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Manager Insurance

Location:
Rincon, GA, 31326
Posted:
February 22, 2011

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Resume:

HEATHER E. DYER

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

Rincon, GA *****

912-***-****

Objective: To obtain a challenging position using my education and

experience.

Experience:

Director, Memorial Hospital, Patient Intake

November 2009 - February 2011

Responsible for Patient Intake, Financial Assistance, Customer

Service, Collections and

Insurance Verification departments, which consisted of 134 people, 5

being direct reports. Increased point of service collections by 50%.

Implemented a bed side registration process that decreased missed

patients in the ED from an average of 100 patients per month down to

an average of 10. Decreased registration errors by 80% by implementing

new reporting tools to assist in denials management. Implemented a

financial assistance screening program that increased financial

assistance by 80%, which assisted in decreasing bad debt expenses.

Developed a 5 week rotating work schedule in the ED that decreased

overtime by 90% and increased employee satisfaction. Worked closely

with Centralized Scheduling to rebuild systems so information would

flow from one system to another, which helped reduce manual processes

leading to the reduction of 5 FTE's. Worked closely with Information

Services to build tools within the current processing system to assist

in daily work, process flows, and increase productivity, saving the

organization $500,000 per year. Responsible for monthly financial

reports, labor reports, and budget reports. Created employee incentive

plans and employee recognition programs to maintain a high employee

satisfaction rate. Created policies and procedures to ensure my teams

goals were in line with the organizational goals. Responsible for

addressing patient satisfaction issues related to my areas of

responsibility. Worked in McKesson STAR, Stockamp's OnTrac, and

McKessons Pathways Healthcare Scheduling Product.

Director, Sparrow Health Systems, Patient Financial Services

Department.

August 2007 - November 2009

Oversaw the Patient Financial Services Department, which included Lab

billing, Admitting, Financial Clearance, and Hospital Billing

departments, consisting of 156 associates, 5 of which were direct

reports. Oversaw all operations of the revenue cycle. Successfully

implemented a denials management program decreasing billing denials by

70%. Created a point of service collections program increasing point

of service by 50%. Successfully managed Financial Clearance process to

increase our clearance rate from 65% to 92% in a year saving the

organization $2M.Work closely with Medical Record, Patient Support

Services, Patient Placement, Central Scheduling, Compliance,

Information Systems and Accounting departments in order to increase

and maintain how revenue flows through the organization. Created

policies and procedures to ensure my teams goals were in line with the

organizational goals. Created employee satisfaction programs.

Manager, Sparrow Health Systems, Patient Financial Services

Department.

July 2006 - August 2007

Manage and oversee BCBSM, BCN, Commercial, Medicare and Medicaid

Insurance payer groups, Cash Applications and Audit departments, which

consist of 70 employees, 22 of them are direct reports. Responsible

for the development and implementation of policies and procedures to

assist staff in achieving monthly and yearly goals. Audit all

outstanding accounts receivable, posting reconciliation summaries and

employee goal achievements. Develop strategic plans in the areas of

accounts receivable reduction, quality improvement of operations, and

employee satisfaction to ensure the goals of my departments are inline

with those of the Health System. Review government regulations for

changes to ensure we are adhering to all newly developed regulations.

Responsible for monthly financial reports of all four department

achievements. Review all outstanding billing issues in order to

identify increase cash flow opportunities.

Business Office Manager, The Pines Healthcare Center, Billing

Department

July 1999 - March 2006

Generate monthly accounting reports such as Profit and Loss, Budget

accounting and Income Statements. Oversee and work all account

receivables and payables including Medicare, Medicaid, BCBSM, BCN and

all Commercial insurances. Reduced the Age Trial Balance report from

$6M to $500k within a year, which was 1 month average revenue. Audit

all insurance, private and trust accounts. Oversee, monitor and

develop policies and procedures for the accounts receivable, accounts

payable and payroll departments. Develop tracking tools to maximize

reimbursement and to cut-down on unnecessary write-offs. Develop

reports to track monthly progress and to target where improvements

need to be made, and provide training when needed. Reconciliation of

all month end and prepare year-end financial statements. Work closely

with families, vendors, doctors and insurance companies on a daily

basis. Work with non-contracted insurance companies to develop a case-

by-case contractual agreement along with credentialing all staff

physicians and nurses for these agreements. Assist families and

residents in obtaining financial assistance through government

programs. Provide support, leadership, and encourage a team

environment in the business office and throughout the business as a

whole.

Senior Bookkeeper, Tendercare South, April 1998 - July 1999

Oversaw all account receivables including Medicare, Medicaid

BCBSM, BCN and all Commercial insurances. Tracked all private

accounts

Tracked and posted all payments, Status old claims, Initiated account

collections.

Reconciled all month end reports. In close contact with all clients so

that I was able to help with any billing questions or issues.

Medical Billing Manager, Dr's Saker & Flory, July 1997 - April 1998

Oversaw all accounts receivables. Tracked and statused all insurance

and private claims. Created a collections process for private

accounts. Oversaw the receptionist's collection of money and balanced

drawer nightly.

Education:

Davenport University, Lansing, MI.

MBA in Accounting, December 2007

Postgraduate Certificate in Healthcare Administration - October

2009

Michigan State University, East Lansing, MI,

BA in Criminal Justice - December 1992

Hometown University, Atlanta, GA

Patient Access Specialist - December 2010

PFS Billing Specialist - January 2011



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