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                          Candidate's Name , BBA, MA|                                                                    ||Phone PHONE NUMBER AVAILABLE . E-mail: EMAIL AVAILABLE                    |Executive Management Professional with 20+ year's experience in OperationsManagement, Supervisory and leadership experience in Managed Health Care,Insurance, Hospital Revenue Cycle Management, Home Health and Hospice.                          SUMMARY OF QUALIFICATIONS    . 12 + years experience working with Managed Health Care provider of      utilization review, managed care and provider bill review.    . Skillfully managed partnership/relationship with client and senior      management.    . Solid experience in all phases of management; vendor maintenance;      people management; process management and human resource management.    . Exceptional problem solver, driven to succeed with strong      interpersonal skills.    . Excellent communication and presentation skills.    . Inquisitive and adaptable, result driven; embrace change readily.    . Assumes both authoritative and democratic leadership.    . An inspirational leader who inspires employees to maintain peak      performance and productivity levels while maintaining high morale.    . Capable of multitasking with conceptual thinking and vision.    . 10-key by touch; typing 50+ wpm; experience in cpt/icd9 terminology      and coding.    . Management of 60+, supervision of 20+ and budgeting.                           PROFESSIONAL EXPERIENCE   Addison Group (Contract)                         May 2016 - Nov 2016   Bethany Healthcare - Revenue Cycle                      Nov 2016 -   Present    Hospice/Episodic/Government Billing   Addison Group (Contract)                         May 2015 - Aug 2015   Intrepid Health - Revenue Cycle                       Aug 2015 - May 2016     Medicare Advantage Billing Coordinator   Revenue Cycle Billing Project Manager                 July 2013 - April   2015   Job Description:  Assist Director of Revenue Cycle with documentation of   new departmental policies and procedures.  Oversee the Medical Billing   department and act as a liaison between the staff and the Revenue Cycle   Director to ensure that the staff operates at the highest level of   accuracy and timeliness of work assignments and projects. Follow up of   projects within the department to ensure deadlines are met.  Ensure that   the department is highly organized and efficient through monitoring and   revisiting necessary policies and procedures and work systems to optimize   accounts receivables reimbursement.  Work very closely with Medical   Director and providers to ensure credentialing updates are completed to   include submitting re-credentialing documentation and follow up with   clinicians to ensure compliance with yearly licensing update.  Provide   training to Health Centers and Management on billing and charge entry   corrections and procedures.  Additionally, responsible for escalating and   following up on the resolution of complex billing matters, i.e. billing   insurance, A/R follow-up, payment posting; handling of patient data is   performed in accordance with all applicable government and insurance   regulations.  Ensures productivity expectations, customer service, and   compliance standards are maintained.   Operations Manager  (Lay-off)                    August 2011 - July 2013   Trilogi, Inc.  Revenue Cycle Billing/Hospital Claims Recovery   Irving, TX    (Las Colinas)   Job Description:  Effectively manage an office of 40 + employees to   recover patient accounts receivable for various Hospital clients.  The   office consists of denial management specialists who are trained and   skilled at recovering patient accounts for a variety of services to   include MVA, WC, day 1 denials, AR cleanup, and clinical denial programs.    In addition to recovery, we also perform AR billing and posting   responsibilities to many of our hospital clients. As operations manager,   I was responsible for ensuring our team's financial goals; both   organizational as well as individual are met monthly, by monitoring daily   productivity.  I've had up to 4 supervisors, 2 team leads, 1 trainer and   6 staff attorneys reporting directly to me, with dotted lines to other   senior professionals. In addition to operations, other   duties/responsibilities include heavy client contact, assisting our   hospitals with strategies, including procedures, which will improve cash   collections and help meet liquidity goals.  Finally, I was responsible   for coaching/development of direct reports, hiring, training, and some HR   responsibilities to include recruiting and client implementation.   Billing Specialist                                May 2011 - August 2011   ESHA, Inc.      Re-entry into work force   Fort Worth, TX   Lay off from Coventry Healthcare                           November 2009   - May 2011   Used time off to work towards completion of   Masters Degree   Operations Manager (Lay-Off)                     July 2003 -November 2009   Coventry Healthcare/formerly Concentra Integrated Svc.   Carrollton, TX   Supervisor - Provider Bill Review                                 Mar   1998 -July 2003   National Health Care Resources/ Acquired by Concentra Integrated Svc.   Carrollton, TX                           EDUCATION AND TRAINING   Bachelor of Business Administration, BBA   Northwood University, May 2009   Cedar Hill, TX   Master of Arts in Management, Healthcare Management, MAM   Dallas Baptist University, December 2013   Dallas, TX   GPA 3.47                             TECHNICAL PROGRAMS      . PeopleSoft; Microsoft Project Planner; Ms Office Suite: Word,        Excel, PowerPoint; Windows Vista, 95 / 2003 / XP; Scanning        Technology (Kodak i810) OCR, KE, KFI scanning applications.      . Hospital Revenue Cycle; Epic, DDE, Quadax, HPF, Siemens Provision        Gold, Midas, Allscript, Star Navigator, VPN client, Citrix        (portal), Accupost, ADT/IDX, Chartmaxx, Xactimed xclaim, IDXWeb,        Siemens MedSeries 4 (MS4), Meditech Magic, McKesson, Paragon,        Kinnser, NextGen EPM, HospiceSoft and HealthTrust.      . Hospital Clients; Munroe Regional Medical Center, Ocala, FL, Citrus        Memorial Hospital, Inverness, FL, North Adams Regional Hospital,        North Adams Massachusetts, Self Regional Healthcare, Greenwood, SC,        University Medical Center, Tucson, AZ, St. Elizabeth Healthcare,        Kentucky and OH, NIX Healthcare System, San Antonio, TX and Texas        Healthcare Resources, DFW.      . Experience with all financial groups:  Medicare/Medicare secondary,        Medicaid to include MCO's, Commercial Ins., Home Health Episodic,        Workers Compensation, MVA (liability), Credentialing, Home Healh        and Hospice.      . Clearing houses:  Esolutions, ZirMed, Gateway, Emdeon Vision,        Nextgen and Navicure.      . ICD9/ICD10, CPT, Medical terminology, Payroll and Human Resource        Management, Accounts receivable and payables.