Ruby C. Simmons Approved Instructor

About Ruby C. Simmons Approved Instructor

Director of Revenue Operations | 32 Years in Healthcare Revenue Cycle Management | Specialist in RCM | Certified Medical Biller and Corporate TrainerBackground includes over 10 plus years of Revenue Cycle Management. End-User/User Acceptance testing. Business system analysis. Hospital/Physician/CHC/FQHC billing, collections, and reimbursements; private practice implementation. With extensive knowledge of insurance financial classifications including BCBS, Medicare, Medicaid (Mass-health and other Medicaid in and out of state products and MCOs), Commercial and claims submission processes. Thorough working knowledge of front-end and back-end operations, and passion for getting processes right to increase revenues and decrease denials. Exceptional communication skills to interact with Insurance Carriers, Practices, and IT Support. Train, guide, members of team members, and Practice to constantly improve efficiency and accuracy. Create and maintains a positive working relationship with vendors. EPIC Certified. 10 plus years of experience with GE Centricity/IDX• Proficient in Microsoft OfficeSoftware used: EPIC HB/PB, Med–Tech, Doc-Star, IDX Bar, Term/IDXWeb, Care Medic-EFR, ecw, ePremis, Midas, HBO-Star, EDI, RCO/SMS, and Patient Keeper, Allscripts, Meditech, GE Centricity ETM/PCS. EPIC PB and HB Systems, Claims Manager, SDK, Zendesk, ServiceNow, Heat

Experience

1. Specialist

   Boston Children's Hospital

   Sep 2023 — Present

Education

• University of Baltimore

  Health Systems Management

  2009 — 2011

Skills

• Commercial Management
• Management
• Contract Management
• Cost Management
• Procurement
• Project Planning
• Engineering
• Project Control
• Project Management
• Project Engineering
• Construction Management
• Project Delivery
• Rail
• Construction Estimating
• Civil Engineering
• Construction