Mely Joy Ruiz

I am a medical billing specialist with hands-on experience submitting and appealing claims for Medicare, Medicaid, and commercial payers. I focus on accuracy, documentation, and following CPT, ICD-10, and HCPCS coding standards to support timely reimbursement.

In prior roles I managed AR follow-up for dozens of hospital accounts and handled physician billing workflows, accelerating reimbursement turnaround through root-cause analysis of denials. I routinely post and reconcile insurance and patient payments to ensure correct account balances.

My background includes customer-facing work explaining benefits and eligibility while maintaining HIPAA compliance, which strengthened my communication and problem-solving skills. I have exposure to imaging specialty, E/M, gastroenterology, radiology, orthopedic, and psychiatry billing.

I bring strong attention to detail, organizational skills, and a research-driven approach to guidelines and appeals. I am eager to grow with a team that values efficiency, learning, and quality care.