Jessica Claire
  • , , 100 Montgomery St. 10th Floor
  • Home: (555) 432-1000
  • Cell:

Enthusiastic individual with superior skills in working in both team-based and independent capacities. Bringing strong work ethic and excellent organizational skills to any setting. Excited to begin new challenge with successful team.

  • Healthcare billing proficiency
  • Revenue collection report preparation
  • Preparing payroll
  • Healthcare management
  • Customer care experience
  • Medical billing and collections
  • Maintaining detailed records
  • Account verification and reconciliation
  • Organization
  • Customer service
  • Balancing daily deposits
  • Adjustments and research functions
Revenue Cycle Specialist, 08/2020 to Current
Virta Health CorpPortland, OR,
  • Identified and corrected payment problems involving patients or third-party payers.
  • Produced accounting reports and provided targeted recommendations for improving revenue standing.
  • Completed account reconciliations.
  • Detailed key revenue cycle information into thorough presentations to deliver to executives and management team.
  • Boosted job efficiency by working closely with other analysts so that tasks and processes could be streamlined and duplication was avoided.
  • Participated in revenue cycle processes, coordinating work of team members focused on maximizing profitability and increasing revenue.
  • Monitored revenue status and created detailed reports for senior management.
  • Managed billing and collection processes as part of five-member team.
  • Delivered details on revenue cycles in layman's terms, enabling audiences to absorb information.
  • Managed financial and statistical data analysis for annual revenue-producing business to provide detail on KPIs.
  • Presented regular status updates, including workflow recommendations to senior management.
  • Created in-depth spreadsheets, which detailed trends and forecasts for revenue, profitability and expenses.
  • Handled all electronic and manual payments and adjustments, ensuring that data was accurately posted.
  • Posted payments and sent reviews and denials.
  • Downloaded, printed and batched electronic funds transfers and remits.
  • Received payments from insurance providers, including Medicare, and completed immediate processing.
  • Reviewed overpayments and processed refunds to be sent to patients and insurance companies.
  • Reviewed refund requests and forwarded information to analyst.
A/R Billing Supervisor , 09/2008 to 04/2020
Center For Oral & Maxillofacial Surgery At St LukeCity, STATE,
  • Improved operations by working with team members and customers to find workable solutions.
  • Maintained updated knowledge with ICD-10, CPT, and CDT.
  • Completed contracy negotiations resulting in higher revenu.
  • Improved profit margins by streamlining operations and workflow and negotiating competitive vendor contracts.
  • Created agendas and communication materials for team meetings.
  • Performed site evaluations, customer surveys and team audits.
  • Provided excellent service and attention to customers when face-to-face or through phone conversations.
  • Handled all delegated tasks, including A/R and Audits.
  • Oversaw all facets of staff and client training objectives to install knowledge of federal, state and local regulations and requirements.
  • Evaluated staff performance at multiple facilities and made recommendations for training improvement.
  • Liaised between employees and senior leadership to address inquiries, complete contract processing and foster problem resolution.
  • Worked with HR management to devise and update policies based on changing industry and social trends.
  • Automated office operations, including record tracking and data communications.
  • Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
  • Maximized efficiency, reduced delinquency and increased accuracy of billing department by developing and implementing system and process improvements.
  • Evaluated accuracy and compliance of all documentation and reports.
  • Resolved variances in accounts and reconciled with bank statements.
  • Processed and sent invoices, adjustments and credit memos to customers.
  • Contacted insurance providers to verify insurance information and obtain billing authorization.
  • Submitted claims to insurance companies and researched and resolved denials and explanations of benefit rejections.
  • Established, enforced and optimized billing procedures to streamline operations and minimize aging balances.
  • Calculated discounts, percentage allocations and credits.
  • Liaised with patients, insurance companies and billing personnel to create and post bills, obtain payments and update system.
  • Contacted vendors to follow up on late invoices.
  • Scheduled patients and updated insurance, payment history and personal information.
  • Resolved account variances and reconciled bank statement histories.
  • Reviewed and analyzed contracts to resolve billing issues with vendors and carriers.
  • Revised orders, finalized invoices and created billing logs.
  • Generated invoices, processed payments and prepared deposits and part of financial operations oversight.
  • Reviewed and submitted workers' compensation claims.
  • Posted surgical charges for providers across facilities.
Assistant Office Manager Billing and Insurance , 10/1999 to 09/2008
Lehigh Oral & Maxillofacial SurgeryCity, STATE,
  • Worked closely with team members to deliver project requirements, develop solutions and meet deadlines.
  • Recognized by management for providing exceptional customer service.
  • Maintained updated knowledge with CPT, ICD-10, and CDT coding and policies.
  • Improved profit margins by streamlining operations and workflow and negotiating competitive vendor contracts.
  • Reduced financial discrepancies by accurately resolving billing issues while processing applications and cancellations.
  • Engaged customers and provided high level of service by carefully explaining details about documents.
  • Skillfully and patiently explained coverage options to potential policyholders, answering any questions or concerns.
  • Improved operations by working with team members and customers to find workable solutions.
  • Collaborated with carriers to resolve discrepancies in insurance payments.
  • Resolved routine and complex issues by performing detailed research.
  • Managed denials, late payments, extensions and other special circumstances by following up with relevant parties.
  • Coached and counseled employees to enhance performance and eliminate process lags.
  • Evaluated and identified ineffective workflow processes, implements solutions to improve productivity and personnel performance.
  • Elevated productivity initiatives and managed presidential calendar, including coordinating itinerary and scheduling appointments.
  • Automated office operations, managing client correspondence, record tracking and data communications in database and case management software.
  • Maintained clean and presentable front office for maximum appeal to customers and potential clients.
  • Enforced company policies and procedures to strengthen operational standards across departments.
  • Set up and maintained physical and electronic filing systems to maintain organizational efficiency.
  • Created agendas, meeting notes and other documents to enhance collaborative process.
  • Managed and controlled office supply inventory to secure timely ordering or requisition of depleted or low-level stock.
  • Coordinated office activities and operations to secure efficiency and compliance with company policies.
  • Maximized and balanced office schedule for optimal productivity and financial returns.
Bank Representative, 04/1996 to 07/1998
Town And Country BankCity, STATE,
  • Researched and resolved customer issues on personal savings, checking and lines of credit accounts.
  • Offered every customer exceptional service levels by remaining friendly and professional during every transaction.
  • Fulfilled diverse duties to provide customer service, operate money counters, balance and replenish ATMs, maintain accounts and open new accounts.
  • Adhered to strict guidelines regarding financial and customer data to avoid breaches and information misuse.
  • Completed comprehensive tasks by implementing customer service initiatives, audit and restock ATMs and keep records on accounts.
  • Promoted facility security by monitoring customer behaviors and following established protocols to protect individuals and assets.
  • Verified amounts and integrity of every check or funds transfer.
  • Helped customers open and close accounts, apply for loans and make sound financial decisions.
Education and Training
Associate of Science: Accounting And Finance, Expected in 05/1995
University of Southern California - Los Angeles, CA

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  • University of Southern California

Job Titles Held:

  • Revenue Cycle Specialist
  • A/R Billing Supervisor
  • Assistant Office Manager Billing and Insurance
  • Bank Representative


  • Associate of Science

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