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Customer Service Medical

Location:
Pittsburgh, PA, 15239
Posted:
November 14, 2016

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Resume:

KIMBERLY DIULUS

**** ****** *****, **********, ** 15239 H: 412-***-**** C: 412-***-**** *******@*****.***

Executive Profile

Senior Executive, with several years of medical insurance, claims procedures . Handling all aspects of HR. Team

training. P&L statements. Handling budget reporting for multi companies. Creating new procedures to increase overall

sales. Driven to manage costs and establish strategic, mutually beneficial partnerships and relationships with users,

vendors and service providers. Committed to cost-effective management of resources and quality performance. Offering

outstanding presentation, communication and cross-cultural team management skills. High-energy, results-oriented

leader with an entrepreneurial attitude. Visionary Operations Executive with solid experience managing all levels of

multiple projects including budgeting and administration. Accomplished Executive with demonstrated ability to deliver

mission-critical results.

Skill Highlights

Small business development Public Relations

Project management Purchasing

Leadership/communication skills Regulatory Affairs

Product development Rick Management

Product line expansion Staff Training

Business operations organization Motivation

New product delivery Strategic Planning

Client account management Team Leadership

Human resources Total Quality Management

Budgeting expertise Expense Control

Negotiations expert Event Management and Promotion

Employee relations

Self-motivated

Market research and analysis

Customer-oriented

Core Accomplishments

Operations Management:

Managed four multi clinics.

Handled all functions related to improving the overall revenue.

Staff Development:

Launched well-received program of professional development courses for all staff.

Mentored and coached employees resulting in a 16% increase in productivity.

Boosted sales by implementing new products.

Launched well-received program of professional development courses for all staff. Created strategies to

develop and expand existing customer sales, resulting in a 38% increase in annual sales.

Professional Experience

Cheif Operatig Officer 06/2014

Greater Pittsburgh Joint And Muscle Center Pittsburgh, PA

Point of contact for all business communication with the Board of Directors, organization officials, or staff

members.Responsibilities include the directing, planning or implementation of company policies, objectives of all

businesses to ensure successful continuing operations, increased productivity and maximize returns on investments.

Preparation of company budgets, including budgets for proposed funding and implementation of new

programs.Negotiate and approve contracts or agreements with suppliers, distributors, federal or state agencies or other

organizational entities.Oversight of all Human Resources activities; including the approval of Human Resources

staffing plans or activities. The selection of department Directors or other high-level staff approval and implement

corrective action plans to solve organizational or departmental issues. Coordinate the development or implementation of

budgetary control systems, recordkeeping systems, or other administrative controls.Prepare or present reports

concerning activities, expenses, budgets, government statutes or rulings, or other items affecting businesses or

program services. Review and analyze legislation, laws and public policy and recommend changes to promote and

support interest of the company's business interest.Participate in meetings of municipal councils or council committees.

Conduct or direct investigations or hearing to resolve complaints or violations of law or testify at such

hearings.Organize or approve promotional campaigns with the Marketing department.

Vice President of Operations 09/2013 to 07/2014

MEDI360 CLINIC Pittsburgh, PA

Responsibilities include the directing, planning or implementation of company policies, objectives of all businesses to

ensure successful continuing operations, increased productivity and maximize returns on investments. Analyze operation

to evaluate performance of a company or its staff in meeting objective or to determine areas of potential cost reduction,

program improvement, or policy change.Member of an executive team that developed a two-year strategic plan and

presented plan to business owners. Consulted multiple companies on the implementation of that strategic

plan.Responsible for communications between medical professionals or health care organizations.Managed the

relationships with patients' groups or health care authorities. Worked with health care companies to build relationships

with groups such as regulators, medical professionals or not-for-profit organizations in the medical sector.

Responsible for creating clinical innovation and providing leadership and direction to all levels of care in planning,

developing, monitoring and ensuring initiatives to improve care delivery systems and clinical quality outcomes in our

Healthcare Facilities.Manages the selection, training, development and performance of the Clinical Services Group that

supports all of the company's facilities and businesses.

Director of Operations 03/2008 to 09/2013

Allegheny Medical and Wellness Associates Pittsburgh, PA

Manage all the daily operations that take place in the company, responsible for all aspects of the office's technical and

physical infrastructure, including the supervision of all support staff.Planning operation from the beginning and

implementing them after approval of the higher authorities.Coordinate inter-departmental communication between the

different departments. Implemented policies to strengthen inter-departmental relationships and maintain an efficient flow

of information.Increased the efficiency of the office and promote effective utilization of clinical resources for the purpose

of increased productivity.Departmental budget development and budget oversight; ensure the implementing of budget

controls to achieve strategic goals by managing departmental financial resources more effectively.Delegation of duties

to staff members to ensure adequate resources was in place to meet the strategic goals and operational

plans.Represent operations department to the board of directors and supply progress reports and reporting metrics from

each department.Solve dispute that arise between employees or departments and make sure the daily work is not

hampered in any way.Collecting reports form all the department heads; review reports and determine if best practices are

in place for continued successful operations.Make suggestions for promotion as they work with all the employees closely

and know the capabilities of each individual.Assist the management team in making strategic planning for future

business ventures.

Office Manager 09/2003 to 03/2008

Allegheny Health & Rehabilitation Pittsburgh, PA

Evaluate patient to determine care, when the patient should be discharged, home planning, and other needs and action

plans. Complete expanded assessment of patient at time of admission; Help patients understand their conditions and

treatment options and evaluate patient satisfaction and quality of care provided.Led the Customer Service Departments

efforts to retain clients and insure the flow of repeat business by maintaining a high level of communication and customer

service. Facilitate investigations, medical and treatment referrals, and ongoing legal proceedings. Works with agencies

and service providers to facilitate case coordination and information sharing. Skilled in many areas of medical billing,

including claims and payment processing, medical coding, and medical terminology.

Education

Bachelor of Science: Business 1986

Virginia Tech Blacksburg, Virginia



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