yyyyyy x. yyyyyy

(xxx-xxx-xxxx • abc@xyz.com

 

 

profile of qualifications

 

quality-focused healthcare management professional with mba and bba eager to offer over 11 years of proven administrative operations, fiscal administration, regulatory compliance, team building, and client relations experience toward optimizing a progressive employer s success.  top-performer with the ability to make decisions which reflect positively on business productivity, corporate well-being, and employee satisfaction.  excellent communicator who can delegate multiple individual- and team-based assignments within deadline-driven environments.  integral leader who effectively interfaces with all healthcare representatives through to executive level.   ambitious self-starter who demonstrates superior attention-to-detail and sharp troubleshooting skills.

 

key areas of expertise

 

regulatory compliance                   healthcare management                    training / development                      team building

revenue cycles                              budget control                                    medical billing                                     account management

fiscal administration                       insurance processes                           patient / provider relations                policy / procedure development

 

career synopsis

 

operations management

         applied dynamic leadership talents toward directing hands-on training initiatives pertaining to the coordination and control of comprehensive center-wide operating functions, processes, and staff.

         accurately monitored and evaluated fiscal / budgetary performance to include justifying actual versus budget variations as required. played a vital role in overseeing key environment of care, emergency management, and interim life safety efforts.

         conducted personnel meetings to facilitate productive team building, improve communication, and encourage useful staff feedback.

 

business / administrative management

         strategically steered center-wide legal, regulatory, internal control, and accreditation standards relating to business office procedures to include establishing and implementing results-focused goals for all clinical procedures and systems.

         maximized organizational efficiency by managing all medical staff credentialing and medical records department activities, along with demonstrating skill with medical billing / reimbursement principles, physician utilization, and practice operations.

         drove business productivity by supervising and evaluating office personnel to ensure seamless administrative processes at all times, as well as planning and delegating team assignments to optimize use of resources while improving employee satisfaction.

         expertly investigated, resolved, and documented patient complaint resolutions, along with collaborating on strategic methods to provide quality outpatient care with respect to market competition, reimbursement changes, and physician practices.

         supported center-wide preparations for jcaho accreditation survey.

 

billing / account management

         directed diverse fiscal administration activities to include preparing workforce budgets / salaries, auditing daily cash logs, reconciling bank statements, handling past due receivables / filed claims on individual accounts, posting payments, and summarizing cash journals.

         utilized broad scope of industry and professional services knowledge to collect on outstanding accounts and appeal incorrectly paid claims / denials, along with researching items for necessary billing, posting, and contract issues.

         demonstrated strong communications proficiencies toward promptly handling wide-ranging patient / healthcare provider concerns and effectively resolving key insurance challenges.

 

professional history

 

operations trainee (2008 c present) • business office manager (2004 c 2008) • insurance coordinator (2004)

regional billing / manager

 

education and professional certifications

 

master of business administration                                                                                                                       texas woman s university

bachelor of business administration                                                                                                                   texas woman s university

 

certified professional human resource management • administrator of ambulatory surgery center