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Sr. Licensing Coordinator Resume Example

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SR. LICENSING COORDINATOR
Skills
  • Business process mapping
  • Operations Analysis
  • Account Management
  • Project Management
  • Planning
  • SAP
  • Concur
  • SNOW
  • Workday
  • Advanced knowledge of complete Revenue Cycle (Patient Access, billing, collections, insurance, and appeals)
  • Advanced in Ambulatory clinic operations
  • Advanced in Medicare Payer, HMO, PPO
  • EPIC/WebMats/CMS1500/CWF/HIQA/ AllScripts PM/ Mysis/ Medical Manager/AS400/
Professional Summary

Results-driven candidate adept at helping companies improve operational efficiency, team productivity and employee motivation. Recognized for successfully having proven project management skills with a track record of mentoring and developing staff; while productively directing the development of tactical plans and operating budgets to achieve strategic goals. Advanced knowledge of the hospital based operations related to the revenue cycle including Health Information Management, Patient Access, Clinical Quality/case Management, Management Information Systems, Accounting and Finance I possess over 10+ years' experience specializing in Advanced leadership and managerial experience in a large, multi-facility Hospital, Clinic or Group Practice Hospital providing optimum levels of services to both internal and external customers. Hands-on leader with project management and implementation experience. As well as exceptional organizational, critical thinking and prioritization skills.

Work History
Sr. Licensing Coordinator, 03/2020 to Current
Asurion Insurance Services Inc. - Nashville , TN
  • Maintain various reports and documentation related to the legal & compliance areas.
  • Assist in preparation of annual Licensing Budget, revenue and expense.
  • Maintain continuing education program for employees.
  • Coordinate with state and local agencies to ensure timely and efficient license acquisition and renewal.
  • Creating and executing licensing procedures to ensure that personnel are properly licensed in all relevant jurisdictions.
  • Review background investigation reports to determine licensing/bond eligibility.
  • Responsible for being content expert for all licensing functions. Assist in the development of compliance/licensing programs, policies, and procedures to enhance the organization's strategic objectives.
Sr.Licensing & Compensation Service Specialist,05/2015 to 02/2020
American International Group - Brentwood , TN
  • Manage the administration of compensation including the processing, mailing, recording and reporting of compensation and related actions on employees.
  • Balance payroll and vendor invoices in SAP.
  • Drafted DOI and judicial correspondence and handled all court mailings.
  • Supervise licensing activities of shared services employees and contractors.
  • Ensure that process and workflow management meets standards in terms of time service; licensing and compensation file documentation, quality, etc. Ensure the department achieves its operations and production targets and meets internal standards and objectives.
  • Verification of receipt of state and underwriting requirements as they relate to agent licensing.
  • Processing of new hire paperwork, tracking of license renewals and state CE requirements.
  • Review background investigation reports and determine applicant eligibility for contracting and employment.
  • Researched and prepared case exhibits and evidence for investigations.
  • Make pay level classifications and determinations.
  • Supported the preparation of documents for trials by scheduling and conducting interviews with employees, agents, and witnesses.
  • Interview potential candidates to better assess qualifications and ascertain personality, personal character, and work ethic.
Sr. New Business Operations Processor, 12/2013 to 05/2015
American International Group - Brentwood , TN
  • Support claims and sales departments by analyzing and correcting system errors produced from data entry, claims payments, and accounting entries.
  • Maintain various reports and documentation related to the administration services area.
  • Process policy changes and print and bind new policies, request from agents, financial institutions, and marketing companies as it relates to annuity or claims administration.
  • Verification of receipt of state and underwriting requirements prior to policy issue.
  • Supervise policy assembly team and processes to ensure all reissued policies are printed, bound, and mailed.
Patient Account Project Consultant , 12/2010 to 12/2013
Xtend Healthcare Inc. - Hendersonville, TN
  • Worked with clients nationwide to develop best practice operational workflows which integrate core technology and automation to provide quality Revenue Cycle results.
  • Assisted clients by providing senior level consulting services including data (Revenue Cycle, Financial, & Business related) in order to make sound operational decisions which support existing project deliverables and long-term sustainability and process improvements including people, processes and technology.
  • Developed action and contingency plans to correct bottlenecks, backlogs, etc., to reach productivity and collection goals Managed onsite and offsite staff including Revenue Cycle Teams.
  • Revenue cycle turn around / redesign focused around collecting bad debt, decreasing A/R days, and implementing Self Pay Collections and processes.
  • Epic Go Lives, Epic Training, Epic Testing, and documenting new processes for EPIC for certain sites.
  • Worked closely with CFO's and other executives to ensure client goals were met.
  • Assessed impact on specific workflow and identify the associated education needs, system remediation needs and workflow redesign
  • Lead the departments with team building and process improvement initiatives to streamline the billing and collections processes using industry best practices.
  • Reviewed internal controls to ensure proper billing of services within established time frames and guidelines.
  • Monitor billing accuracy and timeliness to identify appropriate corrective actions, training and systems modifications.
  • Developed methodologies to follow up on claim denials.
Education
Associate of Science: : Liberal Arts And General Studies, 11/2018Rio Salado College - Tempe, AZ
Bachelor of Science: : Information Technology-Database Management, Expected in 12/2021Austin Peay State University - Clarksville, TN
DMC: : Diversity Management Certified, 07/2018Management & Strategy Institute - Downingtown, PA
Associate Life Management Institute: : Insurance And Risk Management, 03/2017Life Office Management Association - Atlanta, GA
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Resume Overview

Companies Worked For:

  • Asurion Insurance Services Inc.
  • American International Group
  • Xtend Healthcare Inc.

School Attended

  • Rio Salado College
  • Austin Peay State University
  • Management & Strategy Institute
  • Life Office Management Association

Job Titles Held:

  • Sr. Licensing Coordinator
  • Sr.Licensing & Compensation Service Specialist
  • Sr. New Business Operations Processor
  • Patient Account Project Consultant

Degrees

  • Associate of Science : : Liberal Arts And General Studies , 11/2018
    Bachelor of Science : : Information Technology-Database Management , Expected in 12/2021
    DMC : : Diversity Management Certified , 07/2018
    Associate Life Management Institute : : Insurance And Risk Management , 03/2017

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