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Yyyyyy x. yyyyyy
0000 xxxxxx xxxx , xxxx , xxxxx 00000 xxx-xxx-xxxx ~ abc@xyz.com
Career Profile
Key Contributor & Effective Leader supporting operations in fast-paced and high-stress environments within the healthcare industry. Several years of experience in leading cross-functional teams, overseeing daily office operations, , providing in-depth training, and fostering positive relationships with customers, co-workers, and members of management. Equipped with a keen ability to leverage skills in project management in order to develop streamlined processes and develop cost-saving tools.
Key Competencies
Insurance Billing Healthcare Industry Insurance Enrollments Internal Communication |
Training/Development Process Improvement Operations Management Developing Reports |
Team Leadership Complex Problem Solving Vendor Management Staff Management
|
Professional Synopsis
Visiting Nurse Service of New York, New York, NY 2012-Present
Call Center Enrollment Coordinator (2014-Present)
Direct a variety of administrative and operational functions within a fast-paced environment with a focus on increasing productivity and efficiency
Utilize superior communication abilities in order to provide superior customer service/support to customers in regards to both account maintenance and enrollment requests
Analyze and resolve complex customer service issues, transfer calls to the various departments, create in-depth call logs/reports, and escalate issues to the Manager as needed
Successfully train new employees on all organizational best practices, ensure all regulatory issues are adhered to, and continuously foster a positive working environment
Enrollment Coordinator (2012-2014)
Coordinated several daily operations within the organization which included managing all client mandatory enrollments which required maintaining contact with clients, Physicians, and vendors in regards to medical requests for home care
Provided training to over 50% of Enrollment Coordinators, utilized administrative acumen in order to obtain accounts for both medical and non-medical staff members, created user accounts, and analyzed/resolved technical issues as needed
Tracked all enrollment activities which resulted in accurately documenting program metrics in addition to gaining the ability to perform ongoing analysis/reporting
Fostered positive relationships with Enrollment Liaisons, clients, Enrolment Directors, and other members of the organization while simultaneously entering data in the pre-enrollment browser system and/or main frame
Played a lead role in the development and implementation of an E-pace code cheat sheet which resulted in streamlining current processes and improving efficiency levels
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0000 xxxxxx xxxx , xxxx , xxxxx 00000 xxx-xxx-xxxx ~ abc@xyz.com
Professional Synopsis Continued
Complete Care Cardiology, Lake Success, NY 2008-2011
Reimbursement Manager
Coordinated several administrative operations which included overseeing provider credentialing, managing both government/private contracts, and overseeing daily office activities
Oversaw several financial functions such as accounts receivable, billing, financial reporting, claims administration, and financial analysis
Successfully reduced patient complaints by 85%, recovered over $70 thousand in insurance reimbursements for patients, and trained new employees on how to handle various insurance reimbursement claims
Mirka United Inc., Brooklyn, NY 2001-2008
Billing Supervisor
Directed all billing functions within the organization which included preparing defense packaging prior to arbitration, documenting all settlement negotiations, and negotiating past-due accounts
Supervised a team of 5 which required providing individualized feedback and coaching in addition to monitoring productivity levels
Played an integral role in the creation of an in-house arbitration which resulted in 80% revenue within the organization in addition to overseeing the preparation of monthly reports for 9 Doctors
Additional Professional Experience Includes: Billing Clerk, Mirka United Inc., 1998-2001 and Patient Coordinator, Mirka United Inc., 1996-1998
Education/Technical Skills
Master s Degree, Health Care Management
Saint Joseph s College, Brooklyn, NY-Anticipated May 2016
Bachelor of Science, Criminal Justice
John Jay College, New York, NY
Technical Skills Include: North Shore-Long Island Jewish Health System, Off-Man Medical Manager, Electronic Medical Records, All-Scripts/Payer Path/Tiger, American Arbitration Association Case Search, Credit Card Processing, Pitney Bowes Postage Meter, Microsoft Office Suite, Mac OSX, Health Commerce System/Main Frame/Pre-Enrollment Browser, Oracle/Vista Plus, Med NY ePaces, Uniform Assessment System, and IVANS Insurance Solutions
Professional Affiliations
Member, NYC Department for the Aging, 2016-Present
Member, The Society for Human Resource Management, 2014-Present
Member, Institute for Healthcare Improvement, 2013-Present
Member, American College of Healthcare Executives, 2009-2015
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