Business Office Coordinator for a Skilled Care Nursing Facility, with a focus on developing high standards of practice in regards to admissions for effectiveness and implementing necessary changes to programs and policies. Specialist in Medi-Cal statutes and management information systems committed to long term care industry.
Assist residents/families with the application process to obtaining Medi-Cal benefits. Correspond with State Medi-Cal eligibility workers/Appeals workers on a daily basis to ensure all documentation is submitted to obtain benefits. Follow up and keep residents/families informed on submission process. Process annual Medi-Cal redetermination applications. Balance daily census on all admissions/readmissions and discharges. Thoroughly investigated past due invoices and minimize number of unpaid accounts. Prepare daily payments for banking process. Recorded and filed patient data and Medi-cal records. Strictly followed all federal and state guidelines for release of information. Arranged and assisted with hospital admissions. Cooperated with other health related agencies and organizations in community activities. Established and maintained positive relationships with government regulators, residents, families, other area health care providers, physicians and community at large. Created weekly and monthly reports and presentations. Updated patient accounts and information on a daily basis. Managed incoming and outgoing calls for busy medical office. Communicated with patients via phone, email and in person to obtain payments on outstanding accounts or accounts requiring deductibles or co-pays. Coordinated admission processes and prepared medical records and agreement packets. Regularly evaluated employee performance, provided feedback and assisted, coached and disciplined staff as needed. Corresponded with nursing and Administrative staff to ensure key residents and families needs on a daily basis.
Coordinated all department functions for team of seven employees. Contacted providers to discuss status of re-billing and reimbursement process to ensure account resolution. Supervised and trained billing staff. Updated patient accounts and information on a daily basis. Created spreadsheets for AR Manager reports. Managed incoming and outgoing calls for busy medical office. Communicated with patients via phone, email and in person to obtain payments on outstanding accounts or accounts requiring deductibles or co-pays. Handled and processed confidential patient information. Made copies, sent faxes and handled all incoming and outgoing correspondence. Created weekly and monthly reports and presentations. Processed an average of 20-50 invoices per month for a large-scale organization. Researched and resolved billing and invoice problems. Monitored the daily activities of seven team members. Interviewed, hired and trained new quality Reimbursement Specialists. Electronic banking on a daily basis. Balanced 3.2 Audits for State auditing.
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