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                                                                                                             (xxx-xxx-xxxx [h]   ( xxx-xxx-xxxx  [c]                                                                                                                                                abc@xyz.com

 

objective

performance-driven manager with expertise in the hospital and healthcare billing and collection sectors eager to contribute talents toward supporting the employer in maximizing results.

career profile

ø over 20 years of successful billing and collection experience.

ø strength in highly accurate and timely billing and collection services.

ø knowledgeable in a/r management.

ø deliver exceptional customer relations.

ø expertise in icd 9 and cpt coding.

ø broad ranging background in all facets of effective collections.

ø experience in professional and technical (facility) aspects of hospital/healthcare operations.

ø coordinate with multiple departments to improve financial operations efficiencies.

ø facilitate handling of secondary outpatient insurance claims.

ø assess client financial needs and requirements.

ø skilled consultant and advisor.

ø proven problem-solving and troubleshooting capacity.

ø record of progression to positions of increasing authority and responsibility.

ø strong focus on quality operations and meeting organizational objectives.

ø effectively interact with diverse groups and professionals at all levels.

ø well-organized multi-tasker with strong detail orientation.

ø adept in aligning credit/collection contributions with organizational objectives.

ø enthusiastic team leader.

 

professional experience

hospital billing and collection service ltd., new castle, de                                                       2002 - present

manager

         recruited to oversee teams performing insurance account collections for large academic hospital system in new york city plus midwest hospital accounts.

         spearhead upgraded collection techniques to exceed corporate revenue goals.

         launched improved protocols for processing of secondary outpatient insurance claims.

         developed new customer service/letter protocols reducing representative intervention.

         initiated new productivity standards achieving accurate and timely account resolution and slashing percentage of accounts aged greater than ninety days while increasing collected revenue.

         manage non-government outpatient insurance and self-pay claims billing.

         attain compliance with all federal, state and hospital regulations/protocols.

         track and control billing activities to ensure rapid and accurate feedback to hospital management.

         orchestrate highly efficient protocols for first-time billing.

         coordinate with senior client management on collection and billing activities.

         play key role in collaborative projects.

         designated for critical client committees focused on designing/improving denial management techniques.

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         launch payment variance review protocols.

         administer managed care to resolve any contract management/payor processing issues.

         facilitate engagements between client and hbcs to track third-party payments.

         act as liaison to third-party carrier management to develop/implement resolution of disputed claims.

         author report on contract compliance to hospital senior management.

         provide crucial leadership for specialist team focused on resolution of claims key to capturing potential lost revenue from payor processing errors and contract misinterpretation.

 

genesis rehabilitation services, kennett square, pa                                                                      1998 - 2002

billing supervisor

         retained to manage daily operations of billing/collections for outpatient receivables.  

         supervised staff of 19 professionals.

         coordinated collection of facility, insurance and patient payments.

         consistently achieved corporate goals while reducing age of accounts.

         performed recruitment, disciplinary actions and terminations.

 

 

 

 

earlier background

prior to 1998, served as director of billing, brandywine medical management, west grove, pa, manager, admitting services, christina care, newark, de, manager, claims, mercy health plan, philadelphia, pa, and supervisor, claims, delaware valley hmo, concordville, pa.  in these assignments, built outstanding staff direction, billing/collections, insurance, cpt/icd 9 coding, problem solving and liaison skill sets.

 

 

training

university of delaware, newark, de

continuous quality improvement training

 

cecil county community college, elkton, md

icd 9 and cpt coding