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

Ready to offer exceptional leadership and planning abilities to take on new role in [Type] setting. Demonstrated expertise in cultivating and managing exceptional teams to meet and exceed demanding targets. Well-versed in [Industry] standards and market trends.


    Scored in the 90th percentile on CPC exam

    Recognized and featured as contributor and reviewer of the 4th edition of Medical Record Auditor

  • Supervised team of 25 staff members.
  • Process improvements
  • Coaching and mentoring
  • Effective leader
  • Client account management
  • Recruitment
  • Training and development
  • Project Management
  • Employee scheduling
  • Relationship building
  • Employee reviews
  • Staff training/development
  • Collections understanding
  • Training and mentoring
Work History
Billing Operations Manager, 01/2016 to Current
Alto PharmacyAustin, TX,
  • Created new standard operating procedures improving billing accuracy and cash flow.
  • Reviewed billing problems, researched issues and resolved concerns.
  • Worked with customers to develop payment plans and bring accounts current.
  • Trained and mentored staff on procedures, compliance requirements and collections techniques.
  • Conducted performance reviews and implemented improvement plans.
  • Utilized talents and expertise to complete on-time and accurate monthly closing processes, journal entries and accruals.
  • Kept vendor files accurate and up-to-date to expedite payment processing.
  • Generated accounts payable reports for management review to aid in financial and business decision making.
  • Trained and mentored new team members and managers on accounts payable systems and policies to build cohesive groups and promote operational performance.
  • Generated financial statements and reports detailing accounts receivable status
  • Devised, deployed and monitored processes to boost long-term business success and increase profit levels [Number] %.
  • Developed and maintained relationships with [Type] customers and suppliers through continual communication and [Action] .
  • Upheld great standards of leadership for employees, consistently leading by example for best-in-class [Type] work.
  • Spearheaded overhaul of company best practices, leading to significantly increased staff retention rates and top-ranking as industry leader.
  • Observed each employee's individual strengths and initiated mentoring program to improve areas of weakness.
  • Developed and implemented high-quality work environment as measured through employee satisfaction ratings.
  • Increased sales by $ [Amount] by establishing goals, overseeing performance and [Action] .
  • Chaired weekly meetings with executive leadership to identify opportunities for improvement, establish milestones and tailor products to individual markets.
  • Delivered business strategy and developed systems and procedures to improve operational quality and team efficiency
  • Handled problematic customers and clients to assist lower-level employees and maintain excellent customer service.
  • Promoted positive customer experience through day-to-day supervision and management of [Type] facility.
  • Recruited, hired and trained initial personnel, working to establish key internal functions and outline scope of positions for new organization.
  • Created, managed and executed business plan and communicated company vision and objectives to motivate teams.
Senior Medical Biller, 03/2012 to 12/2015
CRT Medical SystemsCity, STATE,
  • Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
  • Participated in workshops and other training opportunities to remain current on billing procedures, regulations and industry updates.
  • Reviewed outpatient records and interpreted documentation to identify all diagnoses and procedures.
  • Prepared billing statements for patients and verified correct diagnostic coding.
  • Orchestrated day-to-day operations of billing department, including medical coding, payment posting, accounts receivables and collections.
  • Maintained current accounts through aged revenue reporting.
  • Devised new methods to make workflows more efficient and brought suggestions to attention of [Job title] .
  • Researched and followed up on denied insurance claims.
  • Complied with all HIPAA Privacy and Security Regulations to protect patients' medical records and information.
  • Drove operational improvements which resulted in savings and improved profit margins.
  • Implemented new coding procedures that reduced mistakes by [Number] % and simplified processes.
  • Communicated with insurance providers to resolve any denied claims and resubmit.
  • Translated and interpreted medical billing codes with strong accuracy to enable swift payment from insurance agencies.
  • Guarded against fraud and abuse by verifying all coded data accurately reflected services provided.
Public Health Dietician , 03/2008 to 02/2012
Oakland County Health DivisionCity, STATE,
  • Led presentations at media events on program successes and progress.
  • Spearheaded program to promote healthy development of children with focus on nutrition.
  • Met with members of public and local leaders at various community events and discussed ways to reduce illness, food contamination and obesity.
  • Implemented multi-year project addressing child maltreatment and malnutrition.
  • Reviewed patient records for unusual issues, cluster infections, and known pathogens so that outbreaks could be remedied quickly.
  • Collected, organized and disseminated quality data from multiple sources, including health plans, hospitals, providers and government entities to appropriate individuals.
  • Developed and streamlined systems for monitoring and tracking program effectiveness.
  • Supervised performance of [Number] clinical staff, identifying areas requiring immediate improvement.
  • Designed educational materials used to inform policymakers and community stakeholders.
  • Assumed responsibility for agency in absence of director.
  • Designed client satisfaction surveys, preserving confidentiality of participants and program information.
Masters : Health Administration, Expected in 06/2009
Oakland University - Rochester,
Bachelors: Dietetics, Expected in 01/2007
Madonna University - Livonia, MI

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School Attended

  • Oakland University
  • Madonna University

Job Titles Held:

  • Billing Operations Manager
  • Senior Medical Biller
  • Public Health Dietician


  • Masters
  • Bachelors

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