Jessica Claire
  • , , 100 Montgomery St. 10th Floor
  • H: (555) 432-1000
  • C:
  • Date of Birth:
  • India:
  • :
  • single:

Highly skilled Home Health SME & Talented Billing Manager familiar with Home Health & Hospice billing requirements. Offering an organized and quality-oriented mindset along with 20+ years of experience in administrative, customer service and leadership positions. Eager to leverage abilities and experience in dynamic new position with room for growth and advancement.

  • Complex issue resolution
  • Implementation and configuration
  • Staff coaching and mentoring
  • Cybersecurity frameworks
  • Server/network configuration
  • Home Health Care SME
  • Cost and budget analysis
  • Client relationship management
  • Collections experience
  • Team direction
CEO, 11/2016 - Current
United Way Of America Rochester, MN,
  • Cultivated successful business culture focused on performance optimization and goal attainment.
  • Ensured reimbursement from Medicare, Medicaid and other 3rd party payers through efficient billing and collections operations and effective AR management.
  • Managed configuration, installation and troubleshooting of applications and software for clients.
  • Identified issues and made potential solution recommendations as problems developed, enabling quick project modifications.
  • Verified that every client received highest level of support, assistance and professionalism to uphold company's commitment to service.
  • Enhanced internal and external customer satisfaction ratings by researching, troubleshooting and resolving escalated issues efficiently.
  • Accomplishments include turn-key start up of Kentucky personal care agency for a New York based corporation including IT strategies, implementation and deployment with 5MM.
Chief Operations Officer, 01/1996 - 06/2021
Southern Nevada Health District Las Vegas, NV,
  • Developed operational policies and processes, guaranteeing staff maintained compliance with federal, state, and local laws and regulations.
  • Led organizational development changes, enabling organization to better respond and adapt to industry and market changes, including PDGM taskforce.
  • Collaborated with Finance Committee and CPA to successfully reconcile billing systems and financials.
  • Served as strategic advisor and functional expert on critical strategic and operational matters.
  • Focused solutions on industry-specific workflow, client base and protocols, tailoring to client needs.
  • Information Technology lead for network of 150+ staff, EMR selection, billing system implementation, training and maintenance for clients.
  • Ensured billing and patient account systems are maintained in accordance with GAAP and in compliance with all federal and state regulations.
  • Medicare, Advantage plan, Medicaid and other 3rd party payer reconciliation and cost report activities.
  • Consultingaccomplishments: 1) InterimExecutive Leader for Medicare certified, multi-site home health agencywith growth of revenue to 35MM, 2) Turn-key expansion of establishedhome health agencyfromawardingof Certificate of Needto full operation of newbranch office, resultingin 423%growth over 3-5 years achieving4 Star Ratingandpatients census of 500+ andP&Lmanagement of 9MM, 3) establishment andexpansion of hospital-basedhome health agency fromstart-up to secondyear growth of 15%with 5MMP&L, 4) provide consulting services to home health agencies in Kentucky, Tennessee, Colorado, Texas and Florida on ongoingbasis, and5) transition andongoingfinancial success throughout implementation of PDGMmethodologyfor multiple home health agencies without RAPtimeliness penalties andgrowth of revenue of 9%with P& L of 35MM.
Officer – Secretary, 01/2003 - 01/2020
Ethica Health Gibson, GA,
  • Officer andSecretaryfor the boardof directors of a non-profit home health organization, maintainingcorporate records &generatingreports to facilitate decision-making.
  • Active member of the organization's Finance Committee, focusingon the organization's financial leadership, analysis of fiscal performance, P&L, and budgeting.
  • Accomplishments included: 1) Transitioningto newAdministration with retainment of corporate culture andlowstaff turnover, 2) High growth of agency census through ongoingmarketingof agencyservices, and3) Deficiencyfree surveys for multiple auditors includingOIG, Medicaid, Medicare, etc.
Administrator, 08/2000 - 07/2003
Professional Home Health Care Agency, Inc City, STATE,
  • Operational management of a regional/multi-state home health agencywith census of over 800+ patients andP&Lof 30MM.
  • Direction of multidisciplinarypatient care personnel, overseeingthe smooth deliveryof health care services to patients andfamilies, financial andpersonnel management (P&L), business growth/development, andassurance of compliance with regulatory/professional standards, achieving4 Star RatIngfor multiple reportingperiods.
  • Accomplishments includeddeficiencyfree surveys, financial profitability, and inclusion in the decisionhealth HomeCare Elite duringmytenure.
Education and Training
Bachelor of Arts: Nursing, Expected in 2022
Universityof The Cumberlands - Williamsburg, KY
MBA: , Expected in 2010
Sullivan College - Lexington, KY
Business, Research, Information Technology, Management, Operations, Accounting/Finance, Economics, Human Resources, etc.
Bachelor of Arts: AccountingAndBusiness Administration, Accounting, Business, Expected in 2008
Sullivan College - Lexington, KY
Finance, Economics, Operations, Accounting, Information Technology, Marketing, etc.
Associate of Arts: AccountingandBusiness Administration, Expected in 1990
Sullivan College - Lexington, KY
Additional Information
  • AdditionalCurriculum Vitae
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School Attended

  • Universityof The Cumberlands
  • Sullivan College
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