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Supervisor, Patient Business Service

Location:
Houston, TX
Posted:
November 02, 2014

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Resume:

DELORES D ROSS

**** ***** ** ~ Houston, TX *****

Cell. 281-***-**** ~ *********@*****.***

SENIOR FINANCIAL PROFESSIONAL

Accomplished and seasoned Financial Professional with over 5 years of experience in Account

Management, Personal Banking, Account Receivable, Healthcare Collections and Customer Service in a

call center environment. Highly skilled in collaborating with all members of the organization to achieve

business and financial objectives. Adapt in streamlining financial processes, enhancing productivity

levels, and introducing process improvement. Possess MBA in Management combines academic

achievement with professional experience to lay the foundation for developing and implementing

programs focused on achieving organizational goals.

FINANCIAL COMPETENCIES

Financial Statement Financial Analysis Critical Thinking/Analytical Skills

Detail-Oriented Credit Analysis Client Relationship Management

Account Receivables Collections Project Management Operation Management

TECHNICAL SKILLS

MS Office Word/Excel/Power Point/Access SAP Hyperion Kronos Oracle/PeopleSoft

SharePoint Lotus Notes

EDUCATION

Bachelor of Science - University of Houston, Houston, TX May 2007

Thesis: Technology Leadership & Supervisor

Minor: Training & Development and International Business

Certification - Entrepreneurship & Innovation

Master of Business Administration, Cum Laude - Ashford University, Clinton, IA May 2012

Thesis: Business Management

Dean’s List; Golden Key International Honor Society

EXPERIENCE

University of Texas MD Anderson Cancer Center Oct. 2012- Present

Supervisor, Patient Business Service

Recruited, hired, set work schedules and assignments and evaluated performance for medical staff

and administrative personnel for 2 offices. Provide consultation to resolve customer complaints

and verify financial and credit transactions and adjust accounts as needed. Reviewed private

individuals and managed care customer accounts to identify and select delinquent accounts for

collection. Offered available financial options as needed.

Key Achievements:

o Improve productivity and customer satisfaction by 50%, by implementing new processes

DELORES D ROSS, PAGE 2

o Reduced department error rate by 40%, while ensuring continuation and enhancements of

services

Slash overtime cost by saving $18,500 per week, allowing staff

o

downtime during working hours to complete backlog

o Decrease lag days on correspondences from 5 days to 3 days

o Develop tacking processes to manage requests directed to 7 departments

Examine vendor monthly expense reports, resulting in 50% reduction

o

Patient Business Service Specialist Feb. 2012– Oct. 2012

Aggressively negotiated and settled outstanding and bad debt accounts. Process COBRA and Financial

Assurance applications. Reviewed and respond to patient’s billing or insurance requests for 3 senior

leadership offices to reduce media exposure. Focused on 90-day old requests; making updates and

corrections and contact managed care or commercial insurance carriers as needed.

Key Achievements:

o Raised revenue by 15%, correcting claim forms and billed over 75 patient accounts per

day

o Reduced collection recovery 8% negotiate or settlement bad debt or past due accounts

o Process all applications in 5 days instead of 10 days

Patient Access Specialist March 2009- Feb. 2012

Worked in a clinical setting initiating new patient referrals. Obtained medical records and pathology slides;

registered patients and reviewed and obtained patients written medical consent to treat. Consulted with

physicians, physician assistances and nurses to obtain medical referrals and/or authorizations. Scheduled new

patient appointments. Communicated with managed care and commercial healthcare companies to verify

insurance, update COB, and health care benefits. Participate in the hiring process.

Key Achievements:

o Achieved a certification in CHAA

o Worked closely with managed care companies to obtain authorization/pre-determinations to

increase revenue and decrease appeal rates by 18%

o Successfully trained new hires; increasing retention and employee motivations

United Health Group

Supervisor, Customer Service/Claim Nov. 2004-Mar. 2009

Created and executed procedures to improve efficiency and effectiveness of department in a virtual

environment. Provide strategic direction and leadership in regards to customer satisfaction, quality

assurance, and employee-engagement and performance management. Managed customer service and

accounts payable and supervised a staff of 18 employees.

Key Achievements:

o Improved QA average score from 78% to above 95% and ranked #1 in the company for 12

months

2

DELORES D ROSS, PAGE 3

o Averaged about 130 calls per day and processed claims; resulting in a reduction of overtime by

8%

Reduced budget non-compliance by 10% in less than six months

o

Motivated and coached staff and drove Service Levels from the high 60%

o

to the mid 80% on a volume of over 1 million calls

Exclusive Construction

Manager, Personnel Apr. 2000- Oct. 2004

Managed all human resources and payroll for 85 employees. Maintained employee files, process

master files, and input new deductions; prepared special reports, managed A/R collections for payroll;

research and resolved client account problems. Handled the full range of employee-associated actions

from recruitment to termination, including records retention benefits administration and performance

management.

Key Achievements:

Reduced inventory expenses by 30%, budgeting and forecasting

o

materials

o Cut accounts receivable by 40% within three months, by negotiated or settled past due accounts

o Educating employees on their benefits resulting a decrease in call by 20%

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