Self-motivated professional successful in seizing viable opportunities for expansion and innovation in business. Background in increasing profits, reducing costs and transforming customer service standards. Experienced in hiring, leading and supervising operational
Overview
14
14
years of professional experience
Work History
Medical Practice Founder/Business Co-Owner
Bioterrorism & Infectious Disease Center for Pediatrics
01.2009 - 08.2022
Processed insurance denials by auditing clinical records and provider documentation, researching procedures and diagnostic codes to determine proper reimbursement; resubmitting claims for payment as denial appeals and corrected claims doubling revenue while reducing denials resulting in over $200,000/provider increase in 3yrs
Cross-trained existing staff to maximize team agility and performance
Utilized Metrics: Aging Analysis Report, Net Collection %, Denial Rate, Unbilled Days and Days to Submit as Key Performance Indicators and increased productivity
A/R Days 120+ 8% (was 25%); Appeal Denial Rate 5%
Developed and implemented updated policies and procedures maintaining compliance with statutory, regulatory and state and federal guidelines relating to HIPAA, benefits, and general liability
Tracked outcomes of payment resolution, appeals, and negotiated claims to ensure goals are met
Implemented best practice standards for billing resulting in substantial reduction of accounts receivable delays
Developed strong partnerships with other businesses to allow for collaboration and more significant opportunities for growth.
Identified business development challenges and customer concerns for proactive resolution.
Business Owner/Operator
Painting With A Twist
09.2012 - 12.2016
Handled team, customer, and operations issues with calm, knowledgeable strategies to keep business on-track against targets
Managed labor, inventory, and overhead costs effectively to maintain business profitability utilizing accounting skills
Safeguarded sensitive business documents such as contracts, employee files, and tax submissions with excellent organizational skills.
Oversaw end-to-end business processes to maintain proficiency and profitability.
Trained and motivated employees to perform daily business functions.
Oversaw business budget planning and administration, accounting functions, purchasing, and weekly payroll to handle financial needs.
Served as primary point-of-contact with suppliers and contractors to achieve inventory expectations.
Education
Bachelor of Arts - Fine Arts
Maryville University of Saint Louis
St Louis, MO
Skills
Staff Management
Consulting
Trends Analysis
Contract Negotiation
Operations Management
Timeline
Business Owner/Operator
Painting With A Twist
09.2012 - 12.2016
Medical Practice Founder/Business Co-Owner
Bioterrorism & Infectious Disease Center for Pediatrics
01.2009 - 08.2022
Bachelor of Arts - Fine Arts
Maryville University of Saint Louis
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