Gary Rice

Experience

• 

  Jefferson Pilot Financial

  Jan 1995 - Jan 2001

  Reported to VP of Operations and Site Manager. Managed up to 17 staff (i.e. Claims Processor, Billing Reps, AR Reps, Data Processors, 2 Supervisors). Developed budget, collected/analyzed expenses, client service standards, & headcount data; also prepared variance reports. • Managed accounts payable (AP) and accounts receivable (AR), assisted with the development of site goals and objectives. • Together with 2 others, secured company’s attainment of IMSA membership (ethical market conduct) in 1997 and 2001 by organizing/compiling evidentiary documentation, and interviewing appropriate company executives. • Worked with IT for 18+ months to create a new legacy system to address the missing credit insurance administrative system, improved data integrity, increased claims’ payments accuracy, reduced receivables, & financial controls.Previous: Kentucky Central Life Insurance Company (acquired by Jefferson)Home Office liaison between Sales staff and 300+ credit accounts (banks, auto dealers, finance companies, credit unions) with annual premium of $30M and staff of 17. • Worked with IT to develop an Administration Legacy System and implemented data imaging system. • Automated correspondence, issued contracts, agency agreements, policy filings, and paid commissions. • Handled Dept. of Insurance inquiries and complaints; also maintained NAIC credit insurance statistical data analysis reports. Show less Reported to VP of Operations and Site Manager. Managed up to 17 staff (i.e. Claims Processor, Billing Reps, AR Reps, Data Processors, 2 Supervisors). Developed budget, collected/analyzed expenses, client service standards, & headcount data; also prepared variance reports. • Managed accounts payable (AP) and accounts receivable (AR), assisted with the development of site goals and objectives. • Together with 2 others, secured company’s attainment of IMSA membership (ethical market conduct) in 1997 and 2001 by organizing/compiling evidentiary documentation, and interviewing appropriate company executives. • Worked with IT for 18+ months to create a new legacy system to address the missing credit insurance administrative system, improved data integrity, increased claims’ payments accuracy, reduced receivables, & financial controls. Show less

  • Financial Analyst/Manager, Planning & Budget/Project Manager

    Jan 1995 - Jan 2001

  • Financial Analyst/Manager, Planning & Budget/Project Manager

    Jan 1995 - Jan 2001
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  Accenture

  Jan 2001 - Jan 2002

  Controller / Financial Analyst

  (fka: Affiliated Computer Services) Oversaw all accounting & financial reporting for healthcare insurance provider division. Prepared all monthly financial reports, including financial statements, drill down reports, and variance analysis. Analyzed financial outcomes, interpreted to managers and assisted in making recommended changes.

• 

  Baptist Health Plan

  Jan 2002 - Jan 2019

  Director, Billing & Enrollment

  Reported to the CFO and COO. Directed a staff of up 7-19 team members (i.e. billing representatives, eligibility representatives, eligibility auditors, and payment processors) in driving departmental processes and achieving business goals. • Oversaw billing & eligibility of Commercial, ASO (Administrative Services Only), Individual & State Employee plans. • Established policies & procedures (SOPs) for day to day operations, implementing department structure for efficiency. • Billed & collected annual premiums of $200M for Baptist Health Plan, monitored Accounts Receivables (AR), reconciled eligibility of 300K memberships, and maintained 1,000 groups; premiums remitted by groups & individuals. • Communicated with other department supervisors for overall structure, implemented procedures and processes for 8,000 kynect members; worked closely with Kentucky Health Benefit Exchange. • Addressed mismanaged and aged accounts receivables which put $1M at risk by reapplying resources and meeting with billing reps twice weekly to ensure team accountability; reducing 90-day aged receivables to zero and maintained levels. • Managed data integrity issues, which reduced error rates from ~5% to less than .1% and maintained levels; addressed billing issues, coverage disruptions, ID card errors, etc.; prioritized data integrity, created system edits, and integrated personnel (e.g. Data Auditor, Billing Reps) to pre-audit data as well as rewarded employees with bonuses to ensure data accuracy. • Developed/monitored departmental budget & strategic planning and created correspondence and ID card issuance. • Interviewed, hired, and trained employees; planned, assigned, and directed work and evaluated performance of employees. Show less