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Customer Service Revenue Cycle

Location:
Chandler, AZ
Posted:
April 01, 2024

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Resume:

Resume’ of Genevieve Riggs

**** * ******** ****, # ****, Chandler, AZ 85226,

928-***-****, ad4pq3@r.postjobfree.com

OBJECTIVE: Seeking suitable full time position with a great Company. Will apply knowledge, skills and abilities in the realm of administration, operations, finance and human resource and production. Will provide support to meet goals and objectives with positive outcomes for services rendered.

KNOWLEDGE/SKILLS/ABILITIES: Experienced manager, contract specialist, project-minded, accountable, Ethical, Analytical, self-starter, problem solver, results oriented, dedicated, customer service driven, stability, team player, innovative, knowledgeable in computer programs, CRM. Knowledgeable tribal, government, and private sector processes to contracts, RFP processes, negotiations. Experience in medical insurance, billing, debt collection and maximizing revenue, contractual adjustments. Other skills in production, warehouse.

WORK EXPERIENCE:

PRACTICE MANAGER • NATIVE HEALTH CENTER • 4/2023 – 3/2024

Manage healthcare center, maintain staffing, work flows, schedules, ensure availability and productivity, meet program goals, ensure AAAHC compliance. Supervise direct reports, collaborate with leaders, other practice manager colleagues, and front office supervisors. Maintain business principles, use safety and applicable regulations to meet position requirements.

COLLECTION SPECIALIST • EXPRESS STAFFING • 4/2023 – 4/2023

Training as collection specialist to settle open claims for restoration services completed.

RESIDENT SUPPORT SPECIALIST • NAC • 2/2023 – 3/2023

Provide support to property manager, communicate with tenants for payments, use reports; create monthly activity calendar, enter maintenance work orders and follow-up, predominant phone work.

GENERAL SERVICE DIRECTOR/CONTRACT OFFICER • WIHCC • 4/2021 – 2/2023 Work 40 hrs. weekly (22 mos.)

Direct and administrator general services through management of supply, equipment, inventory, orders,

GSA Fleet Management, oversight to specialist, ensure scheduling, maintenance, receipts, training, inventory.

Non-medical transportation, oversight of department to patient scheduling, authorizations, reporting.

Staff van carpool set up for professional staff, new service created. Mobile disposable document shredding, new contract service created. Procurement, oversight and supervision of staffing to review, approve purchases, volume, quality, quantity, GSA pricing. Contracts, responsible for new, renewals of services, MOA, MOUs, high volume, negotiate rates for services, RFPs. Construction support, work with finance and construction manager to acquire large volume supply, equipment, use of purchase orders and requisitions. Committees, sit on committees as needed, make decisions, facilitate meetings, implement goals and objectives. Supervise employees, completing annual performance reviews and evaluations, review of job descriptions annually.

REVENUE CYCLE MANAGER • WIHCC • 4/2020 – 4/2021

Managed revenue cycle departments, supervised direct reports. Lead patient financial services to maximize revenue thru accurate, clean information, third party payers, internal, or bi-directional systems. Conduct department meetings deemed necessary, address issues, resolve issues. Implement upgrades, software. Collaborate with the stakeholders. Use financial reports for adjustments or reprocessing claims. Generated annual operation budget.

CENSUS SUPERVISOR. US CENSUS BUREAU. 01/2020 – 04/2020 (Temporary)

Trained enumerators to conduct US census surveys, review productivity, resolve issues, maintain schedules, approve timesheets, mileage logs, attend meetings, pick up supplies and distribute.

PATIENT REGISTRATION/ACCESS DIRECTOR • TCRHCC • 9/2013 – 9/2019

Direct and lead the patient registration department for outpatient, inpatient, emergency services,

employ best practice approach, supervised staff to meet daily operational goals, plan to review and resolve issues, submit clean data for billing. Complete annual performance evaluations, hire personnel, resolve personnel matters and patient concerns. Collaborate with other patient financial service department to meet fiscal goals, use strategic plans. Train/Cross-train staff for efficient, accurate data flow. Conduct or attend meetings as needed, introduce changes or new processes to maximize revenue. Work on special projects to resolve other errors or new projects to maximize revenue. Review various report types prior to submission for billing. Involvement in system upgrades, training, development, and implementations such ICD10 upgrade. Assist another department during their transition period. Work with Third Party Insurance; Medicare, Medicaid (AHCCCS), Private Insurance, Indian Health Services. Work with Policies and Procedures about the revenue cycle. Provide monthly reports to the CEO.

DENIALS MANAGEMENT SUPERVISOR • TCRHCC • 3/2012 – 9/2013 40 hrs. (18 mos.)

Supervise claim denials team; reprocess claims, updated missing documents, receive payments, post payments, adjust claims, post to GL account, provide weekly report to supervisor. Work with third-party administrators.

PATIENT BENEFIT COORDINATOR • TCRHCC • 9/2011 – 3/2012

Coordinated patient benefits; apply file electronic applications, update renewals in system; assist with language services. Use internet, websites and office equipment.

DENIALS SPECIALIST • TCRHCC • 4/2011 – 9/2011 40 hours (6 mos.)

Rework, resubmit denied medical claims, collect payments; posted paid claims in GL, submit weekly report, adjust closed claims.

EDUCATION:

Associates of General Studies, Earned Diploma • 08/2004 •

Phoenix College, Phoenix, AZ Bachelor’s Degree, Earned Diploma • 12/2010 • Ottawa University, Phoenix, AZ

VOLUNTEER AND CERTIFICATIONS:

Certified Revenue Cycle Representative (2021 Expired)

Elected Secretary/Treasurer 2013-2015

REFERENCES:

Lorraine Begay, (Retired),928-***-****, ad4pq3@r.postjobfree.com

Dr. John Molina, 602-***-****, ad4pq3@r.postjobfree.com

Mike Onesalt, Food Service Manager, 505-***-****, ad4pq3@r.postjobfree.com



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