Manager Customer Service
Resume:
Julian Johnson
Email: **********@********.***
Address: **** ***** ****
City: Orlando
State: FL
Zip: 32814
Country: USA
Phone: 407-***-****
Skill Level: Management
Salary Range: $60,000
Willing to Relocate
Primary Skills/Experience:
See Resume
Educational Background:
See Resume
Job History / Details:
JULIAN B. JOHNSON
Phone: 407-***-****
Orlando, FL 32814
**********@********.***
PRACTICE MANAGER
A highly skilled practice manager with 16+ years of healthcare industry
experience. Successfully negotiates contracts to build stronger
relationships between insurance companies and practices. Exceptional
ability to navigate conflict in order to bring about agreements that are
mutually beneficial. Extensive knowledge and negotiation of managed care
contracts.
AREAS OF EXPERTISE
Practice Management
Budget Planning
Cash Flow Analysis
Business Development
Team
Supervision/Leadership
P&L Experience
Account Management
Collaborative Teamwork
Contract Negotiations
Conflict Resolution
Customer Service
Communication Skills
KEY SKILLS ASSESSMENT
CONTRACT NEGOTIATIONS
Successfully negotiated recovery of $740K
of accounts receivables
COMMUNICATION SKILLS
Creates positive relationships with customers,
guests, and team members, focusing on the bigger picture when resolving
issues and explaining strategies or action plans.
PROFESSIONAL EXPERIENCE
BILAMERICA, INC., ORLANDO, FL
2007 - PRESENT
PRACTICE MANAGER
Responsible for all Managed Care contracting for healthcare clients;
including, but not limited to Florida Hospital, St. Vincent
s Medical
Centers, and Wayne Memorial Hospital. Directs production supervisors in
their access to IT Management for the implementation of all client
accounts. Reports weekly benchmarking to all clients in managing any and
all client concerns.
Accomplishments:
Recovered $400K plus in lost receivables for clients.
Fast tracked 5010 HIPAA compliance preparations for client
physician group
s electronic claims to ensure cash flow.
Led open talks with large Health Plan on behalf of a large
hospital based Pathology group within the existing managed care contract
between the two parties. The health plan was not fulfilling their
requirements to pay a certain range of procedure codes but denying those
codes as non-payable.
o Successfully negotiated $740K settlement.
PER-SE TECHNOLOGIES, JACKSONVILLE, FL
1997 - 2007
PRACTICE MANAGER
Implemented all Emergency Department client contracts including New
York University and Southeast Georgia Regional Medical Center,
negotiating and analyzing managed care contracts. Reviewed and
analyzed financial reports to determine variances in key operating
statistics, including analyzing daily and monthly client cash flow.
Accomplishments:
Coordinated Operations Management in regards to medical
coding issues.
Communicated payer and/or federal reimbursement and
legislative guidelines.
EDUCATION & TRAINING
Academic scholarship student at Florida Community College at
Jacksonville & University of North Florida
Not completed
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