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Jessica Claire
Montgomery Street, San Francisco, CA 94105
Home: (555) 432-1000 - Cell: - resumesample@example.com - -
Executive Profile

Highly motivated, results driven, client focused Director/Vice-President, that is responsible for managing costs, maintaining and growing revenue while building relationships with clients and creating a team of quality performers.

Skill Highlights
  • Small business development
  • Project management
  • Leadership/communication skills
  • Client account management
  • Human resources
  • Customer-oriented
  • Self-motivated
Core Accomplishments

Small Business Development:

  • Worked with "One Owner" business
  • Doubled number of bills processed from 5,000-10,000
  • Increased revenue by 40%
  • Worked with Human Resources, and I.T. to improve processes and efficiencies

Project Management:

  • Successful Implementation of bill review and pharmacy services to new clients which resulted in generating not only revenue but also great relations with the client; implementation of new billing system that improved turn a round time of billing for providers and clients

Operations Management:

  • Managed Operations from 50 to 150 employees in Medical field
  • Handled Operations of Bill Review & Auditing Program, Pharmacy Program, Utilization Program, Durable Medical Equipment Program

Client Management:

  • Responsible for success of Client Management Team which entailed number of visits, services sold and liason between client and Operations
  • Built relationships with Clients to retain as a customer and boost sales
  • Retention of client is 99%

    Professional Experience
    2015 to 02/2017
    Director of Ancillary Services Essex Property Trust Milpitas, CA,
    • Management of daily operations of the Pharmacy (Rx) program, Durable Medical Equipment (DME) program and Maritime Program Coordinate training and implementation of Rx Equip system to all customers Create efficiencies within the Rx Equip system Write policies and procedures of daily processes Work with IT to create an interactive DME system Implementation of new RX and DME business Demonstrate and Train External Users Responsible for retention of clients Solve concerns and issues of clients Monitor revenue and report trends.
    2010 to 2014
    Vice President National Financial Partners Corp. Silver Spring, MD,
    • Business Solutions Group-Operations Responsible for Bill Review, Utilization Management and Client Services for Workers Compensation line of business.
    • Three locations: Alabama, Iowa, and Texas Managed Client Services/Client Retention Participated in Client Presentations as needed by Sales Team Interact closely with department Directors in developing and implementing budgets, projects, and goals.
    • Instrumental in making changes in the operation offices by creating performance goals, assessing processes and continually reviewing workflow opportunities for a more efficient operational performance Managed all Directors and Managers within Bill Review, Utilization Management and Client Services (up to 75 employees) Handle Client calls when escalated to Management Quarterly Stewardship meetings with Clients on site to review previous quarters statistics and offer products that would enhance their business Monitor Revenue and assess trends for forecasting the following budget year Implementations of New Clients as Project Manager for Operations Problem solving within all Operational Areas Created relationships with Clients and other Executives within the industry Mentored Managers and Directors in managing employees and processes.
    2006 to 2010
    Chief Operations Officer Southern Nevada Health District Las Vegas, NV,
    • Ensure that operational goals of the Company are met and that the Customer expectations are exceeded.
    • Interact closely with department directors in developing and following budgets, projects, and goals.
    • Responsible for 50 employees to include, Accounting, IT, Bill Review, Utilization Management, Human Resources and Pharmacy Program Led Sales and Operation Teams to implement and support new clients and monitored the handling of issues or concerns with current clients Attended National Conferences with Sales Team Reported directly to Owner of Company Participated in Completion of RFC.
    01/2004 to 01/2006
    Bill Review Director Sava Senior Care Durango, CO,
    • Ensured that the entire bill review staff was current on all PPO issues and changes.
    • Responsible for reviewing state rule changes for Workers Compensation and communicating changes to staff.
    • Tested the system after updates to ensure that the system was working and fee schedules were being updated properly.
    • Performed upper level audits of complicated bills.
    • Administered formal and informal customer satisfaction surveys.
    • Project Manager for new client set-up, history conversions, EDI's, and on-site operations.
    • Responsible for 20 employees.
    2000 to 2004
    Corporate Business Office Director Baptist Health Systems City, STATE,
    • Handled all customer service and collections for 4 hospitals along with hospital based physicians and Surgery Center Responsible for all posting, refunds and insurance billing for all facilities Responsible for combining multi offices into a Corporate Office Responsible for 100 employees within the Business Office with 4 Managers Responsible for creating efficiencies within Insurance Billing with emphasis on collection of outstanding receivables Responsible for combining multiple Business Offices into a Corporate Business office.
    01/1998 to 11/1999
    Business Office Director Baptist Medical Center City, STATE,
    • Handled all customer service and collections.
    • Responsible for all posting, refunds, and insurance billing for Baptist Medical Center and Baptist Surgery Center Worked very closely with Admitting/Registration Staff to ensure that in- take information flows correctly to billing staff and collection department Responsible for reviewing Medicare and Medicaid regulations for hospitals and surgery centers.
    • Responsible for Accounts Receivable Goals Solve patient issues and concerns Worked with Vendors to negotiate best rates possible.
    1997 to 1998
    Business Office Assistant Director Baptist Medical Center City, STATE,
    • Handled all customer service and collections for Baptist Medical Center and Baptist Surgery Center Responsible for all posting, refunds, and insurance billing.
    • Responsible for hiring and termination of employees within the Business Office Responsible for meeting Accounts Receivable goals Reported directly to Chief Financial Officer.
    01/1989 to 01/1997
    Assistant Director of Patient Accounts Baptist Medical Center City, STATE,
    • Responsible for all collections, posting, refunds and insurance billing of Baptist Medical Center and Baptist Surgery Center.
    • Center.
    Education
    Expected in 1993
    B.S: Business Management
    Auburn University of Montgomery - Montgomery, AL
    GPA:

    Business Management

    Skills

    Accounting, Accounts Receivable, Billing, Budgets, Business Solutions, Conferences, Clients, Customer satisfaction, Customer service, EDI, Financial, Forecasting, Hiring, Human Resources,Managing staff, policies and procedures, Presentations, Problem solving, Survey clients

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    School Attended

    • Auburn University of Montgomery

    Job Titles Held:

    • Director of Ancillary Services
    • Vice President
    • Chief Operations Officer
    • Bill Review Director
    • Corporate Business Office Director
    • Business Office Director
    • Business Office Assistant Director
    • Assistant Director of Patient Accounts

    Degrees

    • B.S

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