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Director Resume Example

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Jessica
Claire
resumesample@example.com
(555) 432-1000,
, , 100 Montgomery St. 10th Floor
:
Summary

Accomplished Director offering 20+ years of experience in management of Patient Access -Admissions, Billing, Collections and Revenue Cycle of combining cross-functional competencies in staff management, operations planning, customer retention and financial management. Expert in boosting revenue, quality and performance. Successful in creating and executing standard operating policies and procedures to positively impact organizational goals. Dependable leader with skills to develop, coach and motivate staff while interfacing with executives on all levels.

Skills
  • Leadership skills
  • Expert in Billing and Collections
  • Understanding CPT codes and ICD 10
  • Expert in Customer Service Focus -patients concerns and resolutions.
  • Building Effective Teams
  • Conflict Management
  • Creativity
  • Drive for Results
  • Managing and Measuring Work.
  • Monthly Budget reports
  • HIPPA Knowledge
  • City Wide Drills ( Diaster Drill)
  • Claims Processing
Education and Training
San Antonio College San Antonio , TX , Expected in : Business - GPA :
Continuing Education 60+plus Hrs San Antonio , TX, Expected in : Business - GPA :
John Jay High School San Antonio , TX, Expected in 05/1982 High School Diploma : - GPA :

Women's Leadership,APC's and OPPS,Medicaid, Managed Care,Commercial accounts and 3M coding, Medicare Boot Camp,Member focus with THMP.

Experience
Merieux Nutrisciences Corporation - Sr Claim Manager
Omaha, NE, 06/2021 - Current
  • Oversee daily operations of multiple levels of staff and multiple functions across one or more business units.
  • Manage day to day site operations, supervisor leadership (internal and external to organization),
  • Provide expertise or general claims support to teams in reviewing, researching, investigating, negotiating, processing and adjusting claims.
  • Authorize the appropriate payment or refers claims to investigators for further review.
  • Conduct data entry and re-work; analyzes and identifies trends and provides reports as necessary.
  • Lead project management and implementation initiatives.
Capital Health Services - Shiloh Springs - Director
Trotwood, OH, 11/2014 - 06/2022
  • Leadership position that provides support,direction and focus for the staff involved in all areas of patient access.
  • Collaborate with the facility service departments, referring providers, and patients to facilitate ease of access to services.
  • Staffing and management of daily activities to produce success of outcomes of all patient encounters.
  • Respond to organizational and customers needs with innovative processes to ensure service of excellence.
  • Communicates effectively with all types of people at all levels.
  • Developed processes to meet Patient/Associate satisfaction goals established by the facility and region.
  • Ensures compliance with relevant regulations standards and directives from Regulatory agencies. (HIPPA)
  • Prepares and presents performance reports to Leadership,hospital executives and others as necessary.
  • Managed team members effectively to meet high production standards with accurate results.
University Hospital - Assistance Director
City, STATE, 11/2007 - 04/2014
  • Director daily department operation of Business office and in additional to Registration department to include Southwest Med Clinic.
  • Direct a staff of 50+ employees managed, trained, motivate and terminated employees, to include 3 Supervisors and two Team Leads.
  • Provide and analysis and consultative support to Southwest Med Clinic
  • Monthly budget reporting review of all expenses of B.O and registration areas.
  • Improved point of service collections at time of registration by 200% increase.
  • Created new policies and procedures for business office and registration staff.
  • Identified and recommended opportunities for managing business office and registration area.
Community First Health Plans - Admission Director
City, STATE, 04/2006 - 11/2006
  • Directed daily department operation, in addition to trauma E.R registration requirement for a level 1 Trauma Center with 400+ bed.
  • Hired,managed trained,motivated and terminated a team of 75+ employees including 4 managers,Team Coordinators, Team Leaders and Supervisors.
  • Administered the 1M+ department budget integrating staffing issues and other operation factors
  • Functioned a primary liaison between departments, physician and other departments Directors regarding policies and patient services criteria.
  • Credited with restructuring patient waiting procedures. Significantly decreased waiting times and ensured patients were processed quickly into the system.
University Hospital - Collection/Billing Manager
City, STATE, 04/2002 - 05/2006
  • Managed collections and billing operations, support systems and a 30+member staff for a department responsible for collections of 18M+per month
  • Conducted on going audits and quality assurance regarding government and insurance rules and regulations to insure updated records and proper training on new data or policies.
  • Subject matter expert on CPT CODES, HCPCS, ICD9 CODES and revenue codes.
  • Reviewed hospital Charge Master Descriptions (CDM) for quality regarding Contracts and Medicare balance reports.
  • Served as a member of the compliance team regarding CMS rules
  • Accountable for hiring employees job descriptions, core training competencies and formal performance evaluations.
Accomplishments
  • Improved overall increase in customer satisfaction and cost efficiency by 25% to include all areas of registration such as Main Admitting, Imaging ,Surgery,Wound Care,E.R and stand alone E.R
  • Consistently maintained high customer satisfaction ratings
  • Recognized as Employee of the Quarter 2006 for outstanding performance and team contributions.
  • Promoted from Collection Manager to Admission Director (University Hospital)
  • Exceeded Cash goals by an average of 25% in 2014 (Santa Rosa Hospital) continues to exceed monthly cash goal.

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Resume Overview

School Attended
  • San Antonio College
  • Continuing Education 60+plus Hrs
  • John Jay High School
Job Titles Held:
  • Sr Claim Manager
  • Director
  • Assistance Director
  • Admission Director
  • Collection/Billing Manager
Degrees
  • Some College (No Degree)
  • Some College (No Degree)
  • High School Diploma