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Yyyyyy x. yyyyyy
4823 Picturesque Cir. | Xxxxxx, CO xxxxxx xxx-xxx-xxxx | abc@xyz.com
PFS Expert | Training Leader | Revenue Operations Manager
Billing & Collections | System Reviews & Optimizations | Revenue Management | Payment Posting & Reconciliation
Credit Balances | Customer Service | Medical Admissions | HIPPA | RAC | Year-End Audits | Charge Master
Hospital Clearinghouses | MS Office | Meditech | Soarian Financials | Medisoft | Nebo | Relay Health
Hardworking, reliable and capable professional with more than 25 years of physician and hospital revenue cycle services experience in medical administration settings. Skilled in taking on leadership roles of increased responsibility to garner success. Focused, able to work with individuals and groups at all levels. Develop and sustain successful relationships with personnel, management and stakeholders at all levels. Versatile and adaptable, able to excel in challenging, deadline-driven settings. In search of an exciting new career challenge that will welcome the expertise of a seasoned, confident worker.
Professional Synopsis
Katherine shaw bethea hospital | Trainer 2017 Present
Spearhead PFS and Access staff education including creation of policies and procedures
Partner across management teams to adhere to Hospital and physician compliance and/or payer-specific requirements across operations; includes preparing the Revenue Cycle Team for year-end audits
Work with the CFO on payer contracts; included working reimbursement rules into billing systems
Also liaise on a regular basis with the Utilization Review and Intake Departments
Manage and lead a 10-person team across the PFS and Admitting (Access) Departments
Serve as a revenue cycle subject matter expert (SME) as it pertains to billing, collection, payment positing, refunds, credit balances, denials and charge entries
Conduct month- and year-end audits, including Medicare, Illinois Department of Public Health and with various payers
Engage in contract management and single case agreements, along with CDM reviews via Craneware and Vitalware
Proved vital in implementing billing and EMR systems
Led the execution of 340B, along with a system optimization upgrade
Devised a cash balance process within the revenue cycle, including daily reconciliation functions
RML Specialty hospital | director of PFS 1997 2017
Directed all revenue cycle functions, including the collection of more than $125M of annual hospital revenues
Partnered daily with the Administration and Management Teams to carry out daily operations
Handled business and physician payer participation across all application processes
Supervised and mentored a staff of 15 amongst both the PFS and Admitting Departments
Reviewed charge capture by department and trended billing changes through the use of Hospital and Physicians statistical reporting
Also conducted Hospital and Physician audits including government, payer and year-end processes
Played a critical role in setting forth numerous system upgrades; included standardizing financial reporting for the Hospital as a whole
Participated in new business development including the acquisition of another hospital
Served as an active member of the CDM Committee; in doing so, partook in four CDM reviews
Education & Involvement
Diploma, Bolingbrook High School
Committee Member, National Government Services Inc. (MAC J6) Provider Education
Yyyyyy x. yyyyyy
4823 Picturesque Cir. | Xxxxxx, CO xxxxxx xxx-xxx-xxxx | abc@xyz.com
March 16, 2018
Hiring Agent Name
Title
Company Name
Address
City/State/Zip Code
Dear [Hiring Agent Name],
I am currently seeking a challenging career opportunity in a (INSERT TITLE OF TARGET POSITION) capacity and am submitting my resume for your review. In advance, thank you for your time and consideration. As demonstrated in the accompanying resume, my professional qualifications include the following accomplishments:
I bring to any role years of demonstrated revenue cycle services expertise in diverse roles of increasing responsibility and scope. I am skilled in working under pressure to surpass both employer and client expectations in hospital settings, leading daily operations for both the hospitals themselves, as well as the Physicians that work within them.
As a professional, I am an expert in numerous key areas including revenue management, reporting, collections, team supervision, financial analysis and auditing. I am comfortable in achieving success as a team member and individual contributor. I also interact with independent and group stakeholders at all levels.
To any role, I bring with me a sense of company loyalty as evidence by my 20 years of experience as the Director of PFS with RML Speciality Hospital. I currently work in a Trainer capacity with Katherine Shaw Bethea Hospital, where I serve in a similar role to oversee revenue operations and related education for Hospital staff.
Outside of my career achievements, I also serve as a Committee Member for the National Government Services Inc. (MAC J6) Provider Education.
As an employee, you will find me to be a driven team player committed to supporting you in achieving your objectives through superior performance. I am confident that I could be a valuable asset to your organization, and look forward to interviewing with you in the near future.
Sincerely,
Yyyyyy x. yyyyyy
Enc. Resume
Yyyyyy x. yyyyyy
4823 Picturesque Cir. | Xxxxxx, CO xxxxxx xxx-xxx-xxxx | abc@xyz.com
March 16, 2018
Contact Name
Company Name
Address
City/State/Zip Code
Dear _____________________:
I would like to thank you for providing me the opportunity to interview with you and discuss the exciting (TITLE OF POSITION APPLYING FOR) position currently available with your company. Having gained a deeper insight into the job requirements and your objectives, I am confident you will find me a valuable asset in achieving your goals.
As discussed, my background should translate to dynamic results as a member of your team. In particular, I believe you will find my expertise in (ADDRESS A FEW SKILLS/QUALIFICATIONS/ACHIEVEMENTS RELEVANT TO THE POSITION WHICH YOU DISCUSSED DURING THE INTERVEIW) vital to your immediate and long-term objectives.
Should you have any additional questions, or to further discuss this opportunity, please feel free to contact me at your earliest convenience. Again, thank you for the enlightening interview. I look forward to your response and am eager to contribute to your success.
Sincerely,
Yyyyyy x. yyyyyy
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