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Yyyyyy x. yyyyyy

6190 Girby Road, #0000 xxxxxx xxxx , xxxx , xxxxx 00000 ● (xxx-xxx-xxxx ● abc@xyz.com

Healthcare Administration Professional / Consultant

Healthcare EDI / Revenue Cycle Implementation ~ Software Product Training

Project Coordination ~ Customer Service Excellence ~ Account Administration ~ Team Leadership

 

Profile

 

         Advanced understanding of healthcare revenue cycle, HIPAA transactions and code set standards (4010/5010), denial management, regulatory compliance, interpreting 837/835 files, ICD10 codes, and eligibility verification.

         Excellent blend of organizational, prioritization, presentation, communication, and customer service skills.

         Able to cultivate and maintain strong relationships with key stakeholders, vital to maximizing P&L performance for employers and clients.

         Strong expertise in executive-level relations, software implementations, end user training, and establishing best practices for revenue lifecycle.

         Skilled at establishing, implementing, and maintaining procedures to accelerate workflow, minimize expenses, and elevate quality levels.

         Outstanding talents in report writing, conducting meetings, and ensuring constant HIPAA compliance.

         Reputation for professionalism, integrity, attention to detail, and commitment to confidentiality.

         Well-versed in Medicaid, Medicare, and third-party reimbursement regulations.

         Meticulous, resourceful, and quality-focused with considerable abilities in project coordination, mentoring, and problem solving.

         Excel in analyzing existing healthcare practices and masterminding process improvements to elevate efficiency while controlling expenses.

         Solid technical acumen with proficiency in Microsoft Office programs such as Word, PowerPoint, and Excel.

 

Professional Experience

 

The SSI Group, Inc., 1999 to 2016

Corporate Account Manager (2000 to 2016)

         Retained full-time after consulting assignment based on exceptional performance in guiding software installations.

         As primary point of contact between SSI and client, orchestrated all aspects of project from initial planning and determining required resources, to timely implementation and product training.

         Managed accounts with high-profile customers including Tennet, NYP, Duke University, Vanderbilt, SSM, CHS, Dignity, HCA, University of NY Syracuse, and Carolina Health.

         Played an integral role in evolving SSI Group, Inc. to rank #1 by KLAS.

         Conducted weekly outgoing calls to customers to verify successful implementation and 100% satisfaction.

 

Continued

 

 

Professional Experience (The SSI Group, Inc.) continued Yyyyyy x. yyyyyy Page 2 of 2

 

         Administered onsite client evaluations to methodically uncover ways to reduce costs, while concurrently fueling productivity through advanced training of SSI applications.

         Closely monitored client account status and swiftly resolved critical service issues to ensure satisfaction and retention.

         Collaboratively scheduled and coordinated work assignments for account executives, and delivered comprehensive staff training in new products and/or process changes.

         Maintained accurate and up-to-date documentation of assigned accounts for management review.

 

Implementation Consultant (1999 to 2000)

         Guided clients through implementation of SSI products including providing hands-on training, best practice recommendations, and go-live support.

         Analyzed client s current workflow/processes and needs, identified gaps in processes, and recommended optimal selection of SSI products.

         Ensured system configuration and set-up adhered to established requirements prior to client training.

         Administered and reviewed end user competency tests to address issues and achieve highly successful project outcomes.

         Extensively supported client staff during go-live stage including verifying flawless system functioning and user proficiency.

         Troubleshot and resolved project issues, and escalated issues when required to meet or surpass quality and satisfaction goals.

         Meticulously inputted and maintained project data in project management system.

 

Hackbarth Delivery Service, Mobile, AL, 1997 to 1999

Operations Manager

         Spearheaded full-scope operations inclusive of P&L reporting, staffing, fleet management and maintenance, regulatory compliance, customer service, and continuous improvement.

         Oversaw hiring, orientation, training, and performance management among 62 couriers, three dispatchers, two administrative assistants, and one assistant manager.

         Ensured seamless operational continuity by scheduling, coordinating, and monitoring preventive and corrective maintenance of 34 delivery vehicles.

         Strategically revamped delivery routes to slash overtime hours and associated expenses, and boost gross profit from 27% - 34%.

 

Innovations In Print, 1995 to 1997

Sales Manager

         Applied dynamic managerial talents toward coaching, motivating, directing, and supervising 16 sales representatives in meeting revenue goals and stringent quality expectations.

 

● ● ●

 

Prior background includes 11 years with the United States Army; recipient of numerous awards including a Bronze Star Medal for service in the Gulf War. Honorably discharged with rank of Staff Sergeant.

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