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JC
Jessica Claire
, , 100 Montgomery St. 10th Floor (555) 432-1000, resumesample@example.com
Summary

Strategic-minded Business Operations Manager proudly offering 17 years' experience in assisting the vision of the organization by developing attainable department goals. A decision-making individual as a facilitator of short and long term business planning. Promoting a dedicated work ethic, known for successfully leading talented teams as an operational leader with a strong background in strategic planning, improving the performance, productivity, efficiency, and profitability of the service line operations for service excellence. Focused, enthusiastic and demonstrate sound judgement, extensive knowledge of service line operations, finance, budgeting, employee coaching and mentoring.

Skills
  • Motivational leadership
  • Strong analytical thinking
  • Business planning and strategy
  • Process change & implementation
  • Regulatory requirements
  • Personnel management
  • Performance metrics
  • Healthcare delivery
Experience
01/2015 to Current Rehabilitation Services Operations Manager Yakima Valley Memorial Hospital | City, STATE,
  • Impart leadership, direction and strategic planning for business unit operations including labor management, training and process flow, employee engagement and retention, quality, business system demand and business transformation. Develop departmental goals and standards supporting organization's mission and strategic vision.
  • Provide cost-effective management of resources while promoting revenue, profitability, productivity and access to care, for five department cost centers within the service line.
  • Key corporate representative, liaising with multiple departments in support of operational excellence.
  • Evaluate and resolve conflicts, address internal and external business problems, build customer confidence by actively listening to concerns and giving appropriate feedback.
  • Identify key objectives to establish long term plans and meet goals.
  • Regulatory quality and compliance.
01/2010 to 01/2015 Operations Supervisor, Rehab and Occupational Med Yakima Valley Memorial Hospital | City, STATE,
  • Day to day operations including productivity, budget controls, revenue and patient access.
  • Maintained safety and emergency readiness among personnel by disseminating information and monitoring compliance with regulatory and organizational policies.
  • Built upon established practice standards to improve operational performance and reduce labor costs.
  • Reduced process lags by effectively managing 38 employees for productivity, efficiency and improvement.
  • Promoted profitability of business by tracking performance indicators and driving corrective action
01/2008 to 12/2009 Pre-Billing Lead North Star Lodge Yakima Valley Memorial Hospital | City, STATE,
  • Established, enforced and optimized billing policies and procedures to maximize revenue, streamline operations and minimize aging balances.
  • Loaded billing data into systems through data import, scanning or manual keying, to verify complete and accurate client invoices from vendors.
  • Verified patient insurance coverage, created financial plan according to treatment schedules for collections and communicated between patient and billing company regarding health insurance.
  • Reviewed existing billing processes and spearheaded ongoing simplification initiatives and operational strategies that improved company collections and customer satisfaction.
  • Trained new team members on company policies and accounting systems to keep team operations productive and efficient.
01/2004 to 01/2008 Case Manager 16th Ave Station Yakima Valley Memorial Hospital | City, STATE,
  • Developed written guidelines and procedures to successfully deliver case management services.
  • Reviewed casework documentation for accuracy, clarity, detail and objectivity relevant to caseload.
  • Handled difficult case situations with tact and professionalism to maintain positive working relationships.
  • Discussed client advocacy and referral services, supporting families with education and resources.
  • Secured and trained onsite patient access registration and pre-billing activities for the services within the 16th Ave Medical Services.
  • Implemented successful role of pre-billing/case management for Rehab Services, Orthopedics and Physiatry to ensure revenue growth, denial management and proper claim coverage.
  • Build, Implementation, and train of IDX Groupcast and EDM for the Organization
Education and Training
Expected in Bachelor of Science | Healthcare Administration Management Western Governors University, Salt Lake City, UT GPA:
Expected in | Healthcare Management Billing And Coding Yakima Valley College, Yakima, WA, GPA:
Expected in | Paralegal Phillips Jr. College, Spokane Valley, WA, GPA:
Accomplishments
  • Role Model manager 2017
  • Vice President Inland Empire Chapter, AAHAM
  • Advisory Council Member, PNWU
Certifications
  • Certified Revenue Cycle Professional-P,CRCP-P; AAHAM - 2015-Current
  • Certified Revenue Cycle Specialist-CRCS-P, A - AAHAM - 2015-Current
  • Certified Compliance Specialist, AAHAM
  • AVMPS Certified
  • Lean Six Sigma Yellow Belt

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Resume Overview

School Attended

  • Western Governors University
  • Yakima Valley College
  • Phillips Jr. College

Job Titles Held:

  • Rehabilitation Services Operations Manager
  • Operations Supervisor, Rehab and Occupational Med
  • Pre-Billing Lead North Star Lodge
  • Case Manager 16th Ave Station

Degrees

  • Bachelor of Science

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