Post Job Free

Resume

Sign in

Manager Customer Service

Location:
Uninc Henderson County, NC, 28739
Salary:
Negotiable
Posted:
January 16, 2013

Contact this candidate

Resume:

Hendersonville, N.C. Cellular 305-***-****

***** . *** abny1p@r.postjobfree.com

MARIE-FRANCE N. LACHANCE "Mary"

Profile Revenue Management

Corporate and/or management coordination of

Talented and department/section.

accomplished Auditing - Compliance & Forensic

professional with Structure & Implementation of revenue work-flow and

extensive background Policy & Procedures

in healthcare Claim Administration with Government Programs, Managed

finance, management, Care & Commercial Funding Sources

and support services Software management & monitoring of performances

for corporate, Credentialing of clinicians/facility/physicians

independent or Business Office Processes & Staff Management

facility based Budgetary Planning & Administration

practices/services. Data Mining & Analysis

Report structure and outcome generation

Staff Management & Training

Customer Service and Financial Responsibility Training

& Management

Experience

2011 - Present Owner CEO of Nonesuch House & Home

Retail Store Located in Hendersonville, NC

Home D cor & Fine Furnishings

2010 - 2011 Director of Client Financial & Support Services

Healthcare Solutions Network of NC

Structure & implementation of centralized business

office within two states for Mental Health & Substance

Abuse services . Credentialing with Federal & Managed

Care Contracts. Initiated & expanded revenue stream

outside government programs. Policy & Procedures with

workflow creation.

2009 - 2010 Healthcare Support Services & Billing Consultant

Contracted professional reviewer of systems, policies

with revenue analysis. Documented plan of action,

revenue maximization, work flow, and policies &

procedures. Project Completed.

2007 - 2009 Manager, Third Party Billing

Miami Behavioral Health Center

Managed and structured full billing cycle with

implementation of department restructure. Created

policy and procedures, maximized revenue, created

reporting structure, communication with management and

set up training program for facility staff, billing

staff and professional staffing. Participated in

credentialing and documentation of program

professionals.

2006 - 2007 Manager, Billing Central Billing Office

S. Florida ENT Associates PA

Complex practice & provider management with autonomous

remote offices. Centralization of facets of the

practice administration achieved. Project

Discontinued/Finalized.

2004 - 2005 Manager - Audit & Repricing Department.

Strategic Healthcare Development Corp. Cost

containment through hospital bill line item auditing,

repricing, billing verification, and pricing reviews

for self insured programs. Multiple Projects

Concluded.

2002 - 2004 Assistant Director - Level IV. University of Miami

School of Medicine, Department of Otolaryngology.

Directed specialty-billing department for school of

medicine medical group.

Assistant Director - Level III. University of Miami

School of Medicine. University medical group general

billing office. Assisted director in daily operations

and operational goals of department.

1 Yr. Contract Claim Arbitrator. Higeia Corporation

International PPO (Headquarters Toronto, Canada).

Negotiated on behalf of international travel insurance

carriers within the US & Canada.

1998 - 2001 Independent Consultant.

Self-Employed.

Seminars for the medical professional:

Staff education & training. Office restructuring.

Documentation & Coding requirements. Software

implementation and training,

Computer hardware installation and testing.

Interpretation, rewriting of software documentation.

Educational Material Design. Training program design.

Public speaking.

Manual preparation and form creation.

Compliance Manuals, Procedure Manuals.

1996 - 1998 Owner/Partner.

MEDC Administrators Inc.

Supplied contract consultant services to professionals

and medical services providers. Multiple Projects.

1986 - 1996 Owner, CEO.

Medical Claims Associates Inc.

The company managed 'Medicare Part A & B patient

account receivable' and 'patient financials'. In excess

of 50 million dollars in patient services was

administered for clients in the USA and Puerto Rico.

Historical Professional affiliations prior to 1986

Information Available Upon Request

Specialties: Thoracic and Cardiovascular Surgery,

General Surgery, Gastroenterology, Dermatology,

Diagnostic Services, Pathology & Laboratory, Internal

Medicine, OBGYN, Otolaryngology, Cardiology, Urology,

Mental Health & Substance Abuse, Psychiatry/Psychology,

Hematology, Facility Based Services, etc.

Skills English, French.

MS Office proficient, IDX/Groupcast & Legacy Software,

Knight Integrated Services Software (mental health &

substance abuse specialty specific software), Medical

Manager Practice Management Software, Microsoft Visio

and Cognos Power Play and Impromptu Report Generator.

Electronic Medical Records Management Software.



Contact this candidate