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Billing Manager Resume Charlton, MA
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Title Billing Manager
Target Location US-MA-Charlton
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Phone Available with paid plan
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                                      Candidate's Name
                                  Street Address
                                             PHONE NUMBER AVAILABLE
                                     EMAIL AVAILABLE

                                     Business / Office Manager
           Managing People, Facilities, Processes and Finances in Healthcare Environments

 Dynamic business office manager with exceptional business and people management skills. Broad and
  deep expertise in the healthcare business and clinical processes, ranging from Budgeting, Operations
         Management and Policy Development to Coding, Billing, Reporting and Compliance.

      Business operations management                -   Staff training and retention
      Process & operations management               -   Performance appraisals
      Budget development & administration           -   Benefits administration
      Problem solving & multi-tasking               -   Personnel policies
      Billing software                              -   Managed care
      5+ Years Medical billing & Collections        -   Accounts payable & receivables
      Coding                                        -   Processing claims
      Compensation                                  -   5+ Years Supervising employees
      Accounting                                    -   Customer Service
      Recruitment                                   -   Reports & Statistics

Billing Manager, CVS Health Minute Clinic                                            2010-2015
Part of team who transitioned Minute Clinic operations from Minneapolis, MN to Woonsocket, RI

      Supported growth from approximately 400 clinics in 2010 to approximately 1000 clinics in 2015
       with no increase in the number of billing associates
      Managed all correspondence via mail and outside billing service, unposted funds, special offers,
       medical records requests, laboratory invoicing, claims corrections related to new medical records
       system, insurance refunds, patient concerns follow up, and medical services benefit programs
      Worked directly with enterprise partners to move the medical services benefit program from a
       pilot to fully operational. Also worked with internal and external teams to create talking points for
       call center agents, clinical field staff and billing and AR teams related to CVSHealth medical
       services benefit program.
      Liaised with other departments to improve current medical services benefit program operations
       and develop clear area of responsibility and opportunities for automation.
      Worked directly with internal and external departments related to escalated claims issues to ensure
       appropriate action was taken and followed to completion.
Call Center Manager                                                                      2010 - 2014
CVS Health Minute Clinic Billing Call Center

      Managed daily operations for a team of 13 call center agents and 1 supervisor; adjusted staffing
       to meet call volume demands and increased call center operations hours to accommodate
       acquisition of clinics in Hawaii
      Maintained a call answer rate of approximately 95% of approximately 5000 calls per week
      Maintained and updated call polices as related to medical billing practices; provided reports and
       statistics for monthly financial reporting
      Responsible for recruitment, retention and training of all new agents, responsible for midyear and
       year end evaluations

Business Office Manager                                                                  2004  2009
Worcester Surgical Center, Worcester, MA

      Co-administrator during interim period responsible for day to day operations of multi-specialty
       ambulatory surgery center with 4 operating rooms and 1 procedure room overseeing a staff of 45
       employees with a case volume of approximately 450-500 procedures per month
      Increased cash flow and reduced AR days by approximately 25% by orchestrating, implementing
       and training staff with a new clearinghouse for electronic medical claims submission
      Improved efficiency by reviewing and reassigning job responsibilities while maintaining monthly
       production standards
      Developed office procedures to ensure that new Federal guidelines regarding HIPPA standards
       and ownership disclosure were implemented without causing any cancellation of surgical
       procedures
      Participated in Quality Assurance programs and activities including areas of safety, medical
       records maintenance, OSHA compliance, patient satisfaction, physician satisfaction and risk
       management for State and Federal accreditations

                                  ~~~~ Early Career Experience ~~~~

Human Resources Manager
Anchor Health Centers, Naples, FL
    Payroll and benefits needs for approximately 150 employees (using ADP software for payroll)
    Accounts payable for several physician practices processing 45  50 invoices per week

Part time sales associate  Kohls Department Store, Millbury, MA
Part time receptionist  Bruce Fieldman, D.D.S., Auburn, MA
Per Diem sales associate  Millbury Town Florist, Millbury, MA

                            ~~~~ Education and Professional Training ~~~~

Associates Degree in Business  Edison Community College, Naples, FL
Certified Risk Manager  American Institute of Medical Law, Fort Lauderdale, FL
Certified Medical Secretary  Salter Secretarial School, Worcester, MA

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