Details-focused leader and MBA candidate eager to offer proven Financial / Business Analysis, Medicare Expense Processing, Budgeting / Forecasting, Auditing, Cash Management, Team Building, and

Regulatory Compliance experience toward maximizing an employer s bottom-line results.

 

 

Key Areas of Expertise

Strategic Analysis • Financial / Business Operations • Budgeting / Forecasting • Medicare Expense Processes

Regulatory Compliance • Accounts Receivable • Account Reconciliations • Team Training / Development

Auditing • Variance Reports • Cash Management • Journal Entries • Action Plans • Billing • Collections

 

         Top performer who expertly calculates CMS Medicare payments; determines client performance-based fees; evaluates contractual provisions; creates cash flow statements and cost reports; advises executives concerning billing, collection, reporting, and revenues optimization of payments; and offers strong experience with ICD-9-CM, CPT, and UB-92.

         Out-of-the-box thinker who offers core knowledge of financial analysis and business trends, along with demonstrating talents in liaising among diverse company teams and clientele to create effective strategies within an ever-changing economy.

         Ambitious self-starter who excels at proficiently evaluating financial markets, identifying profitable business growth opportunities, defining strategies for controlling costs, and attaining solid company leveraging in competitive industries.

 

 

         Reduced overall past due accounts receivable from 44% to less than 1% by creating new targeted policies and procedures.

         Spearheaded operations security and success by developing a comprehensive fraud database of credit card offenders.

         Ultimately reduced fraud 95% and received corporate recognition and bonuses due to job performance excellence.

         Achieved five total nominations for Employee of the Quarter and Employee of the Year throughout tenure.

         Honored with Employee of the Quarter in 1996.

 

 

 

Manager Financial & Business Analysis

         Utilize broad scope of industry knowledge and dynamic financial acumen to calculate CMS Medicare payments based on nurse chart reviews, determine client performance-based fees based on CMS payments, and evaluate contractual provisions to ensure reconciliation process requirements are adequately represented and are in compliance with the stated objectives.

         Create targeted cash flow statements for clients based on Medicare guidelines and submission dates, along with partnering among corporate teams to optimize customer service and IT efficiency relating to accounting / finance areas.

         Provide executive-level teams with sound business / financial reimbursement advice concerning the billing, collection, reporting, and optimization of revenues derived from Medicare payments to health plans, along with offering familiarity with diagnosis, billing, and reimbursement schemes (e.g. ICD-9-CM, CPT, UB-92) to guarantee seamless processes.

         Prepare Medicare cost reports in accordance with current governmental guidelines, including ensuring all applicable and appropriate governmental regulations are adhered to in determining the amount of reimbursement due from Medicare.

         Review estimate computations of Medicare net revenues for use in accurate reporting of company financial statements.

         Reconcile monthly estimate differences, as filed reports, and / or audited reports, and make adjustments as necessary.

         Serve as a current CMS member, and handle Encounter Data Industry Updates and Encounter Data Reports and Editing.

         Contribute to a comprehensive internal audit function encompassing validation of RAPS, MOR, and client reconciliations.

         Enhance profitability by interfacing among divisions to interpret financial data / reports and provide recommendations.

         Create, analyze, and provide ad hoc analysis and monthly reporting; communicate monthly billing, collection and accounts receivable issues; and maintain, generate, and review monthly on-going analytical projects for senior-level staff.

         Develop annual budgets, monitor actual operating results versus budgets, and maintain periodic forecasts of key results.

 

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Director of Finance Mass / Drug & Retail Source Divisions

         Strategically analyzed financial and operating statements relevant to regional management of an $81-million division, including assessing financial performance indicators and supporting senior teams with budgets and forecasts preparation.

         Monitored operations for efficiency and profitability, along with providing integral financial leadership and investigating key improvements and cost control opportunities while ensuring realistic expectations supported by action plans.

         Liaised among corporate office and clients to execute cash revenue realization, including implementing core accounting processes throughout the division to guarantee compliance with strict Sarbanes-Oxley Act requirements.

 

Financial Analyst Mass / Drug Divisions (2000 C 2001)

         Expertly analyzed financial statements for a $25-million division servicing Wal-Mart, Target, Kmart, and major drug stores, including creating ad hoc reports to assist in managing financial controls, directing all billing and collection processes, preparing expense to budget variance reports, and auditing commissions on top 40 clients of a Wal-Mart team.

         Collaborated in strategically allocating budgets and preparing forecasts to control costs and boost bottom-line profits.

 

Supervisor Accounts Receivable Analyst (1997 C 2000)

         Managed all cash applications for unscheduled and bonus revenue; created spreadsheets for daily bank deposits, unscheduled and bonus revenue, and unauthorized deductions; entered billings and accruals; and researched discrepancies.

         Processed journal entries, generated reports to balance cash, and updated system with invoices entered by branch personnel, along with batching checks and balancing bank deposits and assisting management teams with special projects.

         Demonstrated strong communication and interpersonal relations skills toward training, supervising, and mentoring a 20-member staff (including accounts receivable analysts), and fostered cooperative team work to achieve set objectives.

 

 

Master of Business Administration

~ Emphasis in Finance, In Progress ~

University of Dallas

 

Bachelor of Science in Business Administration

~ Emphasis in Accounting ~

University of Phoenix

 

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