ROSA DJANIKIAN

*** * ********* **, #***, Glendale, CA 91206

818-***-****

E-mail: acroun@r.postjobfree.com

Objective:

Certified Six Sigma Green Belt with comprehensive background in healthcare industry. Proven success in achievement of annual and periodic goals for significant statistical indicators of revenue cycle performance and the management of all reimbursement functions relating to governmental and other third party payers. Highly effective in leading the conceptual design and developing action plans that drive strategic initiatives to improve functional area efficiencies and effectiveness. A strong employee advocate that fosters a positive and proactive work environment, emphasizing respect for individuals, high standards of quality, customer service, innovation and team work. Strong interpersonal, problem-solving and analytical skills. Consistently promoted to positions of increased responsibility.

Experience:

Revenue Cycle Consultant, YZK Business Support, Project Manager

02/2015 – present Burbank, CA

Perform root cause analysis and develop strategies to increase efficient cash collections by reducing backlogs, aging, days outstanding, payer issues; implement policy and procedure changes across the Revenue Cycle in an effort to reduce bad debt.

Manager of Account Receivables, Secondary and Case Rates Departments, IPC the Hospitalist Company

01/20014 – 12/2014 Los Angeles, CA

Responsible for monitoring, reporting, reconciling, and adjusting accounts receivables and related payments for Secondary payers as well as Primary contracted payers within 28 states including Medicare, Medicaid, MCO and private insurances for Hospitalist Physicians and sub-specialty Doctors.

Led and provided operational directives for all Business office activities related to the claims management and collections of Accounts Receivables and ensured timely, efficient cash collections to support the overall financial goals of the facility.

Reviewed and analyzed large volume of data and prepared statistical reports to monitor trends and determine operational deficiencies, identified potential departmental problems impacting day-to-day department productivity and performance; implemented corrective action plans as necessary.

Analyzed large volume of data, and reconciled payer payments against Parity expectations based on Affordable Care Act regulations;

Managed 25 direct reports building strong interpersonal relationship, coached employees and provided clear instructions/directions, due dates, and monitored eompletion of assignments.

Managed large scale projects including reporting, coordinating, status updates and meeting project time lines. Provided key data to support Director/VP decision-making;

Developed and executed training plans for the department, facilitated the ongoing learning, well-being, professional satisfaction and development of staff through work assignments, increased responsibility and mentoring.

Developed budgetary plans, programs, and guidelines to ensure the team’s strict adherence with financial guidelines and requirements.

Manager of LA County department, Third Party Liability / Insurance Division, USCB America

09/2012-01/2014

Responsible for operational management of billing, follow up and collection units of 32 employees,

accountable for inventory of LA County hospitals: Harbor UCLA, Martin Luther King, LAC USC, Olive View, Rancho Los Amigos, High Dessert as well as clinics; Good Samaritan Hospital; set departmental goals and objectives; organized and assigned work to unit supervisors and leads; developed strategies to increase production results;

Identified recurring issues within the Revenue Cycle that were contributing negatively to Accounts Receivable management (insurance verification, billing and collections, contracting, etc.); collaborated with senior management as needed to suggest, develop, and implement policy and procedure changes across the Revenue Cycle in an effort to reduce bad debt.

Supported senior management preparing ad-hoc analysis and reports as requested; developed key indicators to streamline processes within Revenue Cycle and performed special projects to increase the cash flow; completed research and prepared reports for clients accurately and in timely manner:

Effectively communicated and interacted with clients (hospitals, clinics, physicians); managed client relationship with LACO department in all areas of the Revenue Cycle and coordinated response to client concern/issues effectively with the Management team;

Ensured compliance with federal, state, and regulatory billing and collection guidelines through the performance of regular quality reviews and providing regular updates and in-services regarding changes to department employees;

Assisted with development of operating and capital budgets; controlled wage and non-wage expenses in accordance with the budgetary guidelines;

Supervisor of Insurance Collection Unit, Patient Financial Services, Medtronic Inc

03/2005 – 09/20012 Northridge, CA

Responsible for the operational management of insurance collection unit of 22 employees within Patient Financial Services. Responsible for designing, implementing and enforcing policies and procedures, as well as streamlining effective billing processes across multiple markets.

Directed all aspects of accounts receivable management including achievement of all departmental goals related to cash collection, days of sales outstanding, and bad debt management. Ensured compliance with federal, state, and regulatory billing, coding and collection guidelines through the performance of regular quality reviews and providing regular updates and in-services regarding changes to all unit staff;

Prepared and participated in the preparation of various reports/dashboards regarding the status of the unit in terms of backlogs, agings, days outstanding, issues, accounting for any deviations from department expectations as needed. Analyzed and approved write-offs, refunds and contract adjustments; investigated unidentified cash and resolved misdirected payments;

Interviewed and hired job applicants. Mentored, supported and trained employees to perform effectively, provided performance feedback on a regular basis to all employees directly; counseled and initiated corrective actions for deficiencies in performance as necessary, following departmental guidelines.

Supervisor of Billing Department, Millennium Clinical Labs, Inc

02/1995 – 02/2005 Burbank, CA

Directed staff of 12+ employees responsible for billing operations (including data entry, billing, coding, collections, refunds, patient billing and collections),

Audited all claims on a daily basis prior to submission; managed payer issues based on requirements/regulations; established daily work flow priorities and assignments for the team; monitored employees’ daily performance and productivity;

Mentored and coached team providing development opportunities, implemented corrective action and further development plans as necessary; trained employees in customer service, insurance billing and collections;

Enhanced the lines of communication with referring physicians, coordinating and disseminating information and updates; provided excellent customer service to establish positive relations with physicians and their practice staffs in order to enhance client’s satisfaction.

Education:

University of Phoenix, Master’s Degree in Business Management with emphasis in Healthcare Administration

Certified Lean/Six Sigma Green Belt, Medtronic

Glendale Career College: Business Administration, Business Law

State University of Foreign Languages, Yerevan, Armenia, Bachelor’s degree in Language Arts

Nursing School, Yerevan, Armenia, Diploma of Nursing

Computer skills:

Microsoft Word, Microsoft Office; Microsoft Excel, GE Centricity (IDX), SAP, Stockamp, Power Point, Adobe Photoshop, Minitab, Outlook, e-Premis, Emdeon, Affinity, Artiva, Office Ally, Kareo, Med 2000.

Language skills:

English, Armenian, Russian

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