JOHN F. HILL II
Hill Homes, LLC
Middleburg,USA
26
years of professional experience
Managerial professional with proven record of streamlining processes and leading high-performing teams. Known for strong analytical skills and commitment to achieving results. Teams rely on collaborative leadership and adaptability to changing needs.
Work History
Denials Manager
- Established internal denials department, enhancing claims management processes.
- Developed SOPs, training materials, QA standards, KPIs, and dashboards to streamline operations.
- Managed 50+ staff across stateside and overseas teams.
- Analyzed reimbursement trends to reduce denials.
- Delivered weekly updates to Directors and VPs, ensuring alignment on denial trends.
- Utilized Power BI, JIRA, Google Suite.
Owner / Project Manager
2 Years 8 Months- Managed daily operations for residential remodeling projects, ensuring timely completion and customer satisfaction.
- Built strong customer relationships, resulting in increased repeat business.
- Led company growth through targeted marketing strategies, enhancing brand visibility and attracting new clients.
Enterprise Denial Management Supervisor
1 Year- Led nurses and analysts in developing clinical appeal letters to enhance appeal success rates.
- Implemented triage process reducing inventory by 68%.
- Streamlined appeal processing time to enhance efficiency. to under 30 days.
- Overhauled department processes and metrics to streamline operations and improve performance tracking.
- Built and maintained reports using EPIC, Tableau, Business Objects, and Excel to provide actionable insights for decision-making.
HCA Clinical Appeals Manager
4 Years- Supervised a team of over 20 analysts and collectors in data management.
- Monitored productivity and ensured KPI compliance across teams.
- Engaged with payers in DMAT and JOC meetings to streamline appeals process.
- Served as interim Director presenting MOR to Division CFO.
- Facilitated cash collection strategies that led to record-breaking monthly totals.
HCA Medicaid AR / Collections Manager
1 Year- Led Medicaid collections team of 11, ensuring effective operations and support.
- Analyzed inventory trends to identify and resolve claim errors.
- Developed strong relationships with payers and departments to enhance collaboration.
Appeals Team Lead
2 Years- Led daily operations for 20-person appeals team, ensuring timely responses to appeals.
- Enhanced operations by streamlining workflows in the department.
- Led team in optimizing workflow processes for enhanced efficiency and productivity.
- Coordinated cross-functional communication to ensure alignment on project goals and deliverables.
- Mentored junior staff, providing guidance on best practices and professional development.
Owner / Project Manager
9 Years- Oversaw operations for residential remodeling business, ensuring project completion within timelines and budget.
- Developed strong relationships with customers to enhance service satisfaction.
- Managed residential construction projects from inception to completion, ensuring quality and compliance with regulations.
- Developed and implemented effective marketing strategies to increase brand visibility and client acquisition.
- Oversaw budgeting and financial planning, optimizing resource allocation for maximum profitability.
Membership Representative
2 Years- Recruited households in three states to enhance Nielsen TV Ratings data collection.
- Achieved a close rate of 75% by effectively engaging with potential clients.
- Engaged with members to understand needs and enhance satisfaction levels.
- Assisted in onboarding new members, ensuring smooth integration into services.
- Managed member inquiries through various communication channels efficiently.
Sales / Store Manager
4 Years- Oversaw operations of three stores in Metro Atlanta, ensuring consistent sales performance.
- Trained and supervised over 30 sales representatives, enhancing team capabilities and service delivery.
- Achieved ranking among top 5% of sales performers by consistently meeting and exceeding targets.
Education
Bachelor’s - Business Management
Candidate for Bachelor’s in Business Management
Skills
Leadership & Team Management
Denial Management & Revenue Cycle Operations
Process Improvement & Change Management
KPI Development & Reporting
Relationship Building & Collaboration
Training & Staff Development
Project Management
Strategic Problem Solving
PowerBI
Team leadership
Time management
Decision-making
EPIC
Tableau
Business Objects
JIRA
Google Suite
Timeline
Denials Manager
Natera
01.2024 Read More
Owner / Project Manager
Hill Homes, LLC
01.2024 - CurrentRead More
Enterprise Denial Management Supervisor
Mayo Clinic
01.2022 - 01.2023Read More
HCA Clinical Appeals Manager
Parallon
01.2018 - 01.2022Read More
HCA Medicaid AR / Collections Manager
Parallon
01.2017 - 01.2018Read More
Appeals Team Lead
Parallon
01.2015 - 01.2017Read More
Membership Representative
Nielsen Company
01.2011 - 01.2013Read More
Owner / Project Manager
Hill Homes, LLC
01.2006 - 01.2015Read More
Sales / Store Manager
The Mattress Firm, Inc.
01.2001 - 01.2005Read More
Georgia Southwestern University
Read More
Grantham University
Bachelor’s from Business Management
Read More