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Yyyyyy x. yyyyyy

- 272 Rudolph Ave Ÿ Xxxxxx, XXXXXX xxxxxx ( (xxx-xxx-xxxx * abc@xyz.com

 

Healthcare Administrator (Non-Profit)

Qualifications Profile

 

    Self-assure and results-driven management professional with more than 21 years providing high-performance operations management, project management in the healthcare and financial service sectors.

-    Proven dedication in delivering outstanding operational excellence that maximizes process efficiencies and cost leadership that enable the business to achieve a competitive edge in target markets.

-    Detail-oriented without losing sight of the big picture, analytical and methodical with critical thinking to resolve professional relationship and routine work issues even under stress.

    Well-organized with multitasking and prioritization skills that optimize resources to achieve outstanding results.

    Strong people management and interpersonal communication skills that inspire confidence, performance excellence, and teamwork synergies across diverse ethnicities and multi-functional engagements.

 

Key Expertise


Healthcare Operations Management

    Account Management

    Relationship Management (Clients, Stakeholders, Public, & Suppliers)

    Concurrent Project Management

    Healthcare Receivables/Payables Management

    Insurance Claims Management

    Medical Billing & Coding

    Policies & regulatory Compliance (i.e., HIPPA, etc.)

    Staff Supervision & Training

    Office Supplies Inventory

    Records & Document Management

Technical

    Data Management

    Productivity Tools: MS Office (Word, Excel, PowerPoint, Access, & Outlook),

    PM Tools: MS Project

    Internet: FTP, Webmail, Web Research, Google Analytics, Google Docs, & Social Networking


 

Professional Experience

 

Tranquilmoney, Inc.

Manager of Operations - South Orange, XXXXXX Nov 2007 Feb 2017

    Coordinated daily with the Medical Billing Team in Chennai India to ensure process efficiency in Medical Billing operations, converting manual claims including batching, scanning and zipping data from paper to electronic transmission adhering to HIPPA guidelines, and observing confidentiality of patient medical and billing information.

    Supervised temporary staff, processing and sending all manual claims to Insurance companies, Workers Compensation Board and Attorneys, as well as mailing of patient statements.

    Provided administrative support in managing accounts payable activities including the deposit and writing of company checks, ordering of office supplies, and enforcing contractual vendor agreements in maintaining office equipment.

Assistant Manager of Operations, New York, NY Sep 2000 Oct 2007

    Reported directly to VP of Health Care Operation, managing the largest corporate account Costco Wholesale Pharmacies, with oversight in reconciling checks of up to $1B annually.

    Liaised between Costco Wholesale Pharmacies, IT and all 3rd party payors, involving the conversion of confidential pharmacy remittance data from paper to electronic transmission.

    Managed pharmacy receivables and payables involving the processing, writing and transfer of checks of several accounts including the largest corporate accounts, observing confidentiality of patient medical and billing information as well as accounts payable activities including the deposit.

 

The Pharmacy Fund, Inc. New York NY

Special Projects Manager Sep 1998 Apr 2000

Coordinator, Payor Relations Dec 1995 Sep 1998

    Managed intake of over 200 bankruptcy petitions, liaising with Bankruptcy Attorneys in all aspects of the Pharmacy Model Settlement Agreement, involving over $70M in claims.

    Standardized procedures within each department, introducing company-wide templates for over 500 commercial 3rd party payors and 44 Medicaid programs, while overseeing the development and execution of a Direct Mailing program that increased new client enrollments.

    Optimized payor relations by steering effective new hire orientations as well as collaboratively developing and implementing quality training procedures.

 

Education & Credentials

 

    A.A. in Word Processing/Office Technology, Dean s List/President s List, MONROE COLLEGE Bronx, NY (1995)

Affiliation/Community Involvement

    Member/Donor: Social/Advocacy/Civic Organizations in Pediatric Cancer, ASPCA/Animal Welfare, LGBT advocacy, AIDS, Elder Care, & Homeless Persons

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