Billing Collections Supervisor Resume Example

Love this resume?

By clicking Build Your Own Now, you agree to our Terms of Use and Privacy Policy

Jessica Claire
Montgomery Street, San Francisco, CA 94105
Home: (555) 432-1000 - Cell: - - -
Professional Summary

Detail-oriented and patient focused Enrollment/Billing Representative offering over 15 years' experience in related roles. Exceptional abilities in billing and claims accuracy, problem-solving and prioritizing simultaneous tasks. Leverages resourcefulness, critical thinking skills and superior work ethic for top job performance.

Core Qualifications
  • Accounts Receivable Management
  • Counseling, care for patients and, social services resource
  • Complex problem resolution, Troubleshooting
  • Ability to Communicate Effectively , Oral and in Writing
  • Intermediate Excel, Word and, Outlook
  • Detail oriented and strong organizational skills
07/2001 to 11/2013
Billing/Collections Supervisor Gardaworld Industry, CA,
  • Communication, collaboration and Customer Service functions: communicate, clarify and train organizational changes and updates.
  • Work with Managed care team,providers, vendors, clients, and patients to resolve complex insurance reimbursement issues including contract, pricing, coding and product.
  • Routinely reviewed and updated departmental policies, procedures and programs.
  • Designated departmental subject matter expert. Member of Accredo Presidential Committee of Excellence.
  • Project leader assigned to train the reimbursement team to assist with pharmacy scheduling of Medco specialty patients.
  • Department Liaison to IT and UAT team for reimbursement system updates and conversions.
  • Work stream functions: Work with peers and other departments to improve efficiency; develop processes to improve quality and customer service.
  • As designated department SME worked with Directors, training department and QA to review, update and implement SOP changes as needed.
  • Member of project team assigned to align SOP of 3 divisions, assisted with training and on-boarding of back office team.
  • Finance functions: Analyzed multi million dollar AR, recommended and implemented strategies to meet or exceed departmental goals.
  • HR functions: staff of 25 ; performance, disciplinary, payroll and career planning management. Departmental Liaison for Workday/Taleo on boarding team. Expert understanding of Kronos payroll system. Utilized monthly team and individual meetings to build moral, solicit feedback and communicate new directives.
  • Managed various patient assistance programs that allowed patients to start or continue therapy.
12/1999 to 06/2001
Billing Analyst Select Medical Corporation Marion, NC,
  • Analyzed, researched and compiled utilization data for internal and external client reporting.
  • Completed monthly QA audits and provided feedback via trend reporting.
  • Identified process improvements in the day-to-day functioning of the department.
  • Closely collaborated with management teams to develop process and policy improvements.
  • Responsible for training and development of staff.
  • Interpreted and communicated new or revised contract, State Medicaid, Medicare and CMS policies to staff.
  • Facilitated an on-going assessment of patient/family needs for patients participating in an internal assistance program.
10/1997 to 11/1999
Patient Billing Representative Accredo - An Express Scripts Company City, STATE,
  • Verified patient insurance benefits to insure payment prior to dispensing.
  • Obtained prior authorizations, coordinated with physicians, payers and members of the clinical care department.
  • Negotiated payment plans with patients.
  • Solicited payers to include our organization in their network via contract or, agree to a negotiated rate agreement.
  • Completed HCFA-1500, universal claim forms or special reimbursement forms for submission to payers.
  • Processed claims electronically through appropriate clearinghouse.
  • Reviewed explanation of benefits and payment vouchers, compared them to verified benefits and calculated to determine that correct payment was received and posted correctly.
  • Submitted claims to secondary payers for coordination of benefits.
  • Followed up with payer when payments did not match benefits or were not received timely.
  • Reviewed contract documents to verify billing compliance.
  • Wrote and submitted payment appeals.
  • Negotiate payment settlements to close out delinquent accounts.
  • Completed quarterly review of accounts to identify and resolve outstanding A/R.
Continuing Education
Expected in 2018
CE Certificate: CBCS Medical Billing and Coding
Southwest Tennessee Community College - Memphis, TN
Expected in 2015
CE Specialization Certificate: Project Management Principles and Practices
Coursera: University of California - Irvine, CA
Expected in
CE Specialization Certificate: Excel Skills for Business Specialization
Coursera -Macquarie University - Sydney,
In process
Certified Pharmacy Technician (CPhT)   2001-Present
Expected in 1982
Bachelor of Arts: Social Sciences and Business Administration
Nazareth College of Rochester - Rochester, NY
Expected in 1977
High School Diploma:
Malcolm X Shabazz HS - Newark, NJ

By clicking Build Your Own Now, you agree to our Terms of Use and Privacy Policy

Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is the user who retains ownership over such content.

How this resume score could be improved?

Many factors go into creating a strong resume. Here are a few tweaks that could improve the score of this resume:


Resume Strength

  • Formatting
  • Length
  • Personalization
  • Strong Summary
  • Target Job

Resume Overview

School Attended
  • Southwest Tennessee Community College
  • Coursera: University of California
  • Coursera -Macquarie University
Job Titles Held:
  • Billing/Collections Supervisor
  • Billing Analyst
  • Patient Billing Representative
  • CE Certificate
  • CE Specialization Certificate
  • CE Specialization Certificate

Similar Resume

View All
Billing Collections Supervisor
Supervisor of External Collections & Billing Agencies
Medical Billing/Credit Collections Supervisor