proven leader and manager efficient in creating and maintaining a positive flow of productivity within a medical billing and insurance reimbursement environment. 15+ years of experience organizing resources such as facilities and employees to ensure effective production of goods and services. plan by prioritizing customer, employee, and organizational requirements. maintain and monitor staff expectations and motivation to fulfill organizational requirements and factors for the measurement of performance and consideration of efficiency versus effectiveness.
business development / relationship management / medical billing-reimbursement
client relations / patient management / marketing communications
strategy & implementation / contract negotiation skills / program development
1 imagemed, llc, mcallen, texas
co-owner / ceo, 03/2002 c 07/2009
address all operations management (om) concerns for a medical management company tasked with handling billing and reimbursement tasks for physicians and medical facilities.
maintained a focus on strategic, tactical, and short-term operation management such as daily operations, payroll management, a/r, a/p, hr, and contract negotiation with clients.
designed system improvements that create and deliver the firm's services; advised physicians on ways to increase procedural efficiency within their respective practices.
maintained a consistent understanding of the company's core mission and continually actively sought after operations improvement including tracking credentials of physicians, hipaa compliance, and awareness of medicare/medicaid and other insurances.
ensured that business operations were efficient and effectively meeting the needs of clients including those involved in various medical fields such as pediatrics, internal medicine, infectious disease, family practice, mri and ct scan facilities.
healix, sugarland, texas
reimbursement specialist, 07/2000 c 03/2002
- successfully completed multiple tasks associated with billing and reimbursement for one of the largest infusion therapy companies in america.
- verified pre-certification of all therapies during the post-administration phase; ensured accuracy of diagnosis to ensure payment for claims would be made.
- researched denied claims and assessed the eligibility of each claim for maximum reimbursement for 4 infusion therapy clinics.
- strengthened personal professional development and potential of success prior to launching a small business.
- consulted with physicians on each diagnosis and condition to verify eligibility for reimbursement.
medical clinic of houston, houston, texas
medical collector, 5/1999 c 07/2000
- located and notified customers of delinquent accounts by mail, telephone; received payment and posting amount to customer's account.
- prepared statements to insurance companies if they failed to reimburse, reimbursed incorrectly according to managed care contracts; keeping records of collection and status of accounts.
billing & insurance supervisor within baylor college of medicine
university of st. thomas, houston, texas
completed courses in pre-law/political science
<<first name>> <<last name>>
<<street address, suite #>>
<<city, state zip code>>
dear <<courtesy>> <<last name>>,
it is with great confidence that i offer my years of management-level experience and strong ability in medical reimbursement and insurance verification to your organization. as i pursue the <<position title>> within <<company name>>, i recognize that my credentials and experience would greatly assist in reaching future goals and objectives.
experience as ceo of imagemed, llc is the basis for my confidence that i would be a valuable asset to your organization. my career history consists of vast experience in operations oversight. i consistently communicate the corporate vision to the internal members of the organization so that everyone understands their role in achieving these goals, ensuring that the action steps are taken to ensure that goals are met and developing action plans to achieve those goals. thereafter, i prepare recommendations for improvements, controls, new methods, and other changes to improve the efficiency of operations.
during my career, i ve gained notable experience leading and training other employees in the appropriate procedures related to the overall medical billing and insurance verification process. my professional background also includes a proven expertise in hr, personnel management, operations oversight, and client relationship management. i am skilled in interpreting complex healthcare rules and regulations, and effectively communicating with other members of upper management and personnel, verbally and in writing.
my duties as ceo consisted of coordinating operations of a complex, interrelated, and interdependent nature, where unknowns and numerous contingency factors were involved. with this experience, i formulate policies and procedures relevant to daily operational and special organizational program based on information of a conceptual nature from varied and complex sources. with vast knowledge of the principles and techniques of administrative management including organization, planning, staffing, training, budgeting, and reporting, and a strong background in planning and management that i bring to your organization.
my aptitude for evaluating complex problems and reviewing related information to develop viable solutions would be of great use to your organization. i welcome more discussion about how my skills can help in meeting the goals and objective of your organization. until then, should you have any additional questions feel free to contact me at your convenience.
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