Summary
Overview
Work History
Education
Skills
Timeline
Generic

Susan Guinn

Fenton,MO

Summary

Meticulous Revenue Cycle Manager with strong background in continuous improvement and revenue performance analysis. Focused and organized with demonstrated success in achieving company goals through increased efficiency initiatives illustrated over 20 years of healthcare success. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.

Overview

20
20
years of professional experience

Work History

Revenue Cycle Manager

Molecular Testing Labs
02.2014 - Current
  • Assessed current revenue cycle procedures and implemented improvements to foster efficiency.
  • Monitored and guided revenue cycle operations.
  • Analyzed business processes to identify cost savings and operational efficiencies.
  • Established internal audit procedures to validate and improve accuracy of financial reporting.
  • Completed financial reporting and analysis for billing revenue cycle.

Billing Manager

PohlmanUSA
02.2010 - 02.2014
  • Reviewed billing problems, researched issues, and resolved concerns.
  • Trained and mentored staff on procedures, compliance requirements, and collections techniques.
  • Worked with customers to develop payment plans and bring accounts current.
  • Managed monthly billing process to complete billings and returns to meet company revenue recognition policies.
  • Conducted performance reviews and implemented improvement plans.
  • Supported financial director with special projects and additional job duties.

Business Analyst

RehabCare
10.2009 - 02.2010
  • Interacted with internal customers to understand business needs and translate into requirements and project scope.
  • Collaborated with stakeholders to define project objectives and criteria.
  • Performed gap analysis to identify areas of improvement.
  • Improved business direction by prioritizing customers and implementing changes based on collected feedback.
  • Applied honed problem-solving skills to analyze and resolve issues impacting business operations and goal achievement.

Provider Relations Manager

Mercy Care Plus
08.2007 - 10.2009
  • Researched and resolved disputes, billing discrepancies and claims efficiently to maintain customer satisfaction, boosting satisfaction ratings.
  • Managed provider relations mailbox by triaging inquiries, facilitating resolution of incoming requests and forwarding requests to appropriate parties.
  • Answered provider inquiries via email, telephone and written correspondence.
  • Fostered strong, positive relationships with key providers by coordinating, facilitating and leading partnership meetings and identifying on-site enrollment opportunities.
  • Developed, reviewed and prepared provider education material, increasing efficiencies in processes.
  • Maintained positive customer relations by addressing problems head-on and implementing successful corrective actions.
  • Established team priorities, maintained schedules and monitored performance.
  • Evaluated employee performance and conveyed constructive feedback to improve skills.
  • Established performance goals for employees and provided feedback on methods for reaching those milestones.

Senior Trainer

Centene
10.2006 - 08.2007
  • Developed and implemented lesson plans and teaching aids such as reference materials
  • Coordinated training for new hires to impart information about company policies, requirements and performance strategies.
  • Evaluated training needs to improve training quality.
  • Developed and improved training courses to increase staff performance and overall training effectiveness.
  • Oversaw day-to-day functions of training department.
  • Assessed staff performance and training effectiveness, capitalizing on opportunities to develop new training programs and improve existing courses.

Director Billing Program

St. Louis College Of Health Careers
04.2003 - 01.2006
  • Worked cooperatively with other teachers, administrators, and parents to help students reach learning objectives.
  • Incorporated multiple types of teaching strategies into classroom.
  • Incorporated exciting and engaging activities to achieve student participation and hands-on learning.
  • Graded and evaluated student assignments, papers, and course work.
  • Conducted evaluations to measure performance and progress of students, providing guidance for areas requiring improvement.
  • Planned and implemented integrated lessons to meet national standards.
  • Developed and implemented classroom routines to address varying student needs.
  • Modified lessons and curriculum to accommodate diverse learners by using strategies such as peer-assisted learning and group work.
  • Shifted between formal and informal methods of teaching to keep students engaged.
  • Prepared quizzes, tests and examinations to gauge how well students were learning.
  • Complied with HIPAA privacy and security regulations to protect patients' medical records and information.

Education

Associate of Arts - General Studies

St. Louis Community College
St. Louis, MO

High School Diploma -

Hancock Sr. High School
St Louis, MO
09.1987

Skills

  • CRM Tracking
  • Spreadsheet Tracking
  • Organizational Systems
  • Account Resolutions
  • Customer Accounts Management
  • Account Analysis Expertise
  • Insurance Negotiation
  • Billing Cycle Performance
  • Operational Efficiency
  • Compliance Requirements
  • Collections Actions
  • Write Reports
  • Build Customer Relationships
  • Excellent Team Leadership
  • In-Depth Research
  • Customer Communication
  • Recruit Well-Qualified Staff
  • Quality Improvement Plans
  • Account Monitoring
  • Revenue Performance
  • Coordinate Training
  • Continuous Improvement Process
  • Manage Cash Flow
  • Revenue Cycle Management
  • Financial Reporting and Analysis
  • Professional Relationships
  • Adult Education
  • Leadership Development
  • EMR Systems
  • Special Projects
  • Medical Billing and Coding
  • Medical Terminology

Timeline

Revenue Cycle Manager

Molecular Testing Labs
02.2014 - Current

Billing Manager

PohlmanUSA
02.2010 - 02.2014

Business Analyst

RehabCare
10.2009 - 02.2010

Provider Relations Manager

Mercy Care Plus
08.2007 - 10.2009

Senior Trainer

Centene
10.2006 - 08.2007

Director Billing Program

St. Louis College Of Health Careers
04.2003 - 01.2006

Associate of Arts - General Studies

St. Louis Community College

High School Diploma -

Hancock Sr. High School
Susan Guinn