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Customer Service Manager

Location:
Tacoma, WA, 98408
Posted:
November 02, 2010

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Resume:

OBJECTIVE Medical Business Process and/or Employee Manager

specializing in Healthcare

QUALIFIED BY

. Extensive experience in medical business process management and support

including employee management and training, call center, provider

contracting and credentialing and client management.

. Self-motivator who thrives on challenge and taking initiative, able to

adapt to changing environments and remain flexible.

. Strong employee management, medical systems implementation,

organizational and analytical skills.

AREAS OF EXPERTISE

Team Building & Leadership Customer Service Management

Operations Management

Employee Development & Training Continuous Process Improvement

Accounts Receivable Management

Corporate Vision & Strategic Planning Revenue & Profit Growth

AAPC Cert. Professional Coder, 2006 - 2008

EXPERIENCE

Providence Health & Services, Renton WA April

2010 - October 2010

REVENUE CYCLE MANAGEMENT PROGRAM COORDINATOR

Managed all aspects and phases of projects and launch initiatives

supporting the operational activities of the Revenue Cycle Management

Department from conception to implementation in accordance with established

timeline.

. Achieved buy in through fostering team participation, engagement and

collaboration throughout the discovery, development, planning,

implementation, monitoring, and completion of projects.

. Communicated deliverables of projects, risks, mitigating controls,

milestones, action items, resources, and contingency plans to key

stakeholders.

. Enhanced, streamlined and standardized processes with a regional focus

within Revenue Cycle Management Departments at each of the Providence

Washington/Montana Region acute care facilities.

. Developed, revised, standardized, and communicated policies; trained

others in new policies, procedures, and processes.

LYNX Medical Systems, Bellevue WA February 2008

- January 2010

ACCOUNT EXECUTIVE

Recruited as a primary contact for emergency department and

clinic charging and coding software clients to ensure product satisfaction

and compliant revenue enhancement.

. Grew assigned client base from 36 sites 80 sites while increasing

product sales revenue to those clients by 15%.

. Partnered with LYNX internal experts and key members of the client's

organization during post sale and pre and post implementation.

. Monitored client revenue directly related to LYNX product use post

implementation.

. Built and maintained client relationships with hospital executive and

IT management

. Marketed and sold additional value-added products/services to client

base.

. Functioned collaboratively with Account Executive team, implementation

and technical staff, business analysts, software development and sales

and marketing.

UW Physicians, Seattle WA June 2005 - January

2008

CLIENT MANAGER

Represented UWP's revenue cycle accountability to assigned Clinical

Departments. Responsible for monitoring specialty related billing and

denial follow up for 5 Clinical Departments.

. Managed Claims Specialists, Charge Coordinators and AR Cycle for the

departments of Family Medicine, Psychiatry, Rehabilitation,

Otolaryngology and UW Provider Network (UWPN).

. Financial Analysis; accounts receivable analysis.

. AR management, tracking payor trends, revenue opportunity

identification and implementation.

. Functioned as liaison between billing operations and the medical

departments and physicians.

. Consultative services for strategic planning and implementation of

Lean process improvement.

Kathy Fisher

MedData, Inc., Seattle, WA 2002 - 2005

MANAGER, BILLING SUPPORT

Implemented new Billing Support Department including identification of

roles and responsibilities and ongoing planning; organizing and managing

associate development, training performance and quality processes.

. Created and supervised development of department Policy and Procedure

Manual.

. Managed information on billing and regulatory topics and recommended

policy implementation.

. Acted as an in-house consultant on coding, regulatory and/or quality

issues.

. Managed billing training and Quality Assurance programs.

BUSINESS PROCESS ANALYST, CLIENT SERVICES

. Liaison between Client Services and Operations teams responsible for

assisting, coordinating, planning, or organizing business development

initiatives.

. Facilitated study, analyzed, organized and documented findings of work

problems and procedures; prepared recommendations for implementation

of procedure and process changes.

CLIENT SERVICES COORDINATOR, CLIENT SERVICES

. Created documentation feedback reporting process that identified

additional revenue opportunity.

. Developed and coordinated key components for client meeting

presentations and monthly and quarterly routine and ad hoc reports,

including the dissemination of client financial results, trends,

variations and managed care contracts.

. Coordinated and prepared data on fee schedules, coding guidelines,

incident report summaries used in client PowerPoint presentations.

ADDITIONAL EXPERIENCE

Trendwest Resorts, Inc., Bellevue, WA

September 2001 - April 2002

MANAGER, LOAN SERVICES

Managed and directed Loan Services Supervisors and staff assigned to

maintain and collect on down payment loans. Daily tasks include

scheduling, coaching, motivation, performance feedback, annual reviews and

disciplinary action as needed.

Premera Blue Cross, Seattle, WA July

2000 - August 2001

TEAM LEADER, GROUP OPERATIONS

Supervised and directed day-to-day activities of Call Center/Customer

Service Team assigned to Large Employer and ASO Groups, including

scheduling, coaching, motivation, performance feedback, bi-annual reviews

and disciplinary action as needed.

Avandel Healthcare, Seattle, WA February

1998 - July 2000

SUPERVISOR, MEDICAL EVENT COORDINATION

Original staff member hired for development of Intake and Claims

Departments in a startup company implementing a Catastrophic Care

Management Program. Supervised Medical Event Coordinators, including

scheduling, auditing of daily work and performance reviews.

Premera Blue Cross, Seattle, WA

1987 - 1997

PROVIDER NETWORK ASSOCIATE

Client Manager for Hospital/Ancillary Networks in Washington, Alaska and

Oregon based Providence Vantage PPO Networks.

BENEFIT SPECIALIST

Originated newly developed position as a liaison between Customer

Service, Provider Contracting and Utilization Management Departments.

CUSTOMER SERVICE REPRESENTATIVE

Researched and resolved telephone and written inquiries for subscribers

and providers both telephonically and as a Correspondence Specialist.

Kathy Fisher

EDUCATION AND CERTIFICATIONS / 1987 - 2006

American Academy of Professional Coders Certified Professional Coder,

2006 - 2008

HRAI Coding Specialists, LLC Medical Coding Boot Camp, 2006

Medicare Boot Camp, 2006

Premera Blue Cross Business Writing for Professionals

Leadership 2001 Series

Kathy Fisher

6328 S C Street

Tacoma WA 98408

206-***-****

abicce@r.postjobfree.com



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