RICK PHILLIPS

**** ********* ****. #***

Little Rock, AR 72205

501-***-****

OBJECTIVE: To obtain employment in a field that allows me to utilize

analytical and organizational skills

EDUCATION

1997-2001 Bachelor of Arts, Ouachita Baptist University

Major: Psychology Double Minor: Philosophy, Biblical

Studies

EMPLOYMENT

October, 2004 - Present

Utilization Review Specialist, Rivendell Behavioral Health Services;

Little Rock, AR

Perform a wide array of functions as office manager for an outpatient

psychiatric clinic:

. Utilization Review - obtain insurance and Medicaid

authorizations for financial reimbursement of treatment;

maintain and daily update detailed Excel spreadsheets of patient

caseloads with information related to compliance needs as set

forth by regulatory agencies including Medicaid and JCAHO;

review all clinic billing for accuracy and legitimacy; audit

patient charts for compliance; lead weekly compliance meetings

with all staff; complete patient data entry using Excel and

Medik; develop forms using Word and Excel as documentation needs

change

. General Office Management - provide management and quality

control for the overall daily operations of the clinic;

calculate and report daily clinic revenue figures; collect

payments and negotiate pay rates; train staff; serve as medical

records librarian; process new patient referrals; complete

expense reports and monthly operating reports

. Physician Assistance - manage the schedules for the physician

and advanced practice nurse; assist with all MD and APN

appointments; maintain a comprehensive medication log for all

patients; communicate with MD and APN regarding patient

medication concerns; serve as gatekeeper for access to MD/APN by

pharmaceutical representatives

. Physical Plant Operations - monitor the physical needs of the

clinic and address maintenance and information-technology issues

as they arise; communicate with property manager and arrange for

repair services; conduct fire drills and regular checks of fire

extinguishers and smoke alarms; maintain Material Safety Data

Sheet files

. Business Development - assist in business expansion through the

training and support of staff in affiliated clinics; build and

maintain relationships with referral sources; receive and

address customer complaints

January, 2004 - October, 2004

Mental Health Paraprofessional, Little Rock Community Mental Health

Center; Little Rock, AR

. Worked with adult psychiatric patients in an acute day treatment

setting; led psycho-educational rehabilitative groups; served as case

manager by assisting patients in meeting basic needs; reviewed all

program billing to ensure accuracy and completed program billing

statements; maintained close working relationships to provide

appropriate care

May, 2002 - January, 2004

Assessment & Referral Representative, Rivendell Behavioral Health

Services; Benton, AR

. Performed initial assessments of patients to determine the level of

treatment needed; executed admission procedures for inpatient care;

obtained treatment authorizations for financial reimbursement of

hospitalizations; completed patient data entry in Medik and Unix

systems; maintained a high level of communication with referral

sources; audited patient charts for compliance with Medicaid and

JCAHO regulations; trained new staff

October, 2001 - February, 2002

Representative, AFLAC Insurance Company

. Worked as an independent, licensed agent of life and health insurance

Summers, 1997 - 2000

Home Remedies Remodeling

. Worked for a general contractor in home construction, repair,

and remodeling

LEADERSHIP EXPERIENCE

July, 2007 - August, 2009

Habitat for Humanity; Pulaski County, AR

. Named 2009 Pulaski County Volunteer of the Year; Served as

deconstruction project leader; surveyed potential project sites

and coordinated projects with property donors; supervised other

volunteers in the safe, efficient removal and recycling of

building materials for the benefit of home-building projects for

low-income families;

SKILLS

Proficient in MS Word, MS Excel, MS Outlook, Medik, and Unix systems;

excellent oral and written communication skills as well as ability to

gather and analyze information and data

References available upon request

Contact this candidate