Assistant Director Of Client Services Resume Example

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Jessica Claire
Montgomery Street, San Francisco, CA 94105 (555) 432-1000,
Seeking a position that utilizes my years of experience and skills in business development, finance, managed care, health insurance and contracting. Results oriented in negotiating contracts, data analysis, legal issues, settlements, and payment integrity.
  • QuickBooks
  • Excel
  • Access
  • Word
  • PowerPoint
  • SQL
03/2014 to 01/2015 Assistant Director of Client Services Marshfield Clinic | Mercer, WI,
  • Manage client projects from initial setup and training through monthly maintenance of data for AllPayor system
  • Interpretation of commercial and government managed care contracts for data modeling of reimbursement terms including billing and compliance with government regulations ensuring system accuracy
  • Data analysis of claim information for 30 clients totaling over $1B in claims
  • Responsible for reporting used in client month end process for calculating accruals
  • Maintained database information including CMS and Medicaid data files, together with troubleshooting issues with new data formats and upgrading tools to meet customer needs
  • Analyzed and reconciled financial information for hospital claims comparing estimated reimbursement to actual
03/2010 to 03/2014 Managed Care Coordinator Zazzle | Reno, NV,
  • Develop and maintain the managed care strategic plan for Regional Health including negotiation and management of contractual and financial relationships with government and commercial payors totaling $1B in reimbursement annually
  • Quantify the impact of contract changes and development of new reimbursement methods including the design of new managed care products based on utilizing ACO concepts and shared savings incentives
  • Responsible for system wide data analysis on key financial data including contract allowances, cost coverage ratios and other statistical data for 5 hospitals and 17 clinics with 400+ providers
  • Member of Decision Support team responsible for data integrity and inquiry of business processes
  • Member of Strategic Pricing Committee responsible for pricing consideration of system wide services
  • Accountable for month end journal entries regarding contractual allowances and worked with internal and external auditors during year end processes
  • Identified issue with Blue Cross Blue Shield contract adding an additional $1.5M in revenue annually
  • Liaison with Revenue Cycle team to identify issues impacting Accounts Receivable and Bad Debt
05/2008 to 03/2010 Financial Analyst Fbmc | Myrtle Point, OR,
  • Supported all areas of finance for a third party administrator servicing companies across Iowa, South Dakota and Wyoming
  • Reconciled accounts receivable, accounts payable and multiple bank accounts to ensure month end close process is completed accurately and timely
  • Accountable for all journal entries recording monthly transactions including accruals
  • Responsible for all state and federal compliance regarding financial obligations including various states' sales tax
  • Answerable to auditors regarding concerns across all areas of finance
  • Financial liaison for clients and coordinator for all financial projects including annual budget of $3M
  • Detected issues with bad debt being overstated resulting in a difference of $600K
03/2007 to 05/2008 Senior Representative GE Financial Services | City, STATE,
  • Worked with customers, dealers and management to meet service level commitments regarding loan processing
  • Reconciled documentation for funding loans, with an in-depth knowledge of state titling requirements and federal banking regulations
  • Cross trained on multiple projects and communicated ideas for process improvement with staff
01/2005 to 01/2007 Sports Sound Team Lead Daktronics | City, STATE,
  • Department lead for improvement and construction of sound equipment design
  • Collaborated with Engineering to improve design and function of products
  • Responsible for reporting man hours, part usage and technical information to improve work flow
12/2000 to 07/2004 Senior Account Representative State Farm Insurance | City, STATE,
  • Liaison with agents, customers and divisions of State Farm on billing and payment options for all lines of insurance
  • Maintained accounts and troubleshot account problems as necessary including calculating balances due and identifying statement concerns
  • Made decisions and communicated solutions and information that determined the policyholder's perception of State Farm Insurance
  • Working knowledge of all lines of business including banking and life insurance
Expected in Bachelors | Business Administration/Finance American InterContinental University, , GPA:
American InterContinental University (February 2008) Bachelors in Business Administration/Finance National Dean's List 4.0 GPA
National Dean's List 4.0 GPA

Accounts Receivable, Data Analysis, Managed Care, Marketing Analysis, Billing, Data Integrity, Decision Support, Strategic Pricing, Equipment Design, Team Lead, Work Flow, Finance, Accounts Payable, Accounts To, Budget, Financial Analyst, Month End Close, Sales, Sales Tax, Clerical Loan, Documentation, Funding Loans, Loan Processing, Loans, Process Improvement, Assistant Director, Claims, Client Services, Cms, Content Management System, Contracts, Data Modeling, Database, Maintenance, Medicaid, Training, Access, Excel, Powerpoint, Quickbooks, Sql, Word

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School Attended
  • American InterContinental University
Job Titles Held:
  • Assistant Director of Client Services
  • Managed Care Coordinator
  • Financial Analyst
  • Senior Representative
  • Sports Sound Team Lead
  • Senior Account Representative
  • Bachelors

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