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JC
Jessica Claire
Montgomery Street, San Francisco, CA 94105 (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 Current Operations 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 03/2019 Billing Manager Cargomatic | 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 03/2012 Owner/President Chief Executive Officer Independent 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 Courses Boyce Community College, Plum, PA, GPA:

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Resume Overview

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)
  • Certificate

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