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Click here or scroll down to respond to this candidateCandidate's Name
Street Address WEST SUNRISE BLVD #321PHONE NUMBER AVAILABLEEMAIL AVAILABLEHIGHLIGHTS OF QUALIFICATIONS AND SKILLSImplemented Revenue Operations projects that reconciled $100+ million in outstanding revenue utilizing Six Sigma, Agile, and Waterfall project methodologiesExpertise addressing revenue cycle challenges and finding ways to solve payer rejections, denials, and incorrect paymentsRemarkable ability to manage multiple projects simultaneously, analyze operational procedures, and implement strategies that streamline processes, employ data control systems, and increase revenueWide range of experience: quantitative analysis, project management, revenue management, contract auditing, training, asset management, retail, sales, marketingTeam-player who possesses outstanding leadership and problem-solving skillsResearch oriented, analytical, multi-task capable, innovative, flexible, and able to work with minimal supervisionBuilt relationships with internal and external stakeholders to execute business objectivesOrganized, professional, enthusiastic, focused, self-motivated, responsible, and detail-orientedExcellent written and verbal communication skills, as well as interpersonal skillsQuick study of procedures, tasks, and systems particular to an organizationEDUCATIONALBRIGHT COLLEGE, Reading, PABachelor of Science Degree - Applied Psychology/Organizational BehaviorOutstanding Honors: Quantitative/Statistical AnalysisGraduated with Highest Honors: GPA 3.87THE ART INSTITUTE, Fort Lauderdale, FLAssociate of Science Degree - Marketing, Management, and MerchandisingGraduated with Highest Honors: GPA 3.91PROFESSIONAL AFFILIATIONSPsi Chi - The National Honor Society in PsychologyEXPERIENCECROSSMARK SALES & MARKETING, INC., Plano, TX 2018 to 2021Project Coordinator - Retail Sales and MarketingExecuted strategic plans for the clients brand. Ensured complete and timely execution of all retail projects.Grow clients sales volume through retail activities. Monitored and reported project results.Influenced decision makers to impact local and regional sales and retail buying strategies.Developed a schedule of short- and long- term milestones for project completion, thus exceeding company objectives and timelines.Engaged actively at the store level to identify issues that could impact execution, and proactively recommend solutions to close gaps and/or to capitalize on opportunities.Responsible for project development, budget management, execution, issue resolution, reporting, and up-selling.Partnered with management weekly to coordinate appropriate inventory levels for sales activities and promotions.CONNOLLY HEALTHCARE, INC., Conshohocken, PA 2012 to 2014Medical Claim Contract AuditorAnalyzed and ensured compliance of coding/auditing, coding and documentation quality, and that accurate reimbursement was met with quality coding standards.Investigated medical claims from commercial and government health plans to ensure payment accuracy and compliance were followed according to contract terms.Knowledgeable of anatomy and physiology of the human body, disease pathology, and medical terminology in order to understand the etiology, pathology, diagnostic studies, treatment modalities, and prognosis of diseases and procedures performed.Recovered overpaid funds from health care providers for local and national medical insurance companies.Streamlined workflow processes, eliminated non-valued or redundant procedures, and recommended techniques for continued efficient evaluation.DAGROSA APPRAISAL COMPANY, West Lawn, PA 2009 to 2010Real Estate Appraisal Office AssistantCalled, mailed, faxed, and emailed attorneys, banks, credit unions, and lending institutions regarding appraisal request guidelines, new and updated marketing material, appraiser license renewal information, and applications.Communicated with Code Enforcement Offices and searched Township and Borough websites to obtain the current zoning ordinances, building codes, and zoning maps for five counties.Documented and advised appraisers of all new and amended appraisal/inspection requests, policies, zoning ordinances, building codes, zoning map data, and any other pertinent information required to modify or to finish appraisal requests.QUEST DIAGNOSTICS, INC., Norristown, PA 2002 to 2009Business Analyst/Project Manager (Six Sigma Green Belt)Employed Eligibility Projects and Medical Billing Projects that reconciled $100+ million in outstanding revenue utilizing Six Sigma project methods, un-adjudicated A/R claims, eligibility databases, internal billing, and IT resources.Operated as Revenue Operations/IT Liaison. SME, the go-to person on numerous eligibility system implementations, operational improvement initiatives, billing and reimbursement projects, eligibility claim re-qualifications, and process upgrades utilizing Agile Project methodology.Managed the Eligibility Revenue Operations continually changing database of 90+ million records.Coordinated efforts with internal IT departments and payer IT departments to establish new eligibility implementations, to revise existing systems, to determine eligibility file format/data configuration, data encryption, EDI connectivity, and member search match-logic criteria for commercial and government health plans.Business Systems Analyst job functions: Assisted with prioritization of IT assignments, tracked IT activity progress, performed QA and system testing, advised IT of data discrepancies, system defects, and necessary design changes.Provided final acceptance for data migrations, system platform conversions, and billing/reimbursement enhancements.Worked independently and collectively to identify opportunities, execute projects, and initiate process improvements by coordinating efforts with clients, multiple internal billing departments, senior management, IT, and 60+ regional and national medical insurance carriers.Supplied reports, performance metrics, process flow, and project status to leadership, internal customers, and stakeholders who documented each assignments required resources, sequence of activities, timelines, and ROI.Executed several new projects and streamlined business processes concurrently that resulted in improved payer billing procedures, quicker cash collections, enhanced employee morale, increased customer satisfaction, reduced claim denials and re-prints, and removal of unnecessary procedures.Developed company SOPs, created training guides, and presented training to all levels of employees and leadership.Assisted Quest Diagnostics Compliance Department to establish HIPAA data assessment guidelines.A/R Management Team LeaderEncouraged employees to think outside the box and influenced internal and external customer decisions.Clarified expectations, trained and motivated team members that resulted in repeatedly exceeding departmental goals, organizational objectives, and attaining internal and external customer satisfaction.Utilized and administered human resources policies. Recruited applicants, interviewed potential candidates, trained employees, provided employee guidance, and completed employee performance appraisalsAMERICAN EQUIPMENT LEASING FINANCIAL, Reading, PA 1996 to 2001Asset Management SpecialistAssessed product and business risk in response to the changing economic conditions.Assisted Leadership with establishing asset operation initiatives that increase rate of return revenues.Quantified financial risks, transportation costs, logistics, depreciation value, and liabilities for leased equipment.Maintained records and databases that tracked leased equipment location, tax data, licenses, warranty, service agreement, and yearly fair-market value pricing figures.Analyzed market forecast, trends, and data to provide fair-market value quotes for various leased equipment.Operations Sales Support ManagerDeveloped and directed the financial operations for a $500 million leasing company.Oversaw the operations support staff responsible for contract and document preparation, quality control, vendor accounts payable, lease booking, loan transactions, customer service, and accounts receivable processing.Established and employed groundbreaking projects, methods, and workflow processes.Increased overall company revenue through automation, training of human resources, continuous assessment, and implementing innovative programs.Corporate Trainer/Sales CoordinatorCoordinated efforts with on-site lawyer, credit manager, sales, marketing, and operations team to develop and execute lease contracts, processes, and procedures.Managed leases from inception to conclusion, producing the necessary contract documentation that ensured all requirements and company policies were employed.Answered questions and resolved issues from sales representatives, customers, clients, and vendors.Created training documentation and provided end-user training for the operations, marketing, and sales teams.Handled logistics, completed delivery method cost/time analysis, designed trade show booths, maintained booths and inventory according to show necessities, constructed and dismantled booths on-site at regional and national shows.Planned pre-trade show meetings, show events, and completed post-show analysis and reports.SALLY BEAUTY SUPPLY, Reading, PA 1995 to 1996Store ManagerPlanned and managed the day-to-day operations of a retail store. Supported corporate initiatives and objectives with a focus on budget, quality, and service. Calculated daily, weekly, and monthly revenue reports and transmitted data to the corporate office.Analyzed current product level, projected future merchandising requirements and promotions, evaluated supply lists from vendors, and completed weekly buying process to ensure product availability in a timely manner.Designed marketing strategies and promotional activities. Communicated opportunities to team members, and ensured products were available and merchandised appropriately to maximize sales, minimize losses, and exceed revenue goals.Developed and maintained customer, client, vendor, and employee relationships. Provided shoppers with superior customer service, delivered practical product information, and resolved complaints.Recruited employees, trained staff, motivated team members, and provided optimal staff to surpass customer expectations.GODIVA CHOCOLATIER INC., Reading, PA 1993 to 1995Retail Kiosk BuyerForecasted merchandise requirements based on historical data, reoccurring purchases, and existing inventory level for 40 retail locations to maximize sales, decrease markdowns, and exceed revenue objectives.Developed customized shipment strategies from internal warehouses and outside vendors to meet the specific demands and storage limitations for all 40 retail locations.Worked closely with Merchandise Planner and Retail Managers to develop suitable merchandising approaches.Created ad-hoc reports, processed transfers, and reconciled inventory for each retail location.K-MART FASHIONS, INC., Reading, PA 1991 to 1993Assistant Store ManagerManaged and prioritized projects, defined assignments, designed marketing strategies, and developed and motivated team members to improve customer service, drive store sales, and minimize asset losses.Designed merchandise displays to create an enjoyable shopping experience, while maximizing revenue opportunities.Conducted interviews, hired candidates, presented new employee orientation, trained team members, completed weekly staff schedule within budget, and prepared yearly performance appraisals. |
