- Montgomery Street, San Francisco, CA 94105
- Home: (555) 432-1000
- Cell:
- resumesample@example.com
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
|
Billing Operations Manager, 01/2016 to Current
Alto Pharmacy – Austin, 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 Systems – City, 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 Division – City, 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,
GPA:
Bachelors: Dietetics, Expected in 01/2007
Madonna University - Livonia, MI
GPA:
Certified Professional Coder
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