yyyyyy x. yyyyyy 0000 xxxxxx xxxx , xxxx , xxxxx 00000
financial professional seeking to utilize advanced education, analytical, financial operations, behavioral health and communication skills in achieving organizational objectives.
ø b.s., business administration.
ø current experience as financial analyst/accountant.
ø knowledgeable in financial control, accounting and cost reduction.
ø in-depth experience in auditing, expense tracking and financial reporting.
ø evaluation and assessment background.
ø understanding of financial statements, accounting policy/procedures and process improvement.
ø adept in invoice reconciliation, regulatory compliance and maintaining employee files.
ø expertise in gaap.
ø comprehensive grasp of state and federal tax laws.
ø ability to consistently achieve stringent p&l objectives.
ø expertise in developing and overseeing professional teams.
ø well-organized multi-tasker with strong detail orientation.
ø proficient in advanced business software applications including ms office suite, mhs, on demand, ais, business objects, webi and infinium.
valueoptions, albuquerque, nm 2005 c present
financial analyst/accountant i (2007-present)
promoted to perform financial audits on providers.
coordinated with fraud and abuse, provider relations, claims and clinical departments.
monitored and assessed program revenue and expenses covering provider contracts, accumulator reporting and banking.
ensured timely and accurate state payment invoicing.
worked closely with cyfd state representatives.
spearheaded reporting for cyfd, cfo, coo and ceo.
disbursed provider payments.
coordinated rfp, provider contact, budgets and government contracts.
authored annual, quarterly and monthly finance department state reports.
cfo administrative assistant/hr administrative assistant (2006-2007)
for cfo, conducted new mexico state required reports on monthly, quarterly and annual basis.
successfully reconciled bi-weekly million dollar pharmacy invoices.
scheduled all employee travel arrangements.
administered outlook calendar for cfo and finance director.
as human resources administrative assistant, was responsible for maintaining all employee files, obtaining drug screen results and conducting reference check/verification for new applicants.
additionally, tracked documentation on clinical staff, nurse and physician licenses.
- continued -
yyyyyy x. yyyyyy
state of new mexico, albuquerque, nm 2005 c 2006
developed caseworker documentation, completed scans on clients for mvd, csed and income verification.
scheduled daily appointments for 20+ caseworkers and rerouted overbooked appointments
rescare, inc., albuquerque, nm 2003 c 2004
utilization review/ intake coordinator/ billing coordinator (2004)
advanced to direct utilization management.
facilitated interviews for patient referral/admission.
originated clinical concurrent reviews for patients.
established and maintained contracts with managed care providers.
successfully reconciled unbilled/denied claims delivering $200,000 in less than 60 days.
treatment manager (2003-2004)
initially hired to manage 15+ direct care staff in group home setting.
facilitated staff training on clinical documentation in compliance with medicaid and state guidelines.
was on crisis call 24 hours.
initial career position was as utilization review coordinator, desert hills, albuquerque, nm. in this assignment, gained expertise in healthcare finance, treatment reviews and utilization functions.
university of phoenix, albuquerque, nm
masters of business administration
bachelor of science, business administration
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