ROBIN L. ROONEY
***** ******* ***** *****, **********, FLORIDA 34786
acgco1@r.postjobfree.com
Focused and dedicated professional, pursuing a challenging role to fully utilize comprehensive background in operations,
personnel, nursing care management, and sales. Possess a strong knowledge of nursing and healthcare principles and policies,
impeccable work ethic, and remarkable organizational skills to efficiently manage tasks and priorities. Exemplify analytical
problem-solving aptitude to develop innovative solutions and resolve complex issues. Demonstrate adeptness in performing with
and leading highly proficient teams of professionals. Exhibit articulate communication and interpersonal skills to build and
strengthen positive work relationships with diverse individuals. Leverage technical proficiency with Microsoft Office Suite
(Word, Excel, and Outlook), Microsoft Visio, PeopleSoft, and GreenLight.
- FUNCTIONAL SKILLS WITH EXPERIENCE
LEADERSHIP AND PROFESSIONAL DEVELOPMENT
- Assumed full responsibility in providing strategic leadership, guidance, and direction to 21 corporate office personnel
and 75 independent contract auditors for HealthDataInsights to deliver outstanding support to client service operations for 20
active audit clients
- Restructured job positions and added three new positions to establish a more team–oriented, efficient, and quality–
driven approach in aligning with corporate mission and goals
- Functioned as a lead member of the company ISO team to enable the company to receive ISO certification in 2008 and
maintain credentialing to date
- Developed quality assessment and tracking tools to facilitate timely processing and training of documents
- Led numerous training and educational sessions for many areas of clinical knowledge, including cardiopulmonary
resuscitation, first aid, and blood borne pathogens
- Designed and implemented a strategic orientation program, recruited new talents, and enlisted agencies and experts to
conduct seminars and presentations on topics relevant to the targeted population
- Performed as subject matter expert to assist the Recoupment Department in managing and resolving challenging recoupment
issues
- Played a major role as part of the Care Plan Advisory Committee to manage compliance with regulatory policies and
participate in annual state inspections
OPERATIONS MANAGEMENT
- Served as clinical resource and account manager for all clients in analyzing medical bills for discrepancies, as well as
in supporting meetings and onsite sales presentations
- Utilized various information and computer systems to evaluate and process medical claim electronic submissions and
spearheaded numerous system enhancements to better evaluate and more efficiently review medical bills
- Assumed responsibility in projecting revenue and ascertaining weekly forecast objectives were met
- Keenly oversaw special project operations
- Actively coordinated with payers and hospitals to review appeals
- Acted as the primary point of contact for the Legal Department
- Oversaw all accounting and financial functions, including management of accounts payable, accounts receivable, and
payroll
- Functioned as primary point of contact for the American Heart Association (AHA) and the National Safety Council (NSC)
- Exhibited keen expertise in managing sales operations for defibrillators and medical equipment
- Teamed up with the Nurse Management Team to initiate facility-wide training, planning, organization, implementation, and
evaluation
- Showcased proficiency in intra-aortic balloon pump (IABP) and advanced cardiovascular life support (ACLS)
- WORK CHRONOLOGY
HEALTHDATAINSIGHTS - ORLANDO, FL
Director of Audit Services 2012–2014
Manager of Audit Services 2007–2012
- Received recognition for pioneering strategic initiatives to improve corporate revenue by two-fold
H.E.A.R.T. EDUCATORS, LLC - GOTHA, FL
Owner 1997–2007
- Functioned as the managing member lead instructor and facilitator, and devoted efforts to be recognized as one of the
top ten training centers for the state of Maryland
THE PARKS HEALTHCARE AND REHABILITATION - ORLANDO, FL
Nurse Manager Education Director Infection Control Director 2006–2007
DR. WALTER GIBLIN - ROCKVILLE, MD
Head Nurse 1993 - 1997
WASHINGTON ADVENTIST HOSPITAL - TACOMA PARK, MD
Surgical Intensive Care Open Heart Unit (SICU) Nurse Rotating Charge Nurse 1980 - 1993
- EDUCATION AND CREDENTIALS
Registered Nurse Washington Hospital Center School of Nursing - Washington, DC
Registered Nurse: State of Florida (Valid Until: Apr 2015)
- PROFESSIONAL AFFILIATION
American Association of Medical Audit Specialists (AAMAS)