SUMMARY:

• Dear Human Resources Department:As an experienced professional with a steadfast career that reflects fifteen years of responsible, administrative and financial management operation positions for government agencies and large businesses, I am enthusiastic about transferring my skills to your organization.
• I bring an accomplished background that encapsulates my ability to conceive, create, and spearhead overall operations for employee relations, practice management, contract development, employee and software training, patient accounting, and educational and promotional marketing. As a renaissance professional that continues to push the envelope of creativity while meeting the demands of workflow and people management requirements, I continue to prove my ability to establish standards and generate revenue with pride and personal motivation.
• I hope to transfer skills attained in prior employment experiences into an upwardly mobile position that would reward my quick - learning, success-driven work ethic. My ability to work in the present and anticipate what’s ahead continuously ensures that deadlines are met on time and within budget with superior results. I hope to continue in this vein while taking on new challenges in this position.
• I truly believe that I can make an immediate impact to your organization and would consider a personal interview mutually beneficial. I look forward to hearing from you. In the interim, please review my resume to learn more about my admirable credentials. Thank you in advance for your immediate consideration.
• Highly effective progressively responsible management capabilities, coupled with self-starting initiative and leadership-driven performance. Results-driven individual with exceptional change management skills and the ability to quickly adapt in an evolving environment. Dynamic delegator and team leader with the talent to motivate, recruit, and retain a highly productive unit. Trained in marketing, human resources, administrative and financial management, organizational and interpersonal communication, business industry writing, public relations strategies, and statistics. Accomplished analytical thinker, driven by the challenge to generate success in a diverse, fast-paced setting.

PROFESSIONAL EXPERIENCE:

Confidential, Minneapolis, MN

Business Process Analyst / Provider Data Workflow Sr. Analyst

Responsibilities:

• Create, control and improve end-to-end business processes by leading process design and project implementation teams in process improvement activities on vital projects that have strategic importance to United’s mission and the Operational Readiness Team.
• Using Microsoft Visio provide a visual representation of business processes while giving insight into bottlenecks, cycle times and inventory needs, show relationships between roles and performing activities, uncover inefficiencies, gaps, delays and other streamlining opportunities.
• Diagnose process improvement opportunities and develop solutions using principles of process excellence.
• Assist in the creation, implementation and evaluation of Total Quality Management programs and support continuous quality improvement.

Confidential

Provider Installation Specialist / Data Loading Analyst

Responsibilities:

• Execution & Loading Team member responsible for extensive physician data updates in addition to executed and audited new provider contract requests and new physician add to established group requests.
• Validated that all required credentialing has been approved prior to accepting the Request for Participation with Confidential Insurance for all approved product lines of business and counter sign new contracts.
• Loaded contracts and physician data in multiple internal platforms to interface for billing, claims and directory information.
• Partnered with the Network Managers and the Contract Analytics Team to ensure the accuracy of all received data for customer satisfaction and quality assurance measures.
• Selected for special Synergy Pilot Project to work escalated time sensitive requests as an end-to-end data-loading analyst.

Confidential, Charlotte, NC

Senior Operations Program Manager

Responsibilities:

• Managed operations within the Benefit Verification Department and the Program Specialists’ Department for the MS One to One Clinical Drug Program supporting the Confidential Corporate Client.
• Unexpected resignation due to unforeseen relocation priority.

Confidential, Charlotte, NC

Manager of Eligibility, Referrals & Precerts

Responsibilities:

• Under the division of Centralized Services within Revenue Cycle Management, oversaw client operations of multi-specialty physician polyclinics and Confidential ’s for insurance eligibility, managed care referrals, surgical scheduling and secured medically necessary prior authorizations to ensure streamlined workflows were in place to enhance the overall patient experience and esteemed physician compensation practice model.
• Successfully managed personnel functions of multiple domestic locations and remote home agents to include onboarding, goal setting and talent development of Supervisors, Team Leads and front line Specialists.
• Effectively produced deliverables of strategic lean processes for corporate business partners, external clients and patient consumers with the key objectives being maximizing technology enhancements for Electronic Data Interchange automation, minimizing manual-task intervention deemed ineffective and optimizing interface system needs between Revenue Cycle Applications and Electronic Medical Records.
• Partnered with Clinical Operations groups and WPP Future Leaders project team to produce meaningful centralized workflows that were seamless to the patient populations we served, added value to the total patient care platform and optimized employee engagement efforts.

Confidential, Charlotte, NC

Billing Supervisor of Support Services

Responsibilities:

• Managed domestic and international operations for the support services of a closely held private equity and operating healthcare firm, ensuring accurate billing, collections and account management for six profitable rapidly growing portfolio companies in the specialties of Home Health, Durable Medical Equipment and Comprehensive Rehabilitation.
• Provided effective leadership direction for personnel in the departments of Benefit Verification, Clinical Case Management, Cash Applications and Account Receivables.
• Oversaw client account reconciliations, medical billing functions, hired, trained and managed a financial services team, negotiated client contracts, ensured the accurate and timely processing of client claims and invoices while continuously finding ways to improve and streamline employee processes.
• Worked closely with Executive Management to make departmental decisions based on organizational objectives, metrics and performance recommendations.

Confidential, Charlotte, NC

Specialty Reimbursement Case Manager

Responsibilities:

• Provided comprehensive resources to patients, healthcare professionals, payers and manufacturer representatives in need of support services on behalf of pharmaceutical manufacturers. Supported new innovative therapies, playing a vital role in care services by providing necessary information for patients’ financial planning to insulate all parties from unforeseen financial obligations and risks.
• Researched and analyzed contracts, conducted pricing negotiations and agreements with payer contract administrators, performed credit and background checks, and developed contractual agreements for facilities purchasing specialty medications at wholesale costs. Served on Director’s Project Team conducting high-priority assignments, providing subject matter and process evaluation expertise to the AR, Case Management and Cash Applications departments.

Confidential, Charlotte, NC

Executive Administrative Assistant

Responsibilities:

• Operated as the corporate liaison providing administrative support by handling operations for the business office including: vendor work coordination, personnel administration and budget management. Directed site administration for incident and investigation reporting, records and archive management and virtual training assessments.
• Processed employee payroll, managed new hire set-up needs, prepared site travel arrangements, planned vendor contractor meetings and coordinated employee in-service training programs and special events, maintained calendars and organization charts, conducted site budget tracking analyses and performed compliance audits.

Confidential, Raleigh, NC

Public Health Program Supervisor

Responsibilities:

• Managed division’s contracts, assisted contract administrators in constructing contracts, amendments, and memorandums of agreement, by facilitating group training workshops and need based individual sessions.
• Ensured satisfaction of Performance-Based Contracting methods consisting of reasonable appropriation of budget funds, well-defined statements of work, inclusive justifications and accurate data in the internal Confidential Contracts System.