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Yyyyyy x. yyyyyy

0000 xxxxxx xxxx , xxxx , xxxxx 00000 abc@xyz.com xxx-xxx-xxxx

Experienced Strategic Leader with 15+ years of experience in high-stress environments along with a strong background within a variety of industries. Experienced in overseeing complex medical claim processing, supervising cross-functional teams, and managing financial operations. Equipped with a significant level of communication and interpersonal abilities in addition to a strong background in effectively fostering positive relationships with clients, vendors, and co-workers.

Key Competencies

 

         Revenue Cycle Management

         EMS Claim Processing

         Staff Management

         Strategy Implementation

 

         Medicare Claim Processing

         Cost Management

         Accounts Receivable

         Team Leadership

 

         Process Improvement

         Attention to Detail

         Insurance Claim Investigation

         Complex Problem Solving

 

Professional Experience

Reach Air Medical Services, Division of Air Medical Group October 2015-Present

Independent Contractor

  • Directly manage several administrative and operational functions within a fast-paced organization with a concentration on increasing productivity and efficiency
  • Act as Project Liaison between a parent company and billing agency during a complex business transition which was focused on bringing revenue cycle management in-house
  • Utilize superior technical acumen in order to provide system support to end-users, configure system settings, administer training to new staff members, and monitor project metrics
  • Play a lead role in various post-transition tasks such as monitoring charge entry, adjudication processing, and billing team supervision

 

Health Services Integration Inc. October 2003-September 2015

Senior Director of Operations (2015)

Director of Patient Accounts (2007-2011)

Manager of Patient Accounts (2003-2007)

  • Coordinated daily operations within an organization which specialized in comprehensive EMS claim management for both air and ground providers
  • Supervised a team of over 40 staff members which required providing individualized feedback and coaching in addition to monitoring productivity and both individual and team metrics
  • Fostered positive rapport with internal team members and external business partners which included 12 EMS agencies which accounted for over $673 million in billable charge and $125 million in revenue
  • Designed and implemented comprehensive policies and procedures which resulted in reducing cost per claim by 35% in addition to reducing technical denial rates to under 5%
  • Successfully analyzed market data in order to increase efficiency and acted as Training and Development Expert which included overseeing internal claim audits

Additional Experience: Contract Billing Specialist, Ghilotti Construction Co. and Accounts Receivable Manager, Health Plan of the Redwoods

 

Professional Development

 

Certified Ambulance Coder, National Academy of Ambulance Coding

 

Proficient in: TriTech EMS Billing, Zoll-Rescue Net Billing, Amisys, ForeFront, Microsoft Office Suite, Outlook Express, Windows, DocuWare Imaging, and ADP Payroll

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