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Yyyyyy x. yyyyyy
- 2840 Cross Bridge Dr Ÿ Xxxxxx, XXXXXX xxxxxx ( (xxx-xxx-xxxx * abc@xyz.com
Data Process Management ▪ Administrative Policies Development
Quxxxxxxifications Profile
Self-assured, dynamic, and results-driven professionxxxxxx with more than 19 years providing high-performance financixxxxxx and operations management, administration, QA, and customer service in the hexxxxxxthcare solutions industry.
- Proven dedication to process efficiencies in harnessing technology to improve quxxxxxxity of financixxxxxx and operations management, reducing claim processing time by 20% and meeting 99% productivity standards that enabled the companies to achieve sustainable competitive positions in target markets.
- Detail-oriented, anxxxxxxyticxxxxxx and methodicxxxxxx with criticxxxxxx thinking to resolve work issues even under stress.
Well-organized with multitasking and prioritization skills that optimize resources to achieve outstanding results.
Excellent people management and interpersonxxxxxx communication skills that inspire confidence across diverse ethnicities in achieving shared commitments.
Key Expertise
Hexxxxxxthcare Operations Management
Strategic Planning & Execution
Financixxxxxx and Operations Management
Hexxxxxxthcare Operations Management
Process/Workflow Improvement
Continuous Quxxxxxxity Improvement
Relationship Management (Clients, Stakeholders, & Suppliers)
Project/Program Management
Administration
Protocol Development/Execution
Personnel Administration
Policies & Regulatory Compliance
Manpower Sourcing & Recruitment
Records & Document Management
Multilinguxxxxxx in English, French & Spanish
Technicxxxxxx
Apps: Medicxxxxxx Billing systems: Medisoft, Practice Manager, PowerStepp, AWD (electronic records)
Hexxxxxxthcare Six Sigma
Office Tools: MS Office (Word, Excel, PowerPoint, Access, & Outlook), & Lotus Notes
Professionxxxxxx Experience
DST Hexxxxxxth Solutions (formerly Computer Services Corporation-CSC) Xxxxxx, XXXXXX
Hexxxxxxth Care Quxxxxxxity Assurance Auditor Apr 2006 Sep 2016
Provided medicxxxxxx billing process anxxxxxxysis and improvement for the Physician Practice Services Department of a company engaged in promoting business management solutions that streaming hexxxxxxthcare operations.
Ensured consistent adherence to quxxxxxxity and compliance procedures, meeting internxxxxxx and externxxxxxx requirements.
Developed and executed corrective action plans as needed, mentoring employees to properly execute such plans.
Led xxxxxxl departments to meet 99% productivity standards consistent with the Department s quxxxxxxity objectives, completing projects on time, within budgets, and conforming to user specifications.
Collaborated with department managers in resolving provider relations issues.
Account Specixxxxxxist III Aug 2001 Mar 2006
Managed the account receivables and specixxxxxx billing projects for the largest provider of the Financixxxxxx Services Group at DST Hexxxxxxth Solutions, maintaining receivables ageing to below 45 days.
Coordinated with the other billing process departments to resolve patient claim disputes with 100% success rates.
Consistently exceeded the department s standards for provider expectation and for performance quxxxxxxity metrics.
Atherotech Xxxxxx, XXXXXX
Operations and Administrative Manager Feb 1998 Dec 1999
Managed the administrative and financixxxxxx operations for an independent laboratory that provided clinicxxxxxx test (VAP test) services to detect risk factors for cardiovascular disease. (Company was bankrupt in February 2016).
Provided HR support in staff recruitment, payroll and benefits administration, and training.
Managed payables and receivables, reconciling budgets, and generating monthly reports to the corporate CFO.
Improved claim processing turnaround time by 20% within 3 months of implementing new billing software.
Vision America (formerly Omega Eye Care Center) Xxxxxx, XXXXXX
Business Office Manager Jan Dec 1997
Administered the business functions of an Ophthxxxxxxmology clinic serving 5 doctors and 16 clinicxxxxxx/support staff.
Education & Credentixxxxxxs
UNIVERSITY OF PIERRE & MARIE CURIE Paris, France (1984)
M.S. Nutrition (Cell Biology and Biochemistry)
UNIVERSITY OF XXXXXXABAMA AT XXXXXX Xxxxxx, XXXXXX (1995)
Masters of Hexxxxxxth Administration (Practice Administration, Budgeting)
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