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Yyyyyy x. yyyyyy
Xxxxxx, XXXXXX xxxxxx │ (xxx-xxx-xxxx │ abc@xyz.com
Qualifications for Medical Billing Services Manager │ Patient Financial Services Manager
Committed to Exceeding Employer Goals While Driving Patient Services Excellence in Challenging Markets
Details-Focused CCS and CPAR who offers proven experience in Coding, Medical Billing, Patient Financial Services, Payment Processing / Collections, and Patient Account Management, as well as talents in Clinic Business Management, Team Building / Training, Strategic Analysis / Planning, Trends Tracking, Process Optimization, and Regulatory Compliance. Top Performer who rapidly adapts to evolving scenarios and independently resolves in-depth issues to promote optimal chart auditing and clinical documentation practices. Ambitious Self-Starter who contributes a strong foundation in Medicaid, Medicare, and CHIP, and who rises above financial challenges to achieve winning outcomes. Excellent Communicator who applies superior ethics and integrity while collaborating among with physicians, healthcare teams, and patients.
Professional Synopsis
Xxxxxx Center for Reproductive Medicine, Xxxxxx, XXXXXX 2015 Present
IVR Financial Advisor
Capitalize on the opportunity to deliver solutions-centric office support and patient account management efforts, including checking patients in / out, responding to account concerns, collecting money on accounts, and verifying insurance benefits. Routinely liaise among wide-ranging departments to ensure seamless operational processes. Contribute solid communication and interpersonal relations skills toward building valuable patient relationships.
Perform informative financial consultations with patients considering IVF services.
Prepare detailed financial guidelines and provide deadlines for patients to pay for services.
A+ Government Solutions, Inc., Xxxxxx, XXXXXX 2012 2016
Coding Reviewer
Strategically steered coding initiatives in alignment with state / federal policies and regulations for Medicaid and Children s Health Insurance Program (CHIP). Demonstrated skill with policy document management systems to download and process State Medicaid and CHIP policies and regulations to complete medical reviews. Accessed A+ Record Management System (ARMS) to review records for assigned claims to determine medical necessity and policy compliance, and identified findings that did not meet coding requirements or state / federal guidelines.
Expertly utilized proprietary software applications for PERM reviews.
Reviewed claims for coding accuracy and comparison to medical records.
Continually communicated findings within timeframes to meet required deadlines.
MedQuest Associates, Inc. │ Open MRI & Imaging of Xxxxxx, Xxxxxx, XXXXXX 2007 2013
Patient Financial Services Manager
Applied strong leadership talents toward recruiting, training, mentoring, and managing a services-driven team of associates, including optimizing use of resources to achieve goals by planning and prioritizing workflow, daily assignments, and projects. Built and sustained mutually beneficial relationships and open communications among senior-level management teams. Handled all medical billing, coding, and cash collections.
Cultivated core values with associates via accountability and ongoing recognition.
Developed critical guidelines to prioritize work activities and evaluate effectiveness.
Conducted detailed quantitative studies for presentation to senior-level management.
Yyyyyy x. yyyyyy
Page Two │ (xxx-xxx-xxxx │ abc@xyz.com
Professional Synopsis (continued)
Physiotherapy Associates, Xxxxxx, XXXXXX 2004 2007
Clinic Business Manager
Led targeted decision-making among fast-paced clinic operations, including recruiting, training, mentoring, and managing a client-focused clinic team while developing comprehensive programs for a quality and highly effective business practice. Coordinated credentialing and re-credentialing application processes. Conceptualized and led valuable marketing initiatives, along with handling financial management and audits. Supported oversight of billing, coding, and cash collections. Reported additions, terminations, or deletions of payers and plans. Objectively and accurately reviewed Medicaid and Medicare federal regulations, guidelines, and standards.
Enhanced clinical practice outcomes by developing publications to support innovations.
Expertly assessed practice needs, and planned, implemented, and led process improvements.
Resolved issues with tact and diplomacy as escalated by patients, insurance companies, and staff.
Maximized administrative efficiency by maintaining a large-scale database to track provider progress.
Education & Professional Development
University of Phoenix
Bachelor of Science in Healthcare Management
Xxxxxx Medical Institute
Certified Coding Specialist (CCS) │ Medical Billing
Xxxxxx Healthcare Management
Certified Patient Account Representative (CPAR)
Community Service
Xxxxxx BeltLine, Xxxxxx, XXXXXX 2009 Present
Ambassador
Play a vital role in actively visiting local businesses and institutions to educate them on the Xxxxxx BeltLine, including attending neighborhood and orxxxxxxnizational meetings to network and build relationships to further boost awareness of the city s largest temporary public art exhibition showcasing the work of hundreds of citizens.
Volunteer in community outreach to educate Xxxxxx residents and encourage participation.
Regularly connect groups to opportunities to tour the Xxxxxx BeltLine or listen to presentations.
Excellent Professional References Provided Upon Request
Yyyyyy x. yyyyyy
Xxxxxx, XXXXXX xxxxxx │ (xxx-xxx-xxxx │ abc@xyz.com
Date
Hiring Agent Name
Company Name
Address
City/State/Zip Code
Dear__________________:
I am exploring a new career opportunity within a challenging [ Insert Job Title ] role, and I believe that I can make a positive contribution to your success.
To acquaint you with my background, I can offer proven experience in Coding, Medical Billing, Patient Financial Services, Payment Processing / Collections, and Patient Account Management. I am also highly qualified in Clinic Business Management, Team Building / Training, Strategic Analysis / Planning, Trends Tracking, PERM Reviews, Process Optimization, and Regulatory Compliance. Furthermore, I can demonstrate a strong foundation in Medicaid, Medicare, and CHIP, as well as in the use of A+ Record Management System (ARMS) and policy document management systems.
A recent example of my relevant experience included serving as a Patient Financial Services Manager with MedQuest Associates, Inc. / Open MRI & Imaging of Xxxxxx where I successfully recruited, trained, mentored, and managed a top-performing team of associates in meeting or exceeding practice goals. Within this position, I built strong relationships among cross-functional, multi-level professionals. I also accurately handled high-volume medical billing, coding, and cash collections.
A sample of my accomplishments included:
Cultivating core values with associates via accountability and ongoing recognition.
Developing critical guidelines to prioritize work activities and evaluate effectiveness.
Conducting detailed quantitative studies for presentation to senior-level management.
As this is just an example of my abilities, please refer to my enclosed resume for additional experience in financial advisory, clinic business management, and coding review roles.
I am eager to discuss how my qualifications uniquely match your current and future needs, and look forward to interviewing with you soon.
Sincerely,
Yyyyyy x. yyyyyy
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