yyyyyy x. yyyyyy

0000 xxxxxx xxxx , xxxx , xxxxx 00000

phone: (xxx-xxx-xxxx

abc@xyz.com

objective

 

eager to contribute exceptional business acumen, marketing expertise and social work background toward supporting a practice in achieving and sustaining profitable and successful operations.

areas of strength

 

         excel in developing, nurturing and maintaining strong relationships with various governmental agencies, health care insurance providers and managed care companies.

         specialized knowledge of substance abuse counseling and treatment, mental health issues (bipolar disorder, depression, eating disorders, etc.), crisis intervention, and solution-focused therapy.

         equally strong clinical and administrative management skills; proficiency in staffing/hiring, budgeting, sales and marketing, operations leadership, policy and procedure compliance, and insurance/benefits authorization.

         deliver unparalleled office and operational support via outstanding prioritization, multi-tasking and report-writing talents; excellent knowledge of health insurance industry

         adaptable and tenacious; quickly master new roles, responsibilities, technologies and environments.

         exemplary ability to work both independently and collaboratively, maintain confidentiality of files and documents, and leverage discretion and sound judgment to make decisions.

         analyze, create and execute administrative and operational procedures to eliminate redundancy, streamline daily tasks, and minimize expenses.

         superior blend of organizational, interpersonal, listening, communication and leadership skills.

professional experience

 

dr. rolando larice m.d., 2008 to present

office manager / marketing director / medical billing manager

         direct and coordinate daily practice operations for psychiatrist with accountability for policy and procedure compliance, financial administration including accounting, reporting and budgeting, and enforcement of payer and reimbursement policies and coding guidelines; administer all icd 9 coding and billing.

         proactively establish and maintain cohesive relationship with managed care companies, effectively negotiate rates, facilitate payments for claims, and oversee patient relations.

 

self-employed, rolla, missouri, 2001 to 2008 

private clinical practitioner

• provided mental health services to children, adolescents, and adults focusing on a broad scope of issues.
• applied dynamic clinical thinking expertise to formulate appropriate treatment plans, integrate community resources as needed, and administer billing functions including medicaid.

 

family fitness center, rolla, missouri, 2001 to 2006

general manager

• spearheaded daily business operations spanning budget administration, inventory control, staffing/hiring, membership sales, and program management.

 

continued

 

erin fitzgerald, msw, acsw, lcsw, page 2 of 2

 

professional experience continued

 

• employed extensive analytical skills to drive competitive intelligence, anticipate and respond to industry trends, conduct forecasting, and strategically introduce health-related products to significantly enhance profitability.
• directed and motivated staff to deliver exceptional levels of customer service and achieve strict compliance with health and safety requirements.

 

mental health network, clayton, missouri, 2000 to 2001

care manager

         combined administrative, planning, leadership and clinical talents to deliver appropriate and efficient care to patients, cooperating with numerous external agencies and professionals.

         functioned as on-call supervisor, exhibiting outstanding crisis management expertise to seamlessly facilitate emergency admissions.

         diligently reviewed cases and approved and certified mental health insurance benefits.

         trained, motivated and supervised staff members, and served as operations manager in ceo s absence.

 

magellan behavioral health, maryland heights, missouri, 1998 to 2000

care manager

• expeditiously examined managed care cases to authorize benefits-covered mental care, assess and approve emergency admissions, and participate in intensive case management program assisting high-risk clients.
• evaluated and authorized gatekeepers and referrals, requiring strong decision-making capabilities.
• developed treatment timeline and ensured plans met specific client requirements.
• led investigative efforts to swiftly resolve complaints with both providers and clients.

 

additional experience:

 

substitute teacher, rolla school district, rolla, missouri, 2003 to 2008

social worker, boys and girls town of missouri, st. james, missouri, 1996 to 1998

education

 

master of social work degree, saint louis university, st. louis, missouri, 1996

bachelor of arts degree, communication, university of missouri, columbia, missouri, 1988

licenses & credentials

 

licensed clinical social worker (lcsw)

academy of certified social workers (acsw)

producer s license, (life, accident and health), missouri and illinois, 2007

member, national association of social workers c1994 to present