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national director of licensing resume example with 17+ years of experience

Jessica Claire
  • Montgomery Street, San Francisco, CA XXX05 609 Johnson Ave., 49204, Tulsa, OK
  • Home: (555) 432-1000
  • Cell:
  • resumesample@example.com
  • :
Summary

Excellent interpersonal skills with outstanding communication strength verbally and in writing. A leader with a passionate focus to improve, organize and increase efficiencies with high integrity. Known for positive self-motivation and relentless work ethic. Identifier and solutionist for root cause analysis with a strong teamwork mentality. Seeking a position that will utilize my experience and acquired skills to impact company operations, while providing career advancement through performance.

Skills
  • Goal-oriented
  • Process Improvement
  • Mentoring and coaching
  • Complaint resolution
  • Relationship Development
  • Communication Expert
  • Excellent at Meeting Deadlines
  • Excellent Time Management
  • Excellent Organizational Skills
  • Detail Oriented
Experience
National Director of Licensing, 10/2016 to Current
Park Hotels & ResortsOak Brook, IL,

• Responsible for a department that provides consulting services to Home Healthcare start-up agencies throughout all 50 states.
• Tasked with identifying departmental deficiencies pertaining to processes, people and compensation plans. Responsible for the turnaround of the department performance.
• Hired and replaced all necessary personnel within the department in efforts to staff accordingly with top performers.
• Directed training improvements to reduce knowledge gaps and eliminate workforce performance inefficiencies for 8 Licensing Specialists, in addition to account management.
• Organized department to ensure all 837 clients were provided exceptional customer service.
• Motivated team members consistently to drive the highest client experience.
• Lead weekly meetings with the team to ensure consistent execution of processes, and caseload fulfilment.
• Provide education and in-services to ensure team is familiar with processes for all 50 states, other than their appropriated states, to provide back up, maximizing client relationships.
• Lead the team in developing ongoing research process to ensure compliance with state and federal regulations.
• Lead employee performance reviews and discussed improvement strategies with each team member.
• Onboarded, implemented, customized and trained all departments new CRM. Designed processes to include workflows, automated emails, templates and task reminders.
• Consulted with other department managers regularly to provide guidance on the licensing process.
• Worked closely with clients to immediately address issues and implement effective solutions
• Attend weekly meetings with CEO, CFO, COO and all department managers providing feedback to enhance future performance

Front Office Manager, 05/2010 to 08/2016
Unc Health Care SystemsKenly, NC,

• Responsible for oversight of all daily office functions A/P, A/R, Collections, Payroll, Scheduling, Billing, Staffing, PTO, Intakes and Referrals
• Scheduled for two physicians
• Scheduled for two LMT’s
• Performed all Insurance Verification, Explanation of Benefits, Billing and Collections.
• Directed and guided office staff with daily responsibilities and caseload time management.
• Posted Medicare and all insurance payor payments. Assigned and verified all insurance plan.
• Enrollment and credentialing of physicians into additional insurances.
• Balancing Daily Cash Logs
• Interviewed patients to obtain all necessary account information
• Calculate and collected patient liable amounts.
• Ensured all charts were completed with accuracy and all necessary signatures were obtained for treatment and billing

Administrative Support Supervisor, 03/2003 to 08/2009
Liberty Mutual InsuranceCity, STATE,

Responsible for coaching and managing 19 support employees to ensure compliance with state regulations, quality, service, performance and production standards.
• Set objectives, monitor performance and evaluate results of direct reports;
• Provide positive reinforcement, recognize and reward staff accordingly and make or recommend corrective action
• Screened candidates for employment
• Planning, scheduling and reviewing workloads, making adjustments when necessary
• Carry out regular work assignments as part of a unit and fill in for others when needed
• Electronic time card approver for 65+ employees
• Preparation of UCJF/PLIGA log submissions to the State to recover funds in accordance with State regulations in excess of $22 million dollars annually
• Maintained Statistical logs in Excel for Company and State, tracked and processed all recoveries
• Managed claim reviews
• Updated all financial transactions involving state refunds and processed provider refunds to claims files
• Responded to provider notifications and bills in accordance with State regulations
• Scheduled vendor payments
• Insurance check processing for all lines of business
• Prepared delays and denials of medical bills

Education and Training
: Accounting And Business Management, Expected in to Hillsborough Community College - Tampa, FL
GPA:
Accomplishments

Received 12 “High Level” Bravo awards for excelling at leadership, performance, departmental efficiencies and attitude
Recruited for demonstrated abilities to lead a “Project Team” overseen Corporate Headquarters Main Office. Mission was to evaluate processes and gain efficiencies for No-Fault line of business.
Designed, organized and implemented new mail process for incoming mail relevant to all lines of business. Adapted and implemented by Corporate.

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Resume Overview

School Attended

  • Hillsborough Community College

Job Titles Held:

  • National Director of Licensing
  • Front Office Manager
  • Administrative Support Supervisor

Degrees

  • Some College (No Degree)

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