1. Hope Ruffin Bailey
Business Management/Healthcare Specialist
Phone:(901)509-3529
Cell (662) 386-8516
9289 Romano Way S. Germantown, TN.
hoperuffin771@yahoo.com
CAREER HIGHLIGHTS 2013/2015 to Present:
Received Certificates and awarded from Institute for Healthcare Improvement
Root Cause and System Analysis
The Model for Improvement Your Engine for Change
The Life Cycle of Quality Improvement Project
Fundamentals of Improvements
Introduction to Patient Safety
Human Factors and Safety
Human Side of Quality Improvement
Measuring for Improvement
Teamwork and Communication
COLLABORATIVE INSTITUTIONAL TRAINING INITIATIVE (CITI PROGRAM)
Social & Behavioral Research
Received Certificate and Qualified for the East Central Region Dean’s list by Obtaining a
grade point average of 3.5 or Higher at Ivy Tech College.
Received Certificate of Honors by obtaining a GPA 4.0 in Allied Health (Medical Coder
Specialist).
Well-rounded multitasking abilities and balance competing priorities.
Effectively collaborates with team members to meet or exceed expectations.
WORK EXPERIENCE
American Income Life Entry- level Manager Independent Insurance Agent 2016
Explain the features of various policies
Handle policy renewals
Call potential clients to expand their customer base
Maintain electronic and paper records.
Medical Biller/Coder Specialist
Contracted (Self- Employed) October 2008 to July 2012
Review medical record information to identify all appropriate coding.
Complete paperwork/system entry claims/ documentation.
2. Billing and Collections Representative
EJESE Urgent Care Center - November 2005 to October 2008
Handling self-pay collection accounts and follow-up. Mailing patient statement and patient
billing and handling patient collections.
➢ Working aging reports and follow up of insurance accounts.
➢ Handling appeals for all commercial payers, Medicaid and Medicare.
➢ Responsible for secondary billing.
➢ Tracking and responding to insurance denials and submitting appeals.
➢ Handling EDI billing as well as rejections reports and resubmission of rejections.
➢ Posting charges and auditing all claims to ensure clean claims were submitted.
➢ Posting payment and identify payment errors from payers.
➢ Identify and obtained approval for adjustment according to contracts
State Hospital Georgia Regional Hospital @Atlanta January 2004 to October 2008
BUSINESS OFFICE MEDICAL RECORDS
➢ Responsible for entering patient demographic information into the software
➢ Post procedures and payments as well as adjustments
➢ Insurance Claims Processing
➢ Daily Ledger/Bookkeeping
MEDSIDE HOME CARE SERVICE April 2008 to June 2008
PERSONAL CARE ASSISTANT
Report and Record patient information by making entries in patient journal.
➢ Monitor patient mental/physical condition.
➢ Maintain a safe, secure, healthy environment.
➢ Following prescribed dietary requirement and nutrition standards.
➢ Help patient care for themselves bathing, dressing.
➢ Supporting patients by shopping for food, cooking, cleaning.
➢ Maintain standards rules policies that comply with federal, state requirements
when performing duties.
Correctional Officer
Correctional Industrial Facility - Pendleton, IN - June 2002 to May 2003
Responsibilities
Maintaining order, and supervising offenders and activities, worked on assigned shift in a
specific unit or post under general supervision of a correctional sergeant, and Maintain the
security of the unit as well as the safety of staff and offenders while ensuring daily activities
and programs proceed on schedule.
3. Accomplishments
Assist supervisor in appropriate administration of security related operations such as key
control, count, shakedowns, searches, inventory, security system, escorts offenders both
inside the facility and on various trips away from the facility, remain alert for signs of
disorder, tension, informal and unofficial capacity and insures compliance with established
security procedures assigned by supervisor.
General Motors-Delco Remy - Anderson, IN - September 1994 to September 2002
Inspector Technician
Test and Repair automotive parts.
➢ Enter Data base formula to assure good quality of product.
➢ Team Leader responsible for issuing checking for defective parts before issuing to
production works.
VA Medical Center Memphis, TN December 2012 to August 2013------
Volunteer Services Chief Ronika Anderson. I20/hrs. Departments Patient
Advocate, Environmental
PeaveyElectronic Meridian, MS.
Duties: Parts Inspector. Responsibilities Issue Parts to Employees, checkfor
Defective Parts, Counting and Measuring Conductor Repair various printed
circuit boards and amplifiers. March 1988 to 1994 (Retired).
EDUCATION
Bachelor's Degree Business Management/ Healthcare Specialist
Baptist College of Health Sciences - Memphis, TN
2013 to 2015
Certificate in Medical Biller& Coder Specialist
Laurus Technical Institute - Decatur,
GA. 2007
CMS, Washington DC 2007
Certificate in Diagnosis Coding-
ICD-9-CM
