Montgomery Street, San Francisco, CA94105(555) 432-1000, resumesample@example.com
Professional Summary
Versatile and accomplished Healthcare Finance Leader with 15+ years of senior-level experience leading finance operations in the Medical field. Proficient at working with insurance providers and hospital services to develop the best possible solutions for all parties. Strengths include: financial reconciliation, record keeping, team leadership and Healthcare Administration.
Skills
Account Reconciliation
Budget Administration
Compliance Oversight
Data + Metric Reporting
EHR/EMR
Medical Practice Management
Operations Oversight
Resolution Oriented
Educational Achievements
Expected in 03/2021Bachelor of Science | Healthcare Administration University Of Phoenix, Tempe, AZGPA:
Expected in 2005Certified Health Unit Coordinator (CHUC) | Health Care CoordinationMaryland Center For Arts & Technology , Baltimore, MD, GPA:
Work History
08/2007 to CurrentAccounts Resolution ManagerFort Knox Federal Credit Union | Bardstown, KY,
Team Manager-Promotion/ 11/2020-Present
Communicates verification and authorization status updates with billing department to facilitate decision-making for patient admissions and insurance coverage.
Maintains updated knowledge of all Payer Services including, Medicare, Medicaid, Blue Cross, NASCO, Non-Governmental, and commercial payers regulations and standards.
Performs detailed analytical research to identify cause and effects results to best determine proper plan of action.
Submits claim submissions utilizing Nthrive billing system on UB-04.
Revenue Control Specialist-Promotion / 11/2017- 11/2020
Entered and generated receivable reports for review of the daily income statistics to determine areas of future fiscal improvement.
Maintained weekly performance benchmarks for incoming charge adjustments.
Prioritized work tasks to ensure project milestones and deadlines were met effectively.
Processed all charge transfer requests in a timely manner, while consistently working with the hospital ancillary departments to maintain revenue fluctuation controls.
Medical Collections Manager-Promotion / Medstar Health / Baltimore, MD / 11/2014-11/2016
Coordinated transfer of billing documentation (referrals, progress notes, letters of guarantee, etc.)
Ensured entire team followed protocols for complete, accurate, and timely input of documented physician charges in GE IDX billing system.
Trained and assisted with supervision of staff to assure efficient and precise record and request processing.
12/2006 to 08/2007Member Service RepresentativeCigna, Bravo Health | City, STATE,
Customized existing insurance plans to suit individual client needs by analyzing specific requirements.
Followed up with customers on unresolved claims and eligibility concerns.
Managed web contact request and emails as required from internal and external contact servers.
Responsible for appropriate documentation of precertification calls.
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