidelines.
• Communicated with healthcare providers regarding authorization status and requirements.
• Managed electronic records and documentation in the authorization management system.
• Assisted in resolving complex authorization issues through detailed analysis and communication.
• Maintained updated knowledge of insurance policies and regulatory changes impacting authorizations.
• Maintained accurate records of all authorizations in the system.

• Send out daily reminder text messages
• Screen and pre-op all patients
• Consistent updates on Google Calendar to ensure accuracy for all providers
• Collection of payments
• Daily post-ops calls
• Daily Medical records requests from PCP and/or Specialty
• Daily Communication with Dental offices
• Manage all emails
• Convert daily anesthesia case reviews
• Manage all Incoming calls
• Manage all voicemails
• Assist all providers via chats channels

• Developed and implemented strategies to ensure successful completion of projects.
• Managed recordkeeping, documentation and reporting functions for the scheduling department.
• Analyzed data from previous projects to identify areas for improvement in future initiatives.
• Created reports that tracked key performance indicators related to project success metrics.
• Conducted regular status meetings with stakeholders to review progress against timeline milestones.
• Managed resources including personnel, equipment, materials, and budget allocations.
• Collaborated with other departments to ensure consistency across all projects.
• Provided oversight and direction to project teams, ensuring tasks were completed in a timely manner.
• Utilized performance improvement strategies when training and mentoring junior employees on procedures and policies.
• Maintained records of patient needs and preferences.
• Consulted with managers/ directors to resolve problems relating to employee performance, office equipment and work schedules.
• Delegated work to staff, setting priorities and goals.
• Resolved patient complaints or answered patients’ questions.
• Provided leadership, insight and mentoring to newly hired employees to supply knowledge of various company programs.
• Coordinated with other supervisors, combining group efforts to achieve goals.
• Trained employees on best practices and protocols while managing teams to maintain optimal productivity.
• Discussed job performance problems with employees, identifying causes and issues to find solutions.
• Issued work schedules, duty assignments and deadlines for office or administrative staff.
• Reviewed employees' work to check adherence to quality standards and proper procedures.
• Interpreted and explained work procedures and policies to brief staff.
• Recruited, interviewed and selected employees to fill vacant roles.
• Acted as a liaison between internal teams and external vendors when needed.
• Work with the authorization and billing department to ensure the correct services were requested
• Submit authorizations for surgical and procedures for outpatient and inpatient
• Conducted initial review of requests for medical necessity and appropriateness of services in accordance with benefit plan criteria.
• Analyzed medical records to assess the level of care, utilization trends, and resource utilization.
• Evaluated the need for additional information from providers or members to support a request for service authorization.
• Responded timely to inquiries regarding prior authorization status from external customers via telephone or email correspondence.
• Collaborated with providers to obtain required clinical information, supporting prior authorization determinations and individual inquiries.
• Contacted insurance carriers to obtain authorizations for services delivered to patients.
• Explained policies, procedures and services to patients.

• Provide direct care, counseling, and supervision for adolescents in crisis situations. As well as teaching our residents independent living skills and assisting with their medication. Responsible for providing a secure, structured, and supportive environment for our clients. Taking clients out on trips, client medication distributor, maintaining all client’s paper work, allowances, daily outside activities, clothing, taking youth to school, social interaction with the youth.

Aid @ Bright future Academy

Non- public school where we are the Direct support with students, helping with behavioral matters to class work. Assistant instructor of the class. 1:1 aide with children of all disabilities, ethnicity, and ages.

• Answered incoming calls, redirected callers to the appropriate personnel or department and took messages as needed.
• Greeted customers warmly and made them feel welcome.
• Provided excellent customer service by responding quickly to inquiries via phone or email in a professional manner.
• Maintained an organized reception area and ensured that all guests were attended to promptly.
• Performed data entry into computer systems to maintain accurate records of customer information.
• Handled payment processing and provided customers with receipts and proper bills and change.
• Assisted with scheduling appointments for clients and visitors.
• Welcomed patrons to front desk and engaged in friendly conversations while conducting check-in process.
• Received incoming calls and coordinated with staff to fulfill customer requests.
• Provided administrative support such as filing documents, photocopying and scanning materials.
• Updated customer information in databases regularly to ensure accuracy of records.
• Handled cash transactions accurately, balancing the register at the end of each shift.
• Processed payments from customers using a variety of payment methods including credit cards, checks and money orders.
• Greeted visitors to provide information and direct to appropriate personnel.
• Answered multi-line phone system and managed calls by routing to proper extensions or taking messages.
• Completed basic bookkeeping and document filing.
• Signed for packages, recorded deliveries and distributed to personnel.
• Answered multi-line telephone with polite tone of voice to provide general information and answer inquiries.
• Supplied callers with office address and directions, employee email addresses and phone extensions.

• Answered incoming calls, took messages, and transferred calls to appropriate departments or personnel.
• Scheduled and confirmed appointments.
• Greeted visitors and provided them with assistance.
• Provided excellent customer service at all times while interacting with both internal and external customers.
• Maintained a neat reception area by organizing materials and tidying up furniture.
• Answered and directed incoming calls using multi-line telephone system.
• Updated and recorded customer or client information to maintain accounts.
• Managed all incoming mail distribution, courier services, faxes, and photocopying documents as requested.
• Processed payments and updated accounts to reflect balance changes.
• Assisted in maintaining office supplies inventory by checking stock to determine inventory level; anticipating needed supplies; placing orders for supplies; verifying receipt of supplies.
• Sorted incoming mail and directed to correct personnel each day.
• Ensured that all necessary forms were completed accurately prior to submitting them for processing.
• Monitored reception area to provide consistently safe, hazard-free environment for customers.
• Verified medical codes for diagnosis, treatments, procedures and supplies using ICD coding system.
• Applied HIPAA privacy and security regulations while handling patient information.
• Contacted insurance providers to verify insurance information and obtain billing authorization.
• Coordinated communications between patients, billing personnel and insurance carriers.
• Handled billing, waivers and claims for private and commercial clients.
• Answered customer questions to maintain high satisfaction levels.
• Provided medical records for patients (Non EMR systems)

• Greeted customers and provided friendly customer service.
• Resolved customer complaints in a professional manner.
• Operated cash registers to process payments for goods and services.
• Handled customer complaints and concerns promptly, escalating complex issues to direct supervisor for quick resolution.
• Answered incoming phone calls from customers regarding product availability or store locations.
• Processed credit card transactions accurately and efficiently.
• Stocked shelves, racks, cases, bins, and tables with new or transferred merchandise.
• Maintained cleanliness of the checkout area by sweeping floors, emptying trash cans.
• Balanced cash drawers at the end of each shift.
• Informed customers of in-store promotions or pricing specials.
• Complied with all health and safety regulations while performing job duties.
• Refilled and rotated items on shelves to maintain well-stocked inventory.
• Performed daily opening and closing procedures such as counting money in cash drawers and checking bank deposits against total sales receipts for accuracy.
• Ensured that all areas of the retail floor were properly stocked throughout each shift.
• Counted tills at beginning of shift with start money and balanced and reconciled register, reflecting financial discrepancies, refunds and account deferrals.
• Followed established loss prevention procedures when dealing with suspicious customers or activities.
• Maintained work area and kept cash drawer organized.
• Trained and mentored new cashiers to maximize performance with skilled, efficient and knowledgeable team members.
• Scanned items and checked pricing on cash register for accuracy.
• Processed returned merchandise by strictly following store return and exchange procedures.