Operations Leader Of Business Analytics Contract Resume Example

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Jessica Claire
  • , , 100 Montgomery St. 10th Floor
  • Home: (555) 432-1000
  • Cell:

A Dynamic revenue cycle leader and meticulous problem solver with strategic thinking skills and a creative mind. Adept at implementing procedural improvements and executing revenue metrics analysis to drive corporate financial objectives and add value to the company's bottom line.

Operations Leader of Business Analytics (Contract), 01/2021 to 06/2021
Insight Global, ODJFS Call CenterCity, STATE,

A dynamic leader focusing on aspects of people, process, and technology to guide success in a call center project.

  • Provided reports and analysis utilizing excel, pivot tables, and charts key in recommendations for improvement on operational excellence.
  • Systematically drove operational performance to improve customer satisfaction through effective forecasting, staff planning, and workforce optimization.
  • Analyzed and tracked team performance against defined metrics and led continuous process improvement.
  • Developed and managed improvement initiatives directly related to the turn around and success of the project.
Sr. Manager of Appeals & Contract Reimbursement, 05/2013 to 09/2019
US Acute Care SolutionsCity, STATE,

Strategically led national operations of high revenue impacting and large claim volume appeals with both in and out of network insurance carriers while also implementing new processes for analytical review of negotiated agreements against actual performance.

  • Chaired operations of Executive Appeals Committee meeting with physician leadership, C-suite members, and legal counsel.
  • Using proven project management skills, founded a department, developed workflows, and departmental processes to provide sound analytics and trustworthy data.
  • Demonstrated calculated, shrewd, and clever negotiation skills while communicating with C-Suite players of outside entities on contractual breaches uncovered.
  • Developed and implemented a high revenue impacting appeals process securing outstanding dollars, otherwise written off.
  • Maintained an average dashboard of outstanding executive appeals projects monthly of $4.5M, which yielded $11.2M in actual reimbursements for the year.
Manager of Accounts Receivable, 12/2009 to 05/2013
US Acute Care SolutionsCity, STATE,

Innovatively and successfully oversaw and managed accounts receivable division working closely with all members of executive leadership to ensure an overall healthy AR.

  • Created a successful performance improvement plan to assist employees in need of additional training and mentoring with meeting, if not exceeding, departmental metrics.
  • Created an employee onboarding process inclusive of metric ramp-up monitoring and counseling to ensure success of new employees.
  • Strategically developed and maintained standard operating procedures (SOPs) to ensure uniformity across teams and processes.
  • Chaired a Diversity and Inclusion committee to motivate, retain, and generate high morale amongst employees.
  • Built and managed findings of a newly designed denials review process.
  • Developed appropriate visuals for leadership monthly to report on insurance billing and denials management health.
Manager of Accounts Receivable, 10/2008 to 12/2009
MedData HealthcareCity, STATE,

Successfully oversaw and managed national operations for claims billing, payment posting, follow up, and refund departments. Continually ensuring goals were met at each month-end close and clients were kept abreast of intricacies with their financials.

  • Collaborated with previous billers during new client start-ups to ensure all lockbox takeovers ran smoothly.
  • Responsible for daily analysis of cash reports to ensure monies posted as projected each month securing targeted KPIs.
  • Collaborated with Financial Leadership in balancing of client accounts at month-end close.
  • Tracked and reported monthly account status for all clientele to ensure good standings with contractual obligations.
  • Strategically managed contract analysis of all payers ensuring reimbursement per negotiated rates.
  • Successfully maintained all AR greater than 90 days at 6% or less.
Certifications & Degrees
Certification: Trauma And Crisis Prevention, Expected in 05/2020
Summit County Victims Assistance Academy - ,
Certification: Life & Business Coach, Expected in 11/2019
Life Purpose Institute - ,
Bachelor of Arts: Theology, Expected in 01/2013
North Carolina College of Theology - Warren, OH
Skills & System Applications
  • Revenue Metrics Analysis
  • Billing Cycle Performance
  • Denials Management
  • Workflow Optimization
  • Analytical Reporting & Trending
  • Insurance Settlement Negotiations
  • Contract Reimbursement Analysis
  • Benchmarking
  • KPI Development & Maintenance
  • Team Leadership
  • Highly Proficient in Microsoft Office Suite - Excel, Pivot Tables, PowerPoint, Word, Forms, Power BI, Teams, and Shifts
  • Athena Health Billing System
  • IDX Billing System
  • ICANotes Mental Health Billing System
  • Amazon Connect Call Management System
  • Cisco Finesse
  • Cisco Jabber
  • MDI Solutions
References Available Upon Request

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Resume Overview

School Attended
  • Summit County Victims Assistance Academy
  • Life Purpose Institute
  • North Carolina College of Theology
Job Titles Held:
  • Operations Leader of Business Analytics (Contract)
  • Sr. Manager of Appeals & Contract Reimbursement
  • Manager of Accounts Receivable
  • Manager of Accounts Receivable
  • Certification
  • Certification
  • Bachelor of Arts

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