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Renee Ruffin
365 Berkeley Avenue, Bloomfield, NJ 07003
renee.rruffin@yahoo.com - 862-252-0092
As a dedicated healthcare professional, I strive for excellence and have been entrusted with
complex revenue cycle issues because of my vast knowledge of the accounts receivable industry.
I have great leadership skills and can communicate effectively with all levels of management.
Sutherland Global Health Systems (Columbia Claims)- Clifton, NJ 06/08 – 01/2016
Columbia University - Fort Lee, NJ 03/04-06/2008
Sr. Medical Financial Acct. Advisor
Specialties: Radiology, Neurology, OB/GYN, General Surgery and Dental & Oral Surgery.
Supervise a staff of 5 employees in claim management and claimediting.
Experienced in insurance claim denial and appeals
Responsible for investigating and collecting outstanding debts.
Physician billing and resolution of commercial and self-pay accounts.
Negotiated provider reimbursement agreements and patient refunds.
Provided financial counseling to patients.
Proficient with IDX WEB/ETM billing system, utilizing Epaces, Eagle, Passport and Webcis
systems to research and resolve billing issues. I collected more than $800,000 from 6/14-12/15.
Comprehensive Home Health Care - South Orange, NJ 06/01-09/03
Client Service Coordinator
Supervised a staff of 60 healthcare aides.
In-service counseling and workshops for all employees.
Investigated and resolved client and home healthcare aide disputes.
Scheduled employee job assignments, reviewed time sheets and processed payroll.
Assisted with employee evaluations.
Updated employee's medical files and insured all criteria had been met as specified by the
board of education.
Associates in Plastic Surgery - Verona, NJ 07/97-03/01
Insurance Director
Handled all insurance and patient billing.
Collected funds on delinquent accounts.
Served as a mediator in arbitration cases.
Pre-certed all surgical procedures prepared letters of medical necessity.
Provided financial counseling to patients.
Filled in as surgery scheduler as needed, authorized all insurance proposals.
Responsible for charge entry, payment posting and account reconciliation.
Hoboken Chiropractic - Hoboken, NJ 04/95-06/97
Insurance Director
Responsible for all insurance billing, correspondence and collections, i.e.; personal
Injury, worker's compensation and commercial carriers.
Conferred with attorneys to resolve arbitration cases.
Input accounts payables and receivables on to quick books and reconcile monthly bank
statements.
Prepared monthly statistical reports on office and patient productivity.
Verified and interpret insurance benefits during patient consultations.
Excellent skills in Protocol, Microsoft office, and QuickBooks.
Amdahl Corporation - RidgefieldPark, NJ 11/91-02/95
Sr. Billing Administrator
Negotiated contracts
Supervised billing personnel.
Analyzed and reported information to correct and improve customer invoicing.
Resolved customer billing inquiries.
Trained and supervised the implementation of new billing policies and procedures.
University Orthopedics - New Brunswick, NJ 06/90-11/91
Medical Financial Coordinator
Awarded a certificatefor outstanding performance in collections and office
administration.
Managed and directed the submission of insurance claims to third party carriers.
Implemented departmental policies.
Investigated and resolved delinquent accounts.
Held patient conferences for re-evaluation and discussion of outstanding balances.
Computed employee payroll.
Blue Cross and Blue Shield of New Jersey - Newark, NJ 10/86-4/90
Claims Examiner Correspondent
Presented with a certificate for successful completion of an insurance processing and
adjustment course.
Expedited, investigated and interpreted insurance claims for subscribers and physician
practices.
EDUCATION
Human Resources Management
Upsala College - East Orange, NJ
1980 to 1983

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RENEE RESUME

  • 1. Renee Ruffin 365 Berkeley Avenue, Bloomfield, NJ 07003 renee.rruffin@yahoo.com - 862-252-0092 As a dedicated healthcare professional, I strive for excellence and have been entrusted with complex revenue cycle issues because of my vast knowledge of the accounts receivable industry. I have great leadership skills and can communicate effectively with all levels of management. Sutherland Global Health Systems (Columbia Claims)- Clifton, NJ 06/08 – 01/2016 Columbia University - Fort Lee, NJ 03/04-06/2008 Sr. Medical Financial Acct. Advisor Specialties: Radiology, Neurology, OB/GYN, General Surgery and Dental & Oral Surgery. Supervise a staff of 5 employees in claim management and claimediting. Experienced in insurance claim denial and appeals Responsible for investigating and collecting outstanding debts. Physician billing and resolution of commercial and self-pay accounts. Negotiated provider reimbursement agreements and patient refunds. Provided financial counseling to patients. Proficient with IDX WEB/ETM billing system, utilizing Epaces, Eagle, Passport and Webcis systems to research and resolve billing issues. I collected more than $800,000 from 6/14-12/15. Comprehensive Home Health Care - South Orange, NJ 06/01-09/03 Client Service Coordinator Supervised a staff of 60 healthcare aides. In-service counseling and workshops for all employees. Investigated and resolved client and home healthcare aide disputes. Scheduled employee job assignments, reviewed time sheets and processed payroll. Assisted with employee evaluations. Updated employee's medical files and insured all criteria had been met as specified by the board of education. Associates in Plastic Surgery - Verona, NJ 07/97-03/01 Insurance Director Handled all insurance and patient billing. Collected funds on delinquent accounts. Served as a mediator in arbitration cases. Pre-certed all surgical procedures prepared letters of medical necessity. Provided financial counseling to patients. Filled in as surgery scheduler as needed, authorized all insurance proposals. Responsible for charge entry, payment posting and account reconciliation.
  • 2. Hoboken Chiropractic - Hoboken, NJ 04/95-06/97 Insurance Director Responsible for all insurance billing, correspondence and collections, i.e.; personal Injury, worker's compensation and commercial carriers. Conferred with attorneys to resolve arbitration cases. Input accounts payables and receivables on to quick books and reconcile monthly bank statements. Prepared monthly statistical reports on office and patient productivity. Verified and interpret insurance benefits during patient consultations. Excellent skills in Protocol, Microsoft office, and QuickBooks. Amdahl Corporation - RidgefieldPark, NJ 11/91-02/95 Sr. Billing Administrator Negotiated contracts Supervised billing personnel. Analyzed and reported information to correct and improve customer invoicing. Resolved customer billing inquiries. Trained and supervised the implementation of new billing policies and procedures. University Orthopedics - New Brunswick, NJ 06/90-11/91 Medical Financial Coordinator Awarded a certificatefor outstanding performance in collections and office administration. Managed and directed the submission of insurance claims to third party carriers. Implemented departmental policies. Investigated and resolved delinquent accounts. Held patient conferences for re-evaluation and discussion of outstanding balances. Computed employee payroll. Blue Cross and Blue Shield of New Jersey - Newark, NJ 10/86-4/90 Claims Examiner Correspondent Presented with a certificate for successful completion of an insurance processing and adjustment course. Expedited, investigated and interpreted insurance claims for subscribers and physician practices. EDUCATION Human Resources Management Upsala College - East Orange, NJ 1980 to 1983