Livecareer-Resume
Jessica
Claire
resumesample@example.com
(555) 432-1000,
Montgomery Street, San Francisco, CA 94105
:
Professional Summary
Proven hospice revenue cycle professional with demonstrated results in revenue cycle strategy, reorganization,and optimization. Energetic, servant leader with more than 20 years experience dedicated to hospice mission,and driven to develop robust community-facing, consumer-centered revenue cycles with the goal of maximizing reimbursement, minimizing bad debt, and ensuring positive patient financial experiences.
Skills
  • Leadership and Strategy
  • Billing and Cash Flow Optimization
  • Financial Advocacy and Patient Experience
  • Complex claim resolution
  • Revenue Cycle Structural Design
  • Managed Care Contracting
  • Analysis, benchmarking, KPI development
Education and Training
UC Santa Barbara Santa Barbara, CA Expected in 1997 Bachelor of Arts : Medical Anthropology - GPA : ​Medical Anthropology Self-designed major concurrent with all Pre-Med requirements. Completed MCAT.
Experience
Community Health Network - Revenue Cycle Consultant
Multiple Counties, IN, 05/2017 - 06/2017
  • Identified key metrics and staffing needs to support current and medium-term department goals.
  • Identified barriers to billing cycle and implemented refined claim follow-up processes.
  • Performed detailed analysis of billing and collection process.
  • Evaluated need for coding staff and coding audit process.
Community Health Network - Revenue Cycle Consultant
Plainfield, IN, 01/2017 - 04/2017
  • Oversaw Revenue Cycle Dept through management change.
  • Established key contacts at State Medicaid agency to resolve multiple denied claims.
  • Reorganized Medicaid denial management system to improve resolution and first time reimbursement.
  • Reduced physician billing a/r by $300k by identifying barrier to timely billing.
Community Health Network - Revenue Cycle Consultant
Alexandria, IN, 05/2016 - 2017
  • Restructured entire Patient Financial Services dept consisting of 11 staff.
  • Successfully acted as Interim Director including staff development, hiring, disciplinary actions.
  • Implemented new Patient Financial Advocate position.
  • Established strategic alliance with company resulting in significant increase in patients with funding.
  • Established Part B (Palliative Care) billing policy and procedures.
  • Renegotiated managed care contracts.
Community Health Network - Revenue Cycle Consultant
Avon, IN, 01/2016 - 05/2016
  • Developed efficient revenue cycle functions after change in management and CBO re-location.
  • Analyzed and collected over $200k in Medicaid accounts receivables.
  • Develop write-off procedure and adjustment process increasing control and transparency.
  • Developed denial management solutions for non-Medicare accounts.
Willis Towers Watson - Director
Denver, CO, 07/2015 - 2016
  • Promoted to oversee $4M in monthly revenue for 10 hospices in three states.
  • Oversaw implementation of hospice payment reform and new methodology.
  • Developed and implemented notice of election and NOTR timely filing adherence best practices.
  • Worked with Organizational Department heads to improve team collaboration, scope, and cohesion.
  • Maximized self-pay collections through "courageous collections" process.
  • Developed complex insurance scenario procedures resulting in improved collections.
  • Maintained less than 1% bad debt write offs on annual basis.
Raising Canes Chicken - Manager
Corona, CA, 02/2012 - 07/2015
  • Developed new hospice billing department after major reorganization.
  • Implemented improved process for R&B billing, claims management, and billing control.
  • Implemented improved web-based billing system to streamline processes and improve cash flow.
  • Initiated Medicaid collection project resulting in high dollar collections.
  • Maintained DSO in 30s.
Desert Oasis Healthcare - Hospice Billing Specialist II
City, STATE, 06/2010 - 02/2012
  • Successfully managed all aspects of hospice billing, payments, and collections.
  • Member of McKesson System Steering Committee.
Cardon Healthcare - Hospice Consultant
City, STATE, 2010 - 02/2010
  • Complex analysis for aging Medicaid accounts to determine collection feasibility.
Odyssey Healthcare - Accounts Receivables Supervisor
City, STATE, 06/2009 - 11/2010
  • Promoted to supervise hospice Medicaid reimbursement department covering 30 states.
Odyssey Healthcare - Accounts Receivables Trainer
City, STATE, 08/2004 - 06/2009
  • Early adopter and super user of McKesson Hospice system.
  • Designed and trained from multiple job aids, manuals, and billing tools.
Odyssey Healthcare Culver City - Admissions/Billing Coordinator
City, STATE, 01/1997 - 08/2004
  • Escalated awareness in hospice benefit through public education campaigns, events, and marketing visits.
  • Met or exceeded referral goals covering large territory in LA County.
  • Managed high volume admissions from referral to admission.
  • Managed upstream revenue cycle during time of fast growth from 19 to 109 patients in 18 months.
  • Part of transition team during Odyssey acquisition.

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Resume Overview

School Attended

  • UC Santa Barbara

Job Titles Held:

  • Revenue Cycle Consultant
  • Revenue Cycle Consultant
  • Revenue Cycle Consultant
  • Revenue Cycle Consultant
  • Director
  • Manager
  • Hospice Billing Specialist II
  • Hospice Consultant
  • Accounts Receivables Supervisor
  • Accounts Receivables Trainer
  • Admissions/Billing Coordinator

Degrees

  • Bachelor of Arts

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