Professional with large corporation, multi facility experience seeking full time employment with an establishment needing reliable, accurate and innovative financial management abilities.
Skills
Budgeting proficiency
Accomplished leader
Knowledge of Medicaid statutes and regulations
Analytical thinker
Supervisory training
Independent judgment and decision making
Work History
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.
Education
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:
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School Attended
Gaston College
West Lincoln High School
Job Titles Held:
Area Business Office Manager/NC Medicaid Specialist
