Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Strong leader and problem-solver dedicated to streamlining operations to decrease costs and promote organizational efficiency. Uses independent decision-making skills and sound judgment to positively impact company success.
Overview
22
22
years of professional experience
Work History
Revenue Cycle Manager/Business Office Manager
Drumright Regional Hospital
10.2013 - Current
Improved revenue cycle efficiency by streamlining processes and implementing best practices.
Increased cash flow through timely resolution of payer denials and underpayments.
Implemented process improvements, ensuring accurate charge capture and coding compliance.
Collaborated with clinical departments to optimize charge capture, documentation, and billing processes.
Performed banking, business administration and financial tasks to guarantee five-star service for clients.
Established internal audit procedures to validate and improve accuracy of financial reporting.
Increased team productivity by implementing streamlined processes and effective communication strategies.
Reduced operational costs through comprehensive process improvement initiatives and resource management.
Accomplished multiple tasks within established timeframes.
Maintained professional, organized, and safe environment for employees and patrons.
Maximized performance by monitoring daily activities and mentoring team members.
Onboarded new employees with training and new hire documentation.
Developed and maintained relationships with customers and suppliers through account development.
Developed targeted strategies for improving patient registration accuracy and reducing errors.
Claims Examiner/Customer Service/Auditor
Blue Cross Blue Shield Of Oklahoma
04.2002 - 12.2012
Reduced claim processing time by implementing efficient workflow strategies and prioritizing tasks effectively.
Enhanced customer satisfaction by promptly addressing inquiries and providing accurate information on claim status.
Interpreted policy provisions, endorsements, and exclusions to accurately determine coverage for claims.
Conducted thorough investigations of complex claims, gathering relevant documentation and interviewing witnesses when necessary.
Assisted in the development of training materials for new Claims Examiners, fostering a supportive learning environment.
Improved overall efficiency within the department by streamlining processes and eliminating redundancies where possible.
Served as a mentor to junior examiners, sharing expertise and providing guidance on best practices within the field of claims examination.
Provided exceptional customer service by empathetically addressing claimants'' concerns and effectively explaining the claims process to them.
Handled sensitive information with discretion, ensuring confidentiality of personal and financial details for claimants throughout the claims examination process.
Examined claims forms and other records to determine insurance coverage.
Education
No Degree - General Studies
Tulsa Community College
Tulsa, OK
No Degree - General Studies
Rogers State University
Claremore, OK
High School Diploma -
Cleveland High School
Cleveland, OK
05.1988
Skills
Medical Billing
Account Resolutions
Budgetary Analysis
Procedure Optimization
Account Monitoring
Critical Thinking
Process Improvement
Account Reconciliation
Organizational Skills
Adaptability
Denial Resolution
Performance Metrics
Problem Solving
Strategic Planning
Time Management
Team Leadership
Multitasking
Decision Making
Customer Service
Employee Training Oversight
Business Relationship Management
Proactive and Focused
Data Analysis
Timeline
Revenue Cycle Manager/Business Office Manager
Drumright Regional Hospital
10.2013 - Current
Claims Examiner/Customer Service/Auditor
Blue Cross Blue Shield Of Oklahoma
04.2002 - 12.2012
No Degree - General Studies
Tulsa Community College
No Degree - General Studies
Rogers State University
High School Diploma -
Cleveland High School
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