patient accounting manager resume example with 17+ years of experience
JessicaClaire
, , 609 Johnson Ave., 49204, Tulsa, OK100 Montgomery St. 10th Floor
H: (555) 432-1000
C:
resumesample@example.com
Date of Birth:
India:
:
single:
:
Professional Summary
Motivated Provider Enrollment Professional bringing experience successfully managing and monitoring eligibility information for members and groups. Highly skilled at facilitating program approval or denial through qualifications assessment, fact checking and record keeping. Confident and committed to promoting positive customer outcomes through dynamic communication and exemplary engagement skills.
Skills
Corporate Communications
Organization and Time management
Planning and Coordination
Leadership
Knowledgeable in EPIC
Proficiency in Cactus and MD Staff
Application Review
Microsoft Office
Troubleshooting
Claim Denials and Analysis
Work History
Patient Accounting Manager, 04/2016 - Current Providence Health & Services – Mukilteo, WA,
Develop new department with existing personnel from other departments.
Manage six groups with unique tax identification numbers and billing structures; including urgent care, hospital based billing, and provider based billing.
Denied claim review and resolution for issues related to Provider Enrollment and coding issues.
Implement database for use by Provider Enrollment, used organizationally for source of truth.
Working with CAQH to use Delegated Reporting feature.
Create policies and procedures for Provider Enrollment.
Reduced average professional billing accounts receivable due to provider enrollment issues by $1.5 million in less than six months.
Claims denial management for provider enrollment and contracting issues.
Managed Care contracting, emphasizing reporting requirements for delegated and non-delegated groups.
Project Manager for development of LEAN principles for departmental development, software implementation, and establishment of new communication procedures.
Formulate career ladder designed to promote personnel from entry level to industry expert.
Manage employee issues.
Establish and maintain internal relationships with Senior Leadership and communicating Provider Enrollment needs and impact of organizational success.
Maintain external relationships with payor representatives.
Develop and implement department timelines and staffing needs for two tax identification numbers.
Determine if providers meet requirements for Payor Credentialing and communicate results to Medical Staff Office.
Decreased write-offs for provider enrollment related issues by 22% in less than 12 months.
Claims denial management for provider enrollment related issues.
Establish and maintain communications with internal and external contacts for reporting provider enrollment issues.
Managed Care contracting.
Capital expenditure charters.
Project Manager for new software implementation.
Establish and maintain internal relationships with Senior Leadership and communicate Provider Enrollment needs and their role in organizational success.
Maintain external relationships with payor representatives.
Facilitate hiring processes between applicants and hiring managers.
Train mangers on conducting behavioral based interviews.
Publish job postings in local and national publications.
Manage up to 75 open positions.
Review applications for minimum requirements, conduct initial telephone interviews, and attend interviews.
Reference checks, employment verifications, and make hiring recommendations.
Compute and negotiate pay rates, extend job offers.
Team lead for value stream mapping used to create training manuals.
Establish and maintain relationships with hiring managers and potential employees.
Office Manager, 09/2003 - 01/2011 Carter Oil Company, Inc – City, STATE,
Manage and delegate team workloads for corporate accounting staff of eight.
Established efficient workflow processes, monitored daily productivity and implemented modifications to improve overall effectiveness of personnel and activities.
Contract negotiation for fuel supply and delivery to independently owned and operated gas stations.
Work with major oil companies to contract for branding of new stations.
Review and approve credit applications and set credit limits for personal and business account holders.
Inventory reconciliation for convenience stores and corporate office oil sales.
Responsible for completion of fuel tax reporting.
Corporate payroll and human resources management; including preparation of semi-monthly payroll, quarterly and annual payroll reporting, hiring employees, and employee relations for over 75 employees.
Budgeting and general ledger account maintenance.
Education
Master’s: Business Administration, Project Management, Expected in 08/2017 - Ashford University - San Diego, CA GPA: Status -
Bachelor of Arts: Human Resources Management, Expected in 01/2016 - Ashford University - San Diego, CA GPA: Status -
Member of Golden Key International Honour Society
Affiliations
Strong leader in healthcare using motivational techniques to develop and keep teams engaged in the success of the organization. Proven track record of reducing accounts receivable and write-offs related to claim denials.
Accomplishments
Guest speaker at CAQH Delegated Reporting Symposium May 2019
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