Summary
Overview
Work History
Education
Skills
Software
Timeline
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Dainy Ruiz

Provider Enrollment Coordinator
Sunrise,FL

Summary

Experienced Provider Enrollment Specialist, successful at managing high caseloads in fast-paced environments. Organized, driven and adaptable with excellent planning and problem-solving abilities. Offering over five years of experience and willingness to take on any challenge.

Overview

14
14
years of professional experience
4
4
years of post-secondary education

Work History

Provider Enrollment Coordinator

Pediatrix Medical Group
11.2019 - Current
  • Expedite credentialing for revenue. Established
    good relationship with payers to obtain fast
    responses in completion of enrollments. This practice
    reduces loss in revenue.
  • Effective liaison between payers and internal
    departments
  • Manage enrollment software for enrollment data

RCM Billing Analyst

Pediatrix Medical Group
Glen Allen, VA
08.2018 - 11.2019
  • Analyzed data to identify and address claim errors,
    reducing denials to less than 10%, achieving
    established departmental goals
  • Learned new skills and applied to daily tasks to
    improve efficiency and productivity
  • Prepared variety of different written
    communications, reports and documents
  • Assisted Coding in claim corrections, as well as Registration for clinics

Provider Enrollment Associate

Pediatrix Medical Group
Glen Allen, VA
01.2014 - 08.2018
  • Conducted research and gathered provider's
    documentation
  • Completed credentialing applications, and followed
    through until approved
  • Worked with IntelliSoft/IntelliCred Systems
  • Managed provider's CAQH profiles for
    re-credentialing
  • Learned and specialized on new provider portal
    system called e-PREP for Maryland state when launched in Jan/2018
  • Successfully maintained organized records and
    effective communication with health plans
  • Participated in continuous improvement by
    generating suggestions, engaging in problem-solving
    activities to support teamwork

Customer Service Representative

Pediatrix Medical Group
Glen Allen, VA
12.2006 - 06.2012
  • Handled 50 calls per day to address customer
    inquiries and concerns, understanding needs and
    provided excellent service
  • Answered customer telephone calls promptly to
    avoid on-hold wait times
  • Updated account information to maintain customer
    records
  • Resolved conflicts and negotiated mutually
    beneficial agreements between parties
  • Onboarded new team members assisting in training
    of daily tasks
  • Consistently achieved 99% customer satisfaction in
    company surveys

Education

BBA - Office Administration

Pontifical Catholic University of Puerto Rico
Ponce, PR
08.1994 - 05.1998

Skills

Working with Physiciansundefined

Software

MS Word

MS Excel

Symplr

Power Bi

MDB

GPMS

NextGen

Timeline

Provider Enrollment Coordinator

Pediatrix Medical Group
11.2019 - Current

RCM Billing Analyst

Pediatrix Medical Group
08.2018 - 11.2019

Provider Enrollment Associate

Pediatrix Medical Group
01.2014 - 08.2018

Customer Service Representative

Pediatrix Medical Group
12.2006 - 06.2012

BBA - Office Administration

Pontifical Catholic University of Puerto Rico
08.1994 - 05.1998

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Dainy RuizProvider Enrollment Coordinator