Richard Myers
Canton,GA
Summary
A Recognized Expert in Business Leadership, Experienced in Many Aspects of Service Delivery. Highly accomplished business leader with over 20+ years of comprehensive experience supporting revenue growth and client retention in various industries, including healthcare, insurance and manufacturing. Proven track record of leading and coaching teams to exceed customer expectations while exceeding internal business objectives. Committed to demonstrating flexibility and adaptability to succeed in fast-paced, goal-driven environments while embracing change and welcoming new challenges. Expertise in process management and issue resolution, with the keen ability to identify business needs while successfully overseeing projects and spearheading exceptional customer relations.
Overview
20
20
years of professional experience
1
1
Certification
Work History
Director, Enrollment and Premium Billing
PRESBYTERIAN HEALTH SYSTEM
02.2020 - Current
- Identified service gaps and partnered to implement improvements and reduced department staffing needs by identifying opportunities for automation and increasing electronic processing
- Enrollment oversight included both Fee for Service and Manage Care Programs as well as commercial programs, Medicare, Medicaid as well as other CMS programs
- Manage 23 staff members, including management, analyst and production employees, ensuring customer service, updating and maintenance of Enterprise enrollment
- Team supports the Enrollment for 650,000 members and 2,500 clients with over $20 million in revenue
- Developed and trained staff to improve and meet department quality and production standards
- Collaborated with staff, business partners, and clients through open enrollment season each year with improvement year over year
- Led and supported staff during new system integration and investigated opportunities to partner with outside businesses to integrate systems to enhance workflow
- Analyzed processes and procedures to improve department production and quality.
Sr. Manager, Enrollment
VIRGINIA PREMIER HEALTH PLAN
04.2018 - 02.2020
- Identified service gaps and partnered to implement improvements and reduced friction points as related to Claims, Coordination of Benefits, Patient Pay and Waivers for all Lines of Business for Medicaid and Medicare programs
- Ongoing identification of opportunities for automation and increasing electronic processing
- Managed 12 staff members, including management, Analyst and production employees, ensuring customer service, updating and maintenance of Enterprise enrollment
- Team supported the Enrollment for 250,000 members $10+ million in revenue
- Developed and trained staff to improve and meet department quality and production standards
- Led and supported staff during new system integration and investigated opportunities to partner with outside businesses to integrate systems to enhance workflow
- Analyzed processes and procedures to improve department quality
- Researched and resolved billing & enrollment escalations from clients and business partners.
Manager, Enrollment, Accounts Receivable & Billing - Quality Assurance, Training & Process Improvement
DELTA DENTAL INSURANCE COMPANY
01.2015 - 10.2017
- Tasked with overseeing quality reviews of updates and processes completed in Enrollment, Billing and Accounts Receivables Departments while identifying service gaps and partnering to implement improvements across teams
- Reduced staffing needs by identifying opportunities for automation and increasing electronic processing
- Increased Quality Assurance services by optimizing staff assignments and improving processes
- Supported the Enrollment and Billing processes for over 36 million members with revenues exceeding $500 million dollars annually
- Managed a 19-person team across multiple locations ensuring ongoing accurate quality reviews and division training
- Helped establish new policies and procedures relating to streamlining business practices and staffing efforts to decrease time wasted and improve effectiveness of personnel
- Reduced OT by 75% and Temporary Staffing by 100% using impactful leadership strategies
- Improved overall division production by implementing timesaving, administrative processes
- Developed New Quality Assurance Programs and enhanced existing programs.
Manager, Enrollment & Billing
DELTA DENTAL INSURANCE COMPANY
08.2009 - 01.2015
- Identified service gaps and partnered to implement improvements and reduced department staffing needs by identifying opportunities for automation and increasing electronic processing
- Enrollment oversight included both Fee for Service and Manage Care Programs as well as commercial programs, Medicare, Medicaid as well as other CMS programs
- Supported the Enrollment and Billing processes for over 15 million members with revenues exceeding $200 million dollars annually
- Managed 43 staff members, including management, business staff and production employees, ensuring customer service, updating and maintenance of Enterprise enrollment
- Mediated and resolved associate conflicts and completed evaluations for review purposes
- Developed and trained staff to improve and exceed department quality and production standards
- Collaborated with staff, business partners, and clients through open enrollment season each year
- Led and supported staff during new system integration and investigated opportunities to partner with outside businesses to integrate systems to enhance workflow
- Analyzed processes and procedures to improve department production and quality
- Researched and resolved billing & enrollment escalations from Clients
- Maintained knowledge of policies and procedures for operation growth and understanding
- Helped develop new policies & procedures to streamline business practices and staffing needs.
Supervisor, Enterprise Claims
DELTA DENTAL INSURANCE COMPANY
08.2004 - 08.2009
Education
Business Management & Leadership Studies - Business Management & Leadership Studies
New Charter University
San Francisco, CABachelor of Arts - Religious Education
Massillon Baptist College
Massillon, OH05.1997
Skills
- Operations Management
- Strategic Planning, Analysis
- Resource Management
- Service Delivery
- Process Improvement
- Customer Relations
- Conflict Resolution
- Coaching, Leadership, Mentoring
- Value Stream Mapping
- Decision-Making
- Six Sigma
- Reporting
- Project Management
- Creativity and Innovation
- Organizational Development
- Budget Management
- Business Planning
- Contract and Vendor Management
- Partnerships and Alliances
- Legal and Regulatory Compliance
Certification
- Six Sigma Green Belt Training Scheller School of Business/GA Tech
- Six Sigma Black Belt Training Scheller School of Business/GA Tech
- Crucial Conversations MindSpring Licensed Leadership Training
- Crucial Confrontations MindSpring Licensed Leadership Training
- The 7 Habits for Managers Franklin Covey
Timeline
Director, Enrollment and Premium Billing
PRESBYTERIAN HEALTH SYSTEM
02.2020 - Current
Sr. Manager, Enrollment
VIRGINIA PREMIER HEALTH PLAN
04.2018 - 02.2020
Manager, Enrollment, Accounts Receivable & Billing - Quality Assurance, Training & Process Improvement
DELTA DENTAL INSURANCE COMPANY
01.2015 - 10.2017
Manager, Enrollment & Billing
DELTA DENTAL INSURANCE COMPANY
08.2009 - 01.2015
Supervisor, Enterprise Claims
DELTA DENTAL INSURANCE COMPANY
08.2004 - 08.2009
Business Management & Leadership Studies - Business Management & Leadership Studies
New Charter University
Bachelor of Arts - Religious Education
Massillon Baptist College
Similar Profiles
Sheteria WatersSheteria Waters
Social Work Intern (Inpatient & Outpatient) at Texas Health Presbyterian Behavior HealthSocial Work Intern (Inpatient & Outpatient) at Texas Health Presbyterian Behavior Health
Rebecca Bates CPCRebecca Bates CPC
Certified Professional Coder at Augusta University Health System / Wellstar Health SystemCertified Professional Coder at Augusta University Health System / Wellstar Health System
Rema AlsaidRema Alsaid
Registered Nurse at Texas Health Presbyterian Hospital-Mental HealthRegistered Nurse at Texas Health Presbyterian Hospital-Mental Health
JENNIFER BECHTELJENNIFER BECHTEL
Lead Coordinator at Mark Spain Real EstateLead Coordinator at Mark Spain Real Estate
Teresa ShotzTeresa Shotz
Substitute Teacher at Cherokee County School DistrictSubstitute Teacher at Cherokee County School District