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Dynamic, details-focused leader who offers 28 years of cross-functional healthcare administrative experience, including talents in Pre-Certification, Practice Management, Managed Care Contracting, and Accounts Receivable. Ambitious self-starter who can drive facility success and make sound decisions to reflect positively on business well-being in alignment with company s vision, values, and goals. Top performer who can train, mentor, and manage teams with integrity to boost success.
Ensured efficient use of services and monitored appropriateness and medical necessity as a Specialist for ENT Associates, Inc. and supported a high-volume Patient Accounting Department.
Recognized as a forward-thinking team member of Community Memorial Hospital s Record Review, Safety, Information Management, Process Improvement, and HIPAA committees.
Improved billing by launching and managing a new Centralized Billing Department.
Successfully built and sustained productive facility operations by continually promoting staff development and quality assurance efforts among 15 staff as a Manager with Arata Medical Group.
Personnel Development / Management
Cash / Asset Management
Billing / Collections
Budgeting / Cost Controls
HCFA 855 and 855R Credentialing
Patient Accounting Department Support
Managed Care Contracting
Quality Assurance Standards
Contract Negotiations / Mediation
Work Planning & Prioritization
ENT ASSOCIATES, INC., Fort Wayne, IN 2011 Present
Pre-Certification & Insurance Specialist
Utilize broad scope of industry knowledge and dynamic healthcare acumen toward performing high-volume medical pre-certification activities within a large-scale Otolaryngology practice, including accurately authorizing patients for medical procedures and / or admittance to various facilities.
Deliver essential information for insurance authorization and continued stay / visit re-authorization.
Support Patient Accounting Department in clarifying claim submission and claim denial appeal efforts.
COMMUNITY MEMORIAL HOSPITAL, Hicksville, OH 1997 2009
Practice Manager / Physician Services Coordinator / Physician Practice Manager
Maintained full-scope responsibility for managing operational and financial performance in three Employed Physician Practices, including a main campus and two satellite facilities.
Drove service excellence while directing, coordinating, and supervising nine employees.
Ensured revenue stream and patient flow by negotiating Managed Care contracting initiatives.
Coordinated management and scheduling of the hospital s specialist clinic.
Completed and reviewed financial statements for each practice.
ARATA MEDICAL GROUP, Fort Wayne, IN 1985 1996
Manager Accounts Receivable / Billing & Collection Manager
Successfully managed accounts receivable for Arata Medical Group and Med 24, including supervising 15 employees, as well as maintaining full accountability for all banking transactions.
COBOL Computer Programming INDIANA INSTITUTE OF TECHNOLOGY
Medical Manager ▪ Conceptual ▪ EMR Health Probe ▪ Dairyland ▪ Healthland ▪ MEDIC Computer System
Hiring Agent Name
I am seeking a challenging [ Insert Job Title ] role, and am submitting my resume for your review.
I can offer cross-functional experience in Medical Pre-Certification, Practice Management, Managed Care Contracting, and Accounts Receivable, and am well-versed in Team Building / Training, Cash / Asset Management, Billing / Collections, Budgeting / Cost Controls, Quality Assurance, Contract Negotiations / Mediation, and HCFA 855 and 855R Credentialing, among other areas.
As demonstrated in the accompanying resume, my professional qualifications include 28 years of cross-functional healthcare administrative experience with high-profile employers such as ENT Associates, Inc., Community Memorial Hospital, and Arata Medical Group. My exceptional analytical skills combined with my strategic vision have enabled me to steer financial and operational efficiency and productivity. I also have a track record for consistently increasing revenues, improving profitability, accelerating business growth, and enhancing the quality of service offerings.
A sampling of my achievements include:
Ensuring efficient use of services and monitoring appropriateness and medical necessity as a Specialist for ENT Associates, Inc. and supported a high-volume Patient Accounting Department.
Improving billing by personally launching and managing a new Centralized Billing Department.
Successfully building and sustaining productive facility operations by continually promoting staff development and quality assurance efforts among 15 staff as a Manager with Arata Medical Group.
Serving as a forward-thinking team member of Community Memorial Hospital s Record Review, Safety, Information Management, Process Improvement, and HIPAA committees.
[ Suggestion! Address Here Any Skills / Qualifications / Achievements Relevant to the Job Posting ]. As this is just a sampling of my abilities, please kindly refer to my enclosed resume for additional experience.
I look forward to hearing from you, and thank you in advance for your careful consideration.
Yyyyyy x. yyyyyy
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