Motivated Health Care Management professional with over 20 years experience in the Health Care Industry. I offer expertise to organizations which embrace quality customer service, high-energy and the ability to adapt to on-going changes in the health care field. The skills I have obtained throughout my career have given a demonstrated excellence in what I have to offer any new employer.
Ability to communicate effectively with customers and co-workers on all levels
Strong capacity for managing details
Ability to interpret, analyze, and assess policies and documents
Competent and dependable in team oriented work environments
Proficient in MS Office software and web based applications
Successful facilitator of meetings and workshops
Office Manager August 2000 to CurrentSchulz Chiropractic Clinic － Lake City, MN
Consistently engages all aspects of the daily, weekly, and monthly operations for enhancement of clinic growth.
Demonstrates and promotes positive patient relationships including establishing a presence in the community utilizing wellness workshops and other various external marketing efforts to enhance business development.
Consistent and effective in creating affordable care plans for patients of all ages.
Conducts all budgetary receivable and payable accounts including inventory management.
Proficient in implementing and maintaining clinic software updates as necessary for following state and federal compliance guidelines and requirements.
Business Office Manager November 1999 to June 2000Olmsted Medical Group － Rochester, MN
Successfully managed direct reports of seven first line supervisors and a staff of seventy employees.
Effectively communicated between administration and clinic departments to promote issue resolution, developed policies and procedures, and maintained adequate staffing levels.
Assisted upper management in support of all ongoing new directives.
Daily supervised business office functions pertaining to billing, reimbursement, and patient relations for both the main clinic and hospital location.
Administrative Manager March 1998 to October 1999NovaCare Physical Rehabilitation － Minnetonka, MN
Supervised thirteen direct reports and provided direction and guidance to clinical support staff to help meet the goals established by the corporate management team.
Recruited and trained office staff in proper billing procedures.
Delegated liaison between the clinics, central billing office, and the local management team to support issue resolution, oversee adherence to billing and service standards, and meet revenue goals.
Directed clinic front desk operations to promote overall operational excellence in the market.
Completed and implemented a corporate customer service program to all Minnesota NovaCare employees.
Business Analyst April 1997 to March 1998United Health Care Corporation － Edina, MN
Performed the business analysis functions within the Strategic Business Systems Implementation (SBSI) Unit for the successful conversion of UHC health plans onto the corporate UHC operating platform.
Conducted daily collaboration with internal UHC departments and the project team to properly develop and maintain the master project plan. Identified, resolved, and documented all implementation tasks and issues relative to the successful computer conversion.
Established positive partnering and relationship building with the dental, mental health, pharmaceutical, and data warehouse vendors to successfully complete the health plan conversion.
Account Manager May 1996 to March 1997Health System Integration Inc － Bloomington, MN
Managed software implementation and operations for startup managed care organizations. Developed and maintained the organizational relationship between the customer and HSII.
Effective project lead and single point of contact for all claims, benefit, provider, referral management, premium billing, financial, and reporting issues to solve client membership issues.
Administered agreements to ensure appropriate accountabilities were upheld and assess if client requests were within existing contractual obligations.
Designed project management tools, policies, and procedures to support client claim and provider operations
Claims Analyst January 1990 to January 1996Fortis Benefits Insurance Company － Woodbury, MN
May 1994 - May 1996
Effectively cooperated with the implementation and maintenance of 23 regional managed care programs and services while also supporting vendor relationships.
Conducted provider and fee database enhancements.
Assisted claim centers, clients, and brokers on managed care programs and relevant issues. Claims Service Representative May1990- May1994
Successfully responded to a high volume of customer inquiries entailing claim denials, appeals, benefits and contract interpretations.
Effectively utilized strong customer service skills including a thorough knowledge of multiple medical insurance contracts to resolve claim issues in a timely manner. Claims Analyst December 1989 - May 1990
Reviewed claims and recommended payment or non-payment based on contract provisions.
Bachelor of Arts : Health Service Management, 1986College of St. Scholastica － Duluth, MN, USBachelor of Arts, College of St. Scholastica, Duluth, MN 1986 Major: Health Service Management
Operations, Office Manager, Business Development, Inventory, Marketing, Managed Care, Claims, Customer Service, Receptionist, Retail Sales, Benefits, Contracts, Customer Inquiries, Medical Insurance, Billing, Clients, Database, Maintenance, Administrative Manager, Clinical Support, Front Desk, Liaison, Business Analysis, Data Warehouse, Dental, Mental Health, Project Plan, Relationship Building, Account Manager, Project Management, Software Implementation, First Line, Staffing, Ms Office, Web Based