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Customer Service Manager, Supervisor, Management

Location:
Upland, CA
Salary:
$60,000
Posted:
February 09, 2016

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Resume:

Sean Brigman

**** *. *** ******

Upland, CA *****

909-***-****

actgoe@r.postjobfree.com

Career Summary

I have spent the past eight-plus years in the healthcare industry. Currently, I am employed at Loma Linda University Medical Center, serving as the Supervisor of the Data Posting department for the past five months after working as a legal account assistant and collector. Prior to this, I worked at Pomona Valley Hospital Medical Center, where I had the opportunity to further sharpen my skills in the healthcare industry in both the financial and patient care aspects.

I also have experience in the food service industry, working for nearly seven years at Boston Market, where I worked my way all the way up to being the General Manager of the Rancho Cucamonga location five years after beginning as a meat carver.

Education

California State University Los Angeles, Los Angeles, CA (September 2008-June 2011)

Bachelor’s Degree in Television, Film and Media Studies, Option of Broadcast Journalism

Dean’s List: Spring 2009, Fall 2009, Spring 2010, Fall 2010

Overall GPA of 3.6

Chaffey Community College, Rancho Cucamonga, CA (August 2001-May 2004)

Associate’s Degree, General Education and Liberal Arts and Sciences

Employment History

Loma Linda University Medical Center, Loma Linda, CA (September 2014-Present)

Supervisor, Data Posting (July 2015-Present)

Supervise four posters and two collectors to properly balance and post insurance and patient payments received, bringing in between $90-$100 million monthly towards the hospital’s bottom line

Oversee six file clerks responsible for accurate scanning and distribution of important correspondence for every department associated with the business office

Run daily reports every morning from the previous day on Trust Commerce for proper payment and retraction credit card transactions to be posted into Epic by my posters

Responsible for reporting electronic and lockbox numbers to management twice a day via e-mail and run both payment posting and adjustment reports in Epic for both departmental and management records

Hold weekly hour-long meetings with staff to discuss important matters and issues pertaining to our department to maintain focus and encourage continual growth through written agendas and plans

In charge of completing annual appraisals for staff consistently provide constructive feedback when necessary to ensure constant employee growth

Promote a healthy working environment through a positive attitude with a main focus of working as a team to meet departmental goals and continually improve as a whole

Collector, Self-Pay (September 2014-July 2015)

Was primarily in charge of being the main source of contact with the business office’s legal vendor, Gresham-Savage, in the handling of legal documents and packets for higher dollar accounts over $5,000.00 involving motor vehicle accident or Workers’ Compensation cases

Prepared medical records when requested by Gresham-Savage and prepared legal packets to be sent to Gresham-Savage

Updated Medicare, Medi-Cal or Commercial insurances before forwarding to the appropriate billers for new claims to be sent

Updated COB information with Medicare over the phone to ensure proper billing was fulfilled and contacted insurance companies when necessary for updates on pending claims

Made proper adjustments on accounts after agreed-upon payments were received to reflect both legal settlement adjustments and vendor expenses

Assisted patients over the phone and in the front lobby who had inquires regarding their hospital facility bills

Pomona Valley Hospital Medical Center, Pomona, CA (September 2007-September 2014)

Patient Account Representative, Contract Billing (February 2014-September 2014)

Accurately handled patient accounts that contained Medicare primary and contracted secondary insurance billing issues

Ensured accurate payment was provided by the secondary insurance and made necessary adjustments before manually demanding for patients to be billed for remaining deductibles, coinsurances and co-payments

Assisted in the distribution and working of Workers’ Compensation billing

Worked daily on the Cirius billing system to print UB-04’s and sent out new, corrected and cancelled claims to the secondary payers to ensure proper payment or take backs occurred

Made outgoing calls when necessary to secondary insurances to inquire on the status of claims and appeals that were sent to ensure the billing cycle was properly completed and payment was correctly received

Patient Account Representative, Credit and Collections (April 2012-February 2014)

Responsibilities included accurately processing insurance information and credit card payments as well as addressing concerns in a timely manner to patients and hospital associates

Ensured proper documentation and precise handling of patient accounts to provide accuracy in hospital collections

Worked incoming patient correspondence and verified Medi-Cal eligibility through their respective website

Provided outstanding customer service to patients with inquiries of their hospital bills

Admitting Representative, Emergency Room (December 2009-April 2012)

Was in charge of accurately registering patients being seen in the Emergency Room to provide necessary personal and insurance information needed by both the nurses and doctors rapidly

Responsible for outpatient and inpatient admissions for patients and providing paperwork and packets to nurses and doctors for proper admission

Worked daily in a highly stressful environment with the ability to multitask and provide excellent customer service to patients and their families

Float Pool Office Assistant (September 2007-December 2009)

Human Resources (November 2008-December 2009)

Assisted the Benefits Department, where my responsibilities included accurately and inputting confidential health, dental and vision insurance information, including long term disability and life insurance enrollment and termination for hospital associates

Processed leave of absence and intermittent leave request forms for associates and was responsible for the creation of Word document letters to be sent to associates on leave regarding their monthly premium responsibilities

Assisted in the operations of the annual Open Enrollment and Benefits Fair and also provided clerical support to the Benefits Director by creating Excel spreadsheets whenever needed for important meetings

Quality Management (August 2008-November 2008)

Provided assistance to the Director and Assistant Director by revising out of date hospital policies and replaced old policies with the updated versions

Made new Policy and Procedure manuals that were personally handed out by myself upon completion to various departments of the hospital

Created Excel spreadsheets for the Director and Administrative Assistant whenever needed for important meetings and assisted the department in hospital preparation for JCAHO and State surveys and audits

Tender Touch Gift Shop/Volunteer Department (December 2007-August 2008)

Took precise inventory of the gift shop items for the Gift Shop Manager to ensure accurate numbers were reported to the director of Volunteer Services

Created monthly schedules for the Gift Shop volunteers

Provided outstanding service to customers of the Gift Shop and performed daily cashier duties including properly closing registers and counting and preparing the deposit for the following morning

Assisted in the Volunteer Department by answering phones whenever needed and providing Excel spreadsheets and Word documents for the Volunteer Services Director

Pomona Valley Health Center, Chino Hills (September 2007-December 2007)

Created spreadsheets for the Health Center Director and was responsible for precisely inputting important data to be presented for administrative meetings

Assisted in the proper filing of patient medical records and the distribution of files when requested by the physicians or staff

Boston Market, Rancho Cucamonga, CA (August 2000-May 2007)

General Manager

Oversaw 25 associates for both store-related and catering business

Catering sales increased more than 15% annually under my supervision

Accurately took daily and weekly inventory for appropriate food-cost reporting

Was responsible for twice-a-week food and supply ordering

Created weekly employee schedules

Prepared cash drawers in the morning and properly closed registers nightly to ensure accurate deposits

Performed occasional audits with staff by analyzing proper food portions and money handling

Interviewed potential candidates for open positions and personally hired new associates

Instituted a team-first mentality and led by example consistently to encourage team work and top notch customer service in a rapidly-paced environment



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