- Montgomery Street, San Francisco, CA 94105
- H: (555) 432-1000
- C:
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Professional with large corporation, multi facility experience seeking full time employment with an establishment needing reliable, accurate and innovative financial management abilities.
- Budgeting proficiency
- Accomplished leader
- Knowledge of Medicaid statutes and regulations
| - Analytical thinker
- Supervisory training
- Independent judgment and decision making
|
Area Business Office Manager/NC Medicaid Specialist, 11/2008 - Current
Kindred Healthcare, Inc. – City, STATE, - Support Business Office in A/R, A/P, Payroll, Ancillary Control.
- Review accounts for timely billing and collections.
- Monitor Insurance and Managed Care policies for accurate billing.
- Provide information to operations manager and set goals for collections.
- Review, log and maintain Medicare RFAI's.
- Work with pharmacy on denied meds being billed to facility, appeal where necessary.
- Monitor Medicaid Pending Accounts for 12 Facilities.
- Liaison between facility, county and state.
- Monitoring appeals when needed.
- Provide Collection and Bad Debt Matrix through out the month for projections.
- Maintain Policy and Procedures for internal audit.
- Perform monthly audits, Patient Trust, Cash and Adjustments.
- Quarterly, Payroll audits.
- Maintain goal of 10% <60 days.
- Received satisfactory in 2012 Internal Audit.
- Manage Facility BOM and staff, work performance, vacation and annual reviews.
Area Business Office Manager, 11/2008 - Current
Kindred Healthcare, Inc – City, STATE, - Recruited, hired, trained and coached on average of 5 new employees per year.
- Consistently complied with applicable laws and regulations and ensured facility adhered to Medicare and Medicaid regulations.
- Educated staff on state and federal statutes, rules and regulations governing home care services.
- Skillfully developed departmental goals, objectives, standards of performance, policies and procedures.
- Organized the department in accordance with administrative guidelines in order to provide specified nursing services to meet the legal, organizational and medical staff guidelines.
- Interpreted and communicated new or revised policies to staff.
- Oversaw private and MCR billing, payroll, AP, and AR and verified that proper procedures were followed.
- Developed and achieved financial and growth goals.
- Strategically planned methods to achieve operational goals and targets.
- Reviewed customer survey information to prioritize areas of improvement.
- Reviewed customer survey information to prioritize areas of improvement.
- Achieved high staff morale and retention through effective communication, prompt problem resolution, proactive supervisory practices and facilitating a proactive work environment.
- Routinely collaborated with department managers to correct problems and improve services.
NC Medicaid Specialist, 05/1996 - 02/2008
Sava Senior Care – City, STATE, - Liaison between facility and State or County.
- Supported 32 NC facilities.
- Reduced Medicaid Pending accounts.
- Trained and Retrained Medicaid Pending Policy Wrote Medicaid Pending Policy.
Regional Collection Manager/Regional Financial Analyst, 05/1996 - 02/2008
Sava Senior Care – City, STATE, - Provided support for 14 facilities.
- Trained and Retrained FC fundamentals.
- Remain up to date of state/federal regulations.
- Audit Accounts.
- Audit Patient Trust.
- Monitor the compliance with policy/regulations of Facility Bookkeepers Implemented new Facility Accounts Receivable software systems Conduct monthly Facility AR reviews to improve collections Problem solve -Research causes and develop action plan/solutions Liaison with Medicare Intermediaries (Palmetto, Mutual of Omaha, BCBS of NC) to improve facility Medicare receivables Worked directly with NC Medicaid (EDS), & SC Medicaid to resolve issues.
- Worked with Insurance/Managed Care Companies to insure timely payment and resolve any issues Analyze monthly Profit & Loss Statements.
- Attend Management meeting with all Regional Staff.
- Train Business Office personnel (ongoing and new staff) on Insurance Verification, Certifications for Medicare A and B and Pre-certification for HMO/Managed Care companies.
- Back up Facility Business office staff as necessary.
AA: Business Administration and Management, Expected in 1 1988
-
Gaston College - Dallas, NC
GPA:
Business Administration and Management- Coursework in Business Management
- Coursework in Health Services Administration
- Coursework in Human Resources Management and Accounting
High School Diploma: , Expected in 1986
-
West Lincoln High School - Lincolnton, NC
GPA:
- Account reconciliation
- Invoice coding familiarity
- Analytical reasoning
- Advanced computer proficiency (both PC and Mac)
- Strong in MS Access and Excel
- Billing and collections expert
- Accounts payable specialist
- Invoice and payment transactions
- Exceptional organization
- Flexible thinker
- Complex problem solving
- Results-oriented
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