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Supervisor Resume Example

Resume Score: 100%

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SUPERVISOR
Summary
Global and strategic sourcing Natural leader Budgeting and forecasting Quality assurance and control Customer relations specialist Organized Process improvement Results-oriented Multi project management Cost reduction and containment Process improvement Relationship building Multi-unit operations management Systems implementation criteria Risk management Work flow planning Project development and lifecycle Accomplishments Reduced annual operating costs by managing variances in budget, focus with the aged A/R indicator, net days target and cash collection. Improved customer satisfaction ratings by implementing a new user-friendly interface, EMR (electronic medical record) enhancements and participating in projects for web based for active patient experience.
Highlights
Microsoft Suite (Office, Windows, Excel, Power Point, Project and Visio)
Accomplishments
  • Basic knowledge of Crystal Reports, SQL and Netware.
  • Proficient in medical terminology, CPT and ICD9 codes, HCPCS coding and edits including Medicare/Medicaid guidelines.
  • 2005 2002 1994.
Experience
Supervisor
May 2009 to Current
Patient financial Services - Milwaukee, WI
  • Manage team of 25 that include contracting leads, analysts, organ transplant specialists across three hospital systems.
  • Implementing and managing large-scale enterprise migration projects, system conversions of applications and software for daily operations and adjudication of commercial and Lead hospital's new EMR implementation of EPIC Prelude (Registration) and EPIC Resolute (billing, coding and abstracting) system for the team.
  • Design and coordinate training clinics, optimize training documentation prior to federal and state grants.
  • audiology clinics, cancer center).
  • Subject matter expert for deployment of EPIC 2012 dashboard queries, reporting templates and summaries, standardization of ad-hoc reports utilizing MS Access and SQL Query Analyzer for customer satisfaction, registration, billing and revenue capture applications.
  • Gather assess and propose needs for internal business units and create custom solutions to resolve issues for risk management, compliance units and payment resolution.
  • Automate processes for three hospital systems to drive gains in data tracking/accuracy, efficiency impacting monthly cash flow and inventory following a VBS (value based structure) model.
  • Develop KPIs for Hospital performance utilized by senior management providing real time snapshot in relation to accounts receivables, profit margin and reimbursement vs.
  • utilization cost.
  • Document workflows and execute comprehensive training plans for Registration/ Authorization, Health Information management and Financial Services departments.
  • Manage adjudication of business plans and contracts for commercial and non-commercial payers such as United Healthcare, Anthem, Humana, UMR and Third party liabilities and oversee reconciliation of revenue with Medical College of Wisconsin per Medicare and Medicaid guidelines.
  • Transform processes/toolsets of clinics related to physician performance and their compliance with clinical pathways in relation to published payer policies in conjunction with federal and state regulations.
Supervisor
February 2006 to October 2007
New Policy Benefit Assurant Health - Milwaukee, WI
  • Responsible for a team of 18, meeting organizational and strategic goals related to new products, case management and contract language for existing products offered by Assurant Health.
  • Developed and managed multiple projects with competing priorities involving involving renewal process, research analysis, quality control and regulatory requirements related to customer portfolios.
  • Analyzed and Audited new products to mitigate risk associated for coding specifications, billing edits, underwriting and reimbursement optimization while leading negotiations with customer service agents.
  • Assess and produce financial results of product changes to ensure expected outcome, financial risks and validation metrics associated with customer retention.
  • Oversee the RCRM (Regulatory Change Request Management), lead training, evaluation and mentoring of risk management programs and facilitate cross departmental meetings involving project managers, IT administrators, policy and underwriting staff to implement CQI process for quality improvement.
Supervisor
January 2004 to January 2006
Blue Cross Blue Shield of Illinois - Chicago, IL
  • Managed Cross functional teams that were responsible for over 5 million dollar inventory.
  • Track record for increasing services and growing bottom line operationally to improve rate of state and federal compliance, accuracy of billing systems and coding edits to maximize cash collection and repayment units.
  • Developed KPIs that enhanced databases for health informatics and nursing staff to assign unique identifiers for compliance reporting and capture true revenue to maximize profit margin.
  • Create custom solutions to resolve issues by developing specifications for IT groups for standardization and benchmark analysis to retain and exceed market share targets.
  • Subject matter expert for risk management programs, collaborate with billing, accounting and underwriting departments to minimize corporate liability.
  • Responsible for monthly forecasting, inventory, financial reports, hiring, training and contributing heavily to organizational goals.
Consumer Relations Marketing Supervisor
January 2001 to June 2003
American Lung Association - St Paul, Minnesota
  • Secured and Spearheaded the "Asthma for kids" and "Radon Management" federal grants on an annual basis.
  • Responsible for compiling and assimilating community data for research and clinical purposes, securing timelines, bi-annual reports for upper management and reporting on state funded grants.
  • Manage purchasing, implementation and creating spec requirements for new software and technical needs for the department.
  • Provided second level support to resolve customer concerns, submitted applications for software additions to enhance data capture and usability.
  • Manage A/P and A/R for grant funded programs.
Education
MBA
Masters : Health Care ManagementUniversity of Phoenix - Chicago, ILL, USAHealth Care Management
Bachelor of Arts : Business AdministrationMetro State University - St Paul, MN, U.S.A.Business Administration
Associate of Science : Respiratory Therapy Technology SummaryTriton College - Chicago, IL, U.S.A.Respiratory Therapy Technology Summary
Skills
accounting, accounts receivables, ad, A/P, Automate, billing, billing systems, bi, business plans, cash flow, contracts, customer satisfaction, customer service, databases, documentation, senior management, Financial, forecasting, functional, grants, health informatics, hiring, inventory, managing, market, meetings, mentoring, MS Access, Excel, Microsoft Suite, Office, Power Point, Windows, migration, negotiations, enterprise, nursing, optimization, organizational, policies, processes, profit, coding, purchasing, quality improvement, quality control, real time, reporting, research, risk management, SQL, strategic, unique, validation, Visio, annual reports
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Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is the user who retains ownership over such content.

Resume Overview

Companies Worked For:

  • Patient financial Services
  • New Policy Benefit Assurant Health
  • Blue Cross Blue Shield of Illinois
  • American Lung Association

School Attended

  • University of Phoenix
  • Metro State University
  • Triton College

Job Titles Held:

  • Supervisor
  • Consumer Relations Marketing Supervisor

Degrees

  • MBA
    Masters : Health Care Management
    Bachelor of Arts : Business Administration
    Associate of Science : Respiratory Therapy Technology Summary

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