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Yyyyyy x. yyyyyy

3920 Puckett Creek Crossing, #0000 xxxxxx xxxx , xxxx , xxxxx 00000
Telephone: (xxx-xxx-xxxx
 |  abc@xyz.com

 

Eager to contribute excellent healthcare management experience toward supporting a dynamic organization in optimizing bottom-line performance.

 

 

Qualifications Profile

 

         Well-versed in healthcare insurance with an emphasis in provider relations.

         Proven strengths in human resources including recruiting, hiring, training, team-building, and benefits administration.

         Outstanding experience in project and program management, strategic planning and analysis, quality management, healthcare billing, and financial administration.

         Proactively devise and implement administrative and operational procedures to accelerate workflow, reduce expenses, improve brand/company awareness, expand market share, and elevate profitability.

         Ethical and discreet with a solid reputation for integrity, professionalism, and a team player work ethic.

         Exemplary skills in patient and client relations, regulatory compliance and reporting, and contract administration.

 

 

Professional Experience

 

Principal Financial Group, 2010 to Present

Senior Internal Recruiter

  • Solicit potential providers, proactively facilitate contracting process, and drive consistent and seamless communication with providers regarding medical plans and network contracting opportunities. 
  • Manage and maintain up-to-date recruiting database and partner with management and field contractors to swiftly resolve contracting and/or reimbursement issues.
  • Prepare comprehensive reports to illustrate and track recruitment activity and expenses.
  • Explore and analyze gaps in network adequacy for management review and steer efforts to meet or exceed productivity targets.

 

Results Physiotherapy, 2009 to 2010

Physical Therapy Lead Administrative / Technician

  • Combined excellent clinical acumen with high-level administrative expertise to administer therapeutic treatments to patients, instruct patients in performing therapeutic exercises, devise staff schedules, handle Workers Compensation claims, and communicate with case managers and adjusters. 
  • Diligently obtained authorizations, pre-certs, and ACNs from insurance carriers.
  • Ensured and enforced compliance with HIPAA regulations regarding billing/patient accounts.
  • Scheduled patient appointments and physical therapy assessments.

 

Regions Bank, 2008 to 2009

Senior Teller / Vault Teller

         Adeptly performed broad-scope activities such as opening new accounts for customers, processing deposits and withdrawals, cashing checks, maintaining vault, and cross-selling various bank products and services.

 

Continued

 

 

 

Yyyyyy x. yyyyyy, Page 2 to 2

 

Professional Experience continued

 

         Answered inquiries regarding accounts, and handled complaints and escalations with diplomacy and a solution-driven approach.

 

American Endoscopy Services (AES), 2006 to 2007

Implementation Manager

  • Spearheaded delivery and set-up of all equipment and instrumentation for new AES contracted sites.
  • Provided onsite support during transition into reusable instrumentation program and ensured AES employees were capable of properly operating and troubleshooting equipment and instrumentation.
  • Reviewed and processed additional equipment purchases within budget parameters.
  • Established site-specific policies and procedures regarding central sterile department and after-hours AES service instrument processing guidelines and tray call schedules.
  • Addressed physician issues during transition from disposable trocar usage to reusable trocars.
  • Orchestrated in-services to AES personnel and hospital employees on instrument configuration and maintenance.
  • Collaboratively interviewed applicants for Service Specialist and Onsite Manager positions to optimize business continuity and standards compliance.

 

Intermark Medical Innovations, 2005 to 2006

General Manager C U.S. Division 

  • Rapidly promoted from role as Administrator based on proven leadership performance and tasked with managing, motivating, directing, empowering and supervising 40+ independent sales representatives.
  • Proficiently oversaw extensive administrative functions encompassing tax account set-up and maintenance, invoicing, accounts payable and receivable, bank reconciliations, and efficiently processing monthly payroll and commissions.
  • Consistently drove revenue and market share growth by promoting company at industry events, coordinating innovative marketing initiatives, and creating compelling and informative presentations for delivery by sales personnel to targeted accounts.
  • Applied sharp technical savvy toward effectively supporting customers and sales force in product troubleshooting.
  • Demonstrated keen talents in human resources in navigating recruitment efforts, conducting  interviews, hiring new personnel, and administering employee benefits.

 

 

Education

 

Bachelor of Science Candidate, Double Major: Business Management and Healthcare

Middle Tennessee State University

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