Montgomery Street, San Francisco, CA94105(555) 432-1000, resumesample@example.com
Professional Summary
Knowledgeable and skilled Operations and Billing Manager of many healthcare specialties with over 20 years experience specializing in the Revenue Cycle/Accounts Receivable. Demonstrated success in overseeing operations, analyzing trends and implementing successful changes. Results driven with strong attention to detail. Enthusiastic about taking billing operations to the next level through proactive leadership, team building, oversight, coaching and development. Organize and drive operations, and effectively develop and enact company policies to increase organizational operation efficiency. Retain strong leadership and interpersonal skills. Advance strategic plans and objectives.
Skills
Medical and Dental Billing/Coding
Develop & Perform In-Services/Training
All Microsoft Office
Quickbooks
Excellent people skills and Customer service
Credentialing
Accounts -Payable/Receivable/Payroll
Relationship and Team Building
Effective Leader
Closing processes & Financial Reporting
Work flow planning
Supply Chain Management
Management information systems
Policies and Procedures Implementation
Business operations
Work History
03/2012 to CurrentOperations Manager Catholic Charities | Hudson, FL,
Start up-Set up LLC and all related business operations including government regulations for Durable Medical ~ including client contracts, insurance participation and accreditation
Performed and managed billing, collection, customer service and reporting functions for office generating over $3.5 million annually
Oversaw office accounting functions such as AP/AR and payroll to keep finances accurate and current
Developed and maintained office/employee manuals including HIPAA
Maintained computer, software and physical filing systems
Worked with company owners to assess approval and coding requirements, develop operational improvements and implement policies to enhance collaboration between team members to streamline processes and increase team performance
Managed Coding, Fee Schedules and price changes
Processed Month End procedures, prepared vendor invoices and processed incoming payments
Maintained office supplies inventory by checking stock and ordering new supplies as needed
09/2015 to 03/2019Billing ManagerCargomatic | Los Angeles, CA,
Directed operations in busy 10 person billing department servicing 8 office locations and $400K in monthly revenue
Managed daily revenue cycle operations from point of prior approval and registration through claim submission, collection and denial management
Reviewed billing problems, researched issues, resolved concerns and worked with Office Managers to improve practices and processes
Completed on-time and accurate monthly closing processes generating Revenue and Collection reports for management review to aid in financial and business decision making
Created new standard operating procedures and error tracking system improving billing accuracy and cash flow resulting in office locations keeping with industry standard of 5% monthly error rate
Trained and developed team members and managers on billing/accounts receivable systems, coding and policies to build cohesive groups and promote best operational performances and maximize revenue
Installed Benchmarks and Goals for billing staff to maintain resulting in 97%-98% monthly collection rate and
Assisted Accounts Payable processing Provider commissions and payroll
Oversight of Call Center- Customer Service
Worked closely with Providers to perform credentialing and enroll for participation in insurance plans
08/1997 to 03/2012Owner/President Chief Executive OfficerIndependent Billing Services | City, STATE,
Owned and operated Medical and Dental Billing/Consulting company servicing a large volume of cliental - Contracts with 70 providers of many specialties of large and small practices - Managed A/R resulting in Monthly Collections - 700K
Operated, trained and developed a billing staff of 15 high functioning individuals who performed full billing services from charge posting, claim submission, A/R follow-up, collections, strong financial stewardship, oversight, and feedback while striving to maximize client collections
Managed day-to-day business operations, including accounting, finance, HR, marketing and public relations
Devised, deployed, monitored and enforced processes to boost long-term business success, maximize efficiency and increase profit levels
Solidified Client relationships by team building with billing staff, office staff and key management at all levels while demonstrating ability to service and support in a seamless, professional and consistent manner adding value to our relationship
Conducted weekly meetings with billing staff and monthly meetings with client providers and office staff addressing problematic accounts, coding or policy changes, opportunities for improvement, resolving routine questions and boost morale
Worked closely with clients finance personnel, operations officers, providers and office manager providing feedback, monthly reporting, forecasting and setting benchmarks geared to achieve maximum revenue
Developed and performed customized in-services/training for all clients and staff based on need and insufficiencies identified during the billing and A/R processes and by tracking trends in order to enhance departmental performances
Software implementation, conversions and training
Month End Processing/Procedures & Monthly Reporting
Input income and expense details into QuickBooks to track business finances and address variances
Fee Schedule analysis and set fees
FQHC Billing - Federally Qualified Health Care Centers
Education
Expected in High school graduate or equivalency certificate (GED) | Penn Hills High School, , GPA:
Expected in Certificate | Business Administration CoursesBoyce Community College, Plum, PA, GPA:
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School Attended
Penn Hills High School
Boyce Community College
Job Titles Held:
Operations Manager
Billing Manager
Owner/President Chief Executive Officer
Degrees
High school graduate or equivalency certificate (GED)
