Jessica Claire
, , 100 Montgomery St. 10th Floor (555) 432-1000,

Goal-oriented executive offering 10 years of experience overseeing top-level operations in practice management healthcare consulting company. Decisive and hardworking leader with in-depth understanding of complex business issues, policy development and process updates. Demonstrated success in operations, team building and expertise in business planning, and revenue development. Offers entrepreneurial, forward-thinking mindset and experience managing and driving change to promote continuous operational improvement. Employed multi-prong strategy to streamline internal systems, enhance revenue and extend profits, demonstrating a track record of achievement with success facilitating an average of 200% growth across medical practice organizations with over $20 million in annual revenue for clients. Boosted customer satisfaction and market penetration with strategic approaches and proactive oversight of tactical leadership. Imaginative problem solver with sophisticated approaches to diverse challenges.

  • Market trend expertise, Market access and expansion
  • Financial administration
  • Market strategies
  • Mergers & acquisitions
  • Productivity performance, Business development, Strategic planning
  • Operating budgets
  • Organizational leadership, Corporate leadership
  • Strategic marketing, Developing targeted leads
  • Customer acquisition, Sales proficiency
  • Data gathering, Data tracking and analysis
  • Team collaboration
  • Year-end reporting
  • Revenue forecasting
  • Auditing proficiency
  • Operations administration
  • Business analysis
  • Management
  • Delegation
  • Defining company vision
  • Team building and leadership
  • Brand management
  • Employee coaching
  • Software troubleshooting
  • Project analysis, Project Management
  • Content management system
  • Customer relationship management
  • Game testing
  • MS Office
  • Google Analytics expertise
  • SEO strategy development
08/2010 to Current Chief Executive Officer Redwood Community | Petaluma, CA,
  • Established start-up healthcare consulting company, overseeing strategic planning, market analysis, policy development and regulatory compliance.
  • Led organization, established business direction and actualized operational plans to meet goals.
  • Supervised office managers and patient care coordinators to effectively direct and enhance billing operational areas.
  • Managed digital marketing strategy.
  • Devised strategic improvements to resolve issues and spearhead necessary operational updates.
  • Improved internal processes and stimulated overall organizational efficiency by implementing software, project management for unpaid insurance A/R and Set up participation and enrollment for providers with government and commercial insurance payors
  • Engaged operations team to assess current operations and contribute to strategic revitalization for expansion of insurance payment percentages against patient self pay
  • Analyzed and determined courses of action to align operations and revenue performance with clients organizational goals.
  • Oversaw strategic business decision-making to develop, enhance and enforce business mission.
  • Developed long-range plans for business growth, resulting in an average of 150% increase in revenue for clients within 8 months of client contract start date
  • Enabled organization to scale through rapid growth by identifying and eliminating bottlenecks, risks and other constraints.
  • Cultivated successful business culture focused on performance optimization and goal attainment.
  • Complied with healthcare standard regulatory bodies to meet business requirements.
  • Monitored business trend forecasts, adjusting budgets and operational plans to maximize growth and opportunities.
  • Reviewed daily financial reports and reconciled accounts to keep information current and accurate.
  • Promoted company public profile by delivering speeches, writing articles and presenting at industry conferences as public face of organization.
02/2008 to 08/2010 Medical Biller, Accounts Receivable William Demant Holding A/S | Minneapolis, MN,
  • Expertly assigned charges and payments for medical procedures.
  • Reviewed medical records to meet insurance company requirements.
  • Assessed medical codes on patient records for accuracy.
  • Recorded, stored and reported medical coding information to create statistics of healthcare encounters.
  • Contacted insurance providers to verify correct insurance information and obtain authorization for proper billing codes.
  • Reviewed all claims for accurateness and appropriateness.
  • Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
  • Addressed and responded to staff and client inquiries regarding CPT and diagnosis codes.
  • Completed and submitted appeals.
  • Performed routine quality assurance audits to promote data integrity.
  • Oversaw day-to-day operations of billing department, including medical coding, charge entry, claims and payment posting.
  • Organized information for accounts more than 90 days past due and transferred to collection agency.
  • Added modifiers, coded narrative diagnosis and verified diagnoses.
  • Utilized electronic charge capture systems to consolidate and streamline billing processes.
  • Assigned CPT procedure and evaluation and management (E&M) codes for services to assure appropriate billing and reimbursement.
  • Managed benefit contract pricing, processing, policies and procedures.
  • Maintained knowledge of new or revised codes and industry regulations to complete accurate coding services, including local coverage determinations.
  • Maintained accurate and timely charge submissions utilizing electronic charge capture practices, including billing and account receivables (BAR) system and medical billing clearinghouse accounts.
  • Investigated denials and collaborated with internal team members and third-party representatives to identify solutions.
01/2005 to 01/2008 Medical Billing Clerk D + P Billing | City, STATE,
  • Reviewed medical records to meet insurance company requirements.
  • Reviewed all claims for accurateness and appropriateness.
  • Filed and submitted insurance claims.
  • Reviewed received payments for accuracy and applied to intended patient accounts.
  • Compiled and maintained logs, and statistical or research records to locate requested health data.
  • Flagged return claims and dealt with insufficient payments.
  • Applied HIPAA Privacy and Security Regulations while handling patient information.
  • Completed and submitted appeals.
  • Maintained 99% accuracy rate on daily production of 100 to 600 claim reviews per day.
Education and Training
Expected in 06/2005 High School Diploma | Reed City High School, Reed City, MI GPA:
Expected in | Davenport University, Grand Rapids, MI GPA:

Completed professional development in Entrepreneurship and Financial management (2 Years)

Expected in Course Completion |, Internet, GPA:

Completed continuing education in the following online courses:

  • Finance
  • Team Leadership
  • Facebook Ads and Facebook Marketing
  • Google ads training
  • Digital Marketing
  • Management
  • Microsoft Office
  • Google Apps
  • Adobe
  • Blockchain
  • Amazon Web Services

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Resume Overview

School Attended

  • Reed City High School
  • Davenport University

Job Titles Held:

  • Chief Executive Officer
  • Medical Biller, Accounts Receivable
  • Medical Billing Clerk


  • High School Diploma
  • Some College (No Degree)
  • Course Completion

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