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Yyyyyy x. yyyyyy
5955 Grizzly Way │ Xxxxxx, XXXXXX xxxxxx │ (xxx-xxx-xxxx │ abc@xyz.com
- Dynamic Leader who offers a background in Patient Financial Services, Business Office Operations, Budget Control, Strategic Analysis /Planning, Policy / Procedure Development, Account Management, and Process Optimization; contributes talents in Team Building / Training, Work Prioritization, Quality Service, Issues Resolution, and Regulatory Compliance; and exhibits an ability to see the big picture in evolving healthxxxxxxre markets.
- Top Performer who boasts above-average xxxxxxreer results, and xxxxxxn make sound decisions to reflect positively on operations in alignment with a company s vision, value, and goals to achieve a signifixxxxxxnt competitive advantage.
- Excellent Communixxxxxxtor who builds and sustains synergistic relationships with healthxxxxxxre administrators, business / operational teams, and patients, and leads staff by example and with integrity to attain objectives.
Professional Synopsis
Trifecta Group, Inc., Emerald Hills, XXXXXX 2016
Consultant
Strategixxxxxxlly steered a recovery turnaround project of outstanding Medixxxxxxre, Medi / Xxxxxxl, Managed Xxxxxxre, and Self-Pay accounts receivable patient accounts with the objective to improve comprehensive group-based xxxxxxsh flow.
Demonstrated proven talent in facilitating accurate research analysis of accounts receivable, reimbursements, audits, bill review of claims, adjustments, and review appeal processes.
Established a continually collaborative and encouraging professional rapport with group staff.
Cleaned up accounts receivable on an old computer system, and drove closure of patient accounts.
Expertly handled accounts receivable analysis of admitting, billing, and collection procedural review.
KPC Healthxxxxxxre, Inc. │ Integrated Healthxxxxxxre Holdings, Inc., Santa Ana, XXXXXX 2005 2016
Director of Patient Financial Services
Xxxxxxpitalized on the opportunity to direct forward-thinking operations within a Patient Access / Communixxxxxxtion Department with responsibilities for Business Office functions within a quality-driven 178-bed acute xxxxxxre facility.
Led targeted business plan conceptualization, development, and analysis while participating in revenue cycle operations for improvement, maintaining departmental budget and productivity, and reviewing internal controls.
Coordinated chart audits and supported identifixxxxxxtion of areas of lost revenue, along with handling financial clearance of admissions to reduce denials and maximize reimbursement and assisting in evaluating month-end close.
Directly participated in Patient Satisfaction and U.R. Committee.
Continually maximized revenue reimbursement with contract analysis.
Developed, implemented, and monitored departmental policies and procedures.
Recognized for job performance excellence with 2011 s Director of the Year award.
Collaborated with healthxxxxxxre teams to meet or exceed specific customer service targets.
Reduced accounts receivables by focusing on xxxxxxsh collections, insurance requirements, quality control, and HIM codings, and consistently maintained departmental budget and core productivity.
Yyyyyy x. yyyyyy
Page Two │ (xxx-xxx-xxxx │ abc@xyz.com
Professional Synopsis (continued)
Tenet Healthxxxxxxre Corporation │ Coastal Communities Hospital, Santa Ana, XXXXXX 2001 2005
Director of Patient Services
Utilized broad scope of industry knowledge and dynamic business acumen toward directing a fast-paced Patient Access / Communixxxxxxtions Department, including driving business office functions efficiency to meet key goals.
Expertly reviewed and analyzed registration processes to improve data collection; reviewed and approved charity accounts to ensure federal guidelines; and reviewed accounts for follow-up, reimbursement, and improvements.
Led analysis of accounts for additional reimbursements according to contracts, approved xxxxxxsh discounts and applied appropriate contractual discounts, and reviewed credit accounts for overbooked adjustments.
Increased up-front xxxxxxsh collections by 150%.
Successfully reduced overall patient waiting time.
Launched an Emergency Department and Surgery Flat Rate Program.
Expedited accounts receivable reductions by implementing the Tenet s Patient Access Tool Kit.
Centinela Hospital Medixxxxxxl Center, Inglewood, XXXXXX 1987 2001
Admitting Director
Played a vital role in directing daily administrative and financial functions of a 400-bed hospital Admissions Department, including recruiting, training, mentoring, and managing a patient-focused team of 65+ professionals, as well as handling all staffing of the center s Admissions, Communixxxxxxtions, Mail Room, and LAX Urgent Xxxxxxre Clinic.
Coordinated and managed critixxxxxxl computer system conversion, and customized HDX online Medi / Xxxxxxl eligibility.
Contributed sharp analytixxxxxxl abilities toward identifying and resolving system challenges related to ADT and HIM, as well as xxxxxxse management, billing, and collections which was instrumental in ensuring seamless financial efforts.
Spearheaded reductions in patient waiting time.
Developed and implemented a Pre-Admissions Department.
Coordinated and chaired an Admission CQI Team for process improvements.
Successfully maintained optimal productivity levels and office protocol throughout tenure.
Eduxxxxxxtion & Technixxxxxxl Summary
Glendale Community College
Mount San Antonio Community College
Extensive Bacxxxxxxlaureate Business Management Studies
ADT Payroll │ HIM Coding │ HDX Online │ Microsoft Office
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