Martha P. Ruiz-Duenas, RN, BSN Director, Medical Bill Review Audit & Education
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Martha is a highly skilled professional renowned for her expertise in acute patient care and the meticulous performance of concurrent and retrospective chart audits. With a rich background in medical audit review garnered from her tenure with one of the nation’s top insurance carriers and esteemed health systems, Martha plays a pivotal role in upholding PHI’s exemplary standard of service.
Drawing upon her extensive experience and specialized knowledge, Martha brings a unique blend of insight and precision to her role at PHI. Her proficiency in conducting comprehensive chart audits ensures adherence to regulatory standards and optimization of patient care protocols. Martha’s dedication to excellence is evident in her ability to identify areas for improvement and implement strategies to enhance operational efficiency and quality of care.
Martha’s academic journey laid a solid foundation for her illustrious career in healthcare. She earned her Bachelor of Science in Nursing from the prestigious National University in Bogota, Colombia, where she demonstrated exceptional dedication to her studies and a passion for advancing patient care. Subsequently, Martha obtained her registered nurse license in Florida in 2005, solidifying her commitment to delivering compassionate and high-quality healthcare services.
Clients of PHI benefit immensely from Martha’s unique blend of experience working within both the medical and insurance sectors. Her nuanced understanding of the intricacies of patient billing processes enables her to conduct thorough audits, meticulously comparing patient bills against medical records, ancillary documents, and hospital protocols to ensure accuracy and appropriateness of charges. Martha’s keen attention to detail and unwavering commitment to accuracy instill confidence in clients, ensuring transparency and integrity in all aspects of billing and reimbursement.
Martha’s contributions to PHI exemplify her dedication to advancing patient-centered care and optimizing operational processes within the healthcare industry. Her invaluable expertise and steadfast commitment to excellence continue to elevate PHI’s reputation as a trusted leader in healthcare services.