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| Desired Industry: Healthcare |
SpiderID: 8435 |
| Desired Job Location: Olympia, Washington |
Date Posted: 8/24/2006 |
| Type of Position: Full-Time Permanent |
Availability Date: 1 September 2006 |
| Desired Wage: 60,000 |
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U.S. Work Authorization: Yes |
| Job Level: Management (Manager, Director) |
Willing to Travel: Yes, 25-50% |
| Highest Degree Attained: Bachelors |
Willing to Relocate: Undecided |
Objective:
Lead associates;mentor and provide continous process improvement
Experience:
SUMMARY
Experienced Billing and Operations Manager with over 15 years in Health Care and Insurance.
Skilled in implementing accounting systems, supervising accounting processes, and monitoring and enhancing service. Recognized for ability to lead, train and develop staff to achieve success.
Strong analytical and interpersonal skills.
Knowledge of state regulatory requirements.
Advanced accounting and computer skills.
Broader interests include Assisted Living, Governmental, and Non-Profit Agency operations.
EXPERIENCE
PUGET SOUND NEIGHBORHOOD HEALTH CENTERS, Seattle, WA 2001-2005
Patient Accounts Department Manager
Leadership of a team of 28 employees responsible for all Billing and Accounting functions for a health care organization with 17 clinics, 34,000 patients, and revenue of over $21 million. Operations included billing state, federal and private insurers, managing grants, resolving customer service issues and administering worker wages and benefits.
• Identified issues with lost revenue opportunities, lack of productivity measures, and absence of adequate training. Initiatied productivity measures and enhanced training, resulting in turn-around that will lead to stronger internal policies and future cost-savings.
• Streamlined collections processes and as a result increased cash collections by over $1 million annually.
• Developed monthly revenue analysis for executive team using drill-down techniques to identify variances, enhance forecasting models, and initiate cost containment policies.
• Collaborated with CFO to address missed funding opportunities with federal and state governments.
• Consolidated Patient Accounts Department to centralized operation
DAVITA, Tacoma, WA 2000 – 2001
Patient Accounts Manager
Recruited to implement a new financial controls system to streamline billing operations for the headquarters
office of a national provider of kidney dialysis services.
REGENCE BLUESHIELD, Chehalis, WA 1996 – 1999
Member Service Manager
Responsible for the insurance reimbursement operations (including claims enrollment and premium activities) for
3,400 enrolled groups with 80,000 enrolled members. Managed a team of 60, including 54 customer service
representatives and 3 supervisors handling thousands of customer and provider inquiries each day. Call Center Operations
UNITED SERVICES LIFE INSURANCE COMPANY, Seattle, WA 1990 – 1995
Business Analyst / Product Trainer 1994 – 1995
Created Operations Department procedures and designed product training for staff, including training for service quality issues.
Delivered formal classroom training and responsible for one-on-one instruction, teaching software programs to all levels of management; statistical analysis of annuity policies, including withdrawals, issues, surrenders, and 1035 Exchanges. Reviewed new business procedures to ensure that they met the standards established by the Quality Deployment Team.
Onsite Manager 1990 – 1993
Guided and directed a staff of 150 employees; including claims, operations, premium collection data processing customer service, accounting, and human resources for a staff of 150 employees.
Provided liaison between reinsurance companies and corporate, negotiating settlements in excess of $1 million to a successful conclusion.
Directly supervised payment of over $25 million in claims and reduced backlog of claims from over 6 months to less than 10 days.
Interacted with State regulators examining the corporation’s compliance for market conduct. Received recognition for assistance from all state agencies involved.
Conducted claims reinsurance, underwriting and premium administration audits for fifteen third party administrators nationwide.
CRAWFORD AND COMPANY, Seattle, WA 1988 - 1990
Regional Marketing Representative
Marketed vocational rehabilitation services and medical case management services through out Washington. This included developing clients such as Metro, and Boeing.
INTRACORP (a subsidiary of CIGNA), Olympia, WA 1982-1988
Marketing Director
Marketed Vocational Rehabilitation Services, Medical Case Management, Hospital Bill Reviews, and automated billing review services. Responsible for the marketing and training of five branch offices located thorough out the state of Washington; developed and implemented marketing plans.
Education:
BA Montana State University
Candidate Contact Information:
| Name: Allen Berwick |
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| Street: |
Phone: 1-360-273-0649 |
| City: Tenino |
Fax: - |
| State: Washington |
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| Zip: 98589 |
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| Web Site: |
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