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Medical Management

Location:
Fresno, CA
Salary:
130,000
Posted:
December 11, 2014

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Resume:

JACQUELINE KING, MHA, CPC, NCP

**** * ******* *** ****** CA 93722

601-***-**** ********@*******.***

EXECUTIVE SUMMARY

Proven, high-energy executive who leads companies through change and challenge. Strategic problem-solver who

envisions smart solutions and executes with urgency across all levels of the organization. Hands-on leader with

extensive expertise in implementing front-end systems for charge capture and scheduling. Able to keep teams

focused and productive. Outstanding strategist that is able to develop and implement revenue enhancement

initiatives in highly complex environments. Skilled in negotiating partnerships with a keen ability to capture

opportunities. Skilled in multiple areas of technology, including NextGen System, HealthPort System, Medical

Manager, MS Office, SMS and Cognos.

CORE COMPETENCIES

Revenue Cycle ~ Financial Management ~ Business Planning & Development ~ Change Management ~ P&L

Management

Patient Satisfaction ~ Accounts Receivable ~ Policy Development ~ Strategic Planning ~ Operational Management

Team Development & Leadership ~ Patient Satisfaction Enhancement ~ Productivity & Performance Improvement

Front-End Supervision ~ Human Resource ~ Faculty Practice Management ~ Organization & Communication

BENCHMARKS & MILESTONES

REVENUE GROWTH

Substantially reduced operating expenses 20% by spearheading a revenue cycle implementation.

Strategically restructured financial reporting processes in accordance with organizational changes and reengineered

billing and collections operations.

Served as key leader, effectively managed 15% annual revenue growth.

Centralized front-end scheduling, registration and referral operations, based on a thorough understanding of

operational workflow, from first patient contact at scheduling to final collection processes.

REVENUE CYCLE

Decreased claims denials rates from 68% to 5%.

Slashed days in A/R from 65 days to 26 days while increasing overall net collection rate from 68% to 98%.

Decreased bad debt rate from 15% to 2% and grew annual cash collections from $2.9M to $6.5M.

PROFESSIONAL EXPERIENCE

GOLDEN VALLEY HEALTH CENTERS, Merced, CA, 2/2012 to Present

Director of Billing Operations

Instilled a high-performance culture in the management of health insurance billing, collections and eligibility in the

areas of commercial, managed care, government and self pay reimbursement concepts for the organization. Utilized

extensive knowledge of electronic billing systems for front end and back end functions via NextGen.

Key Achievement

Recruited and developed 3 direct reports of a 50-person billing department with net collections of 65M

Decreased claims denials rates from 68% to 5%.

Slashed days in A/R from 65 days to 26 days while increasing overall net collection rate from 68% to 98%.

Directed departmental staff training on NextGen to improve registration and billing processes.

MEDICAL PRACTICE SOLUTIONS, Jackson, MS, 1/2005 to 1/2012

Director of Billing Operations

JACQUELINE KING, MHA, CPC, NCP Page

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Leveraged broad competencies in developing, implementing and managing all phases of professional billing

revenue cycles, consistently implement strategic planning initiatives that support organizational goals. Fully

responsible for overseeing hospital-wide quality management and performance improvement administration in the

areas of Compliance and Performance Improvement. Directed all areas of regulatory compliance and medical staff

credentialing requirements. Organized workforce management objectives with a focus on individual, departmental

and hospital-wide initiatives and team concepts. Assisted in planning and coordinating year-end audits with finance

and auditors, as it relates to Accounts Receivable operations.

Key Achievement

Led a major facility expansion initiative that drove annual revenues from $60M to $100M through implementation

and management of Palliative Care, Surgery, Pediatrics, Pediatric Ambulatory Care Center, Cardiology, Oncology,

and Rehabilitation Medicine, Internal Medicine, Urology, Multispecialty Nephrology, Associates in Transplant and

other medical units.

Recruited and developed a 50-person billing department resulting in a 56% improvement in accounts receivable.

Implemented innovative training programs that achieved a 95% staff retention rate.

Instrumental in the reduction of A/R by $38M.

Worked closely with department managers and administrators to identify needs and challenges in order to provide

solutions-oriented strategies that supported patient care.

TEACHING EXPERIENCE

VIRGINIA COLLEGE, Jackson, MS, 2010 to 2012

Faculty, Medical Billing & Coding Program

Classes taught were:

• Procedure, Diagnosis and Advanced Coding

• Medical Insurance and Claims (Using an integrated claims approach)

• Computers in the Medical Office Setting (including EMR and EPM)

EDUCATION

MHA/ Health Services Administration 2009, Mississippi College, Clinton, MS

BS/BA/Accounting, 2007, Mississippi College, Clinton, MS

High Honors, 1992, Greenwood High School, Greenwood, MS

CERTIFICATION

NextGen Certified Professional, EPM, EHR, SCT 2012

Certified Professional Coder, 2007, AAPC

NHA Medical Billing & Coding Certification

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