Amanda Kerley

• Served as the primary financial liaison between two large skilled nursing facilities (268 and 189 beds), ensuring accurate payer verification and compliance prior to admission.
• Met directly with residents, families, and fiduciary parties to review admission contracts, explain insurance coverage and payment responsibilities, and guide them through the financial process.
• Verified Medicaid, Medicare, and insurance eligibility prior to accepting referrals to safeguard facility reimbursement and minimize denials.
• Collaborated with Admissions, the Business Office, and Corporate Accounts Receivable teams to ensure complete documentation, prompt collections, and adherence to payer requirements.
• Supported the collections process by providing case-based financial insights during weekly meetings and advising leadership on payer or eligibility barriers.
• Facilitated accurate and timely completion of all admission-related financial forms, including SSA and Medicaid documentation for Public Aid Pending residents.

Stabilize Business Office Operations of Skilled Nursing Facilities Entering Receivership

• Serve as the primary liaison for the revenue department, providing training and support to Business Office Managers (BOMs).
• Manage receivership transitions in collaboration with cross-functional teams to streamline financial and administrative processes.
• Train and mentor BOMs on Medicaid applications, redeterminations, appeals, private collections, and revenue management.
• Identify operational gaps, and implement corrective actions to improve financial and operational performance.
• Ensure compliance with company policies, state Medicaid regulations, and industry best practices.
• Travel to facilities within the region to provide on-site guidance and support.

Revenue Cycle Strategies and Process Improvement

• Pioneered the first hybrid Revenue Cycle Team, designing training programs for staff on IL Medicaid policies, CMS regulations, billing guidelines, and appeals strategies.
• Managed the development and review of training materials, ensuring alignment with policies and procedures.
• Provided continuous training, mentorship, and troubleshooting, collaborating with Managed Care, Billing, and Collections teams to resolve policy/system issues.

Field Support and Operational Efficiency

• Delivered real-time training and troubleshooting to staff on documentation, policies, and systems, like PointClickCare.
• Acted as a key contact for resolving billing discrepancies, ensuring smooth billing, and insurance verification.
• Collected and analyzed field data to identify challenges and drive process improvements.

Revenue Cycle Collaboration and Issue Resolution

• Led complex Medicaid case support, advising on next steps to maximize recoupment, and ensure accurate payments.
• Developed technical solutions, communication tools, system updates to streamline operations and address operational challenges, like DHS policy changes.
• Directed Medicaid appeals and resolved issues such as wrongful claim rejections, facilitating the recoupment of $50,000 from a wrongful rejection.
• Collaborated with HFS and DHS to resolve policy errors, while ensuring a quick resolution of issues impacting revenue cycle performance.

Cross-Departmental Collaboration and Stakeholder Engagement

• Maintained communication with DHS and HFS to clarify policies and resolve issues.
• Coordinated with external partners on initiatives like MMAI and MLTSS.
• Worked with Billing, Collections, and Regional Directors to streamline processes and address operational challenges.
• Advised leadership on policy updates, and ensured timely communication across teams.

Maximizing Revenue Recoupment and Special Projects

• Led initiatives to recover revenue by resolving Medicaid payment issues, and wrongful rejections.
• Directed special projects to optimize revenue cycle efficiency and implement process improvements.
• Supported the collections team in resolving Medicaid-related issues, and ensuring accurate billing.

Leadership and Problem Solving

• Led the Revenue Cycle Team, providing strategic guidance, implementing process changes, and training solutions.
• Facilitated roundtable training sessions to ensure consistency, and monitor team success.

• Managed 80+ long-term care Medicaid cases and 80+ managed care plans.
• Delivered training on new software systems and web applications to staff and senior leadership.
• Provided training to facilities and staff to enhance strategies, programs, and initiatives.
• Recommended process improvements to reduce costs and increase productivity.
• Collaborated across departments to coordinate project efforts and ensure alignment.
• Worked closely with facilities, residents, families, staff, and state/federal organizations to meet or exceed expectations.

• Served as an ABE-registered community partner, with a specialization in Medicaid applications, redeterminations, appeal support, and providing general community resources related to ABE online applications.
• Advised residents and families on Medicaid planning, applications, appeals, and redeterminations.

• Designed and implemented a wide range of wholesome, enriching, and interactive activity programs tailored to meet the diverse, multicultural needs of nursing home residents.
• Managed a team of staff members and volunteers, providing guidance, training, and direction to ensure the successful completion of projects and tasks.

• Produced and proofed sales flyers to support marketing and promotional initiatives.
• Managed updates and ongoing maintenance for three major beauty industry websites.
• Participated in designing and developing email marketing campaigns.
• Communicated regularly with clients via phone and email to ensure goals, timelines, and deliverables were met.
• Enhanced client service and communication by developing new policies and procedures based on client feedback.

• Set up, sorted, and reviewed loan applications, including credit reports, title documentation, mortgage histories, land contracts, and other required records.
• Added, cleared, and updated loan stipulations in accordance with underwriting guidelines.
• Assisted in determining loan approvals or denials based on established underwriting criteria.

• Managed and coordinated web promotional offers, banner ads, and biweekly direct email campaigns across multiple industry websites.
• Oversaw departmental and agency relationships, prioritizing tasks, ensuring timely project completion, and testing/approving web launches.
• Maintained and managed company image libraries of over 10,000 images, including quality control, color correction, clipping paths, and preparation of digital and conventional product art.
• Managed the upload process and maintained website artwork to ensure accuracy, consistency, and brand integrity.
• Managed specialized e-commerce and vendor content websites, producing and posting web offers, updating content, and supporting marketing initiatives.
• Designed and developed promotional landing pages and supporting web graphics to drive campaigns and enhance user engagement.
• Coordinated email campaign schedules and other marketing initiatives in alignment with corporate goals across multiple online channels.
• Conducted weekly and monthly website updates, bug fixes, and maintenance to ensure optimal functionality.
• Researched and implemented software and emerging technologies to improve departmental workflow and efficiency.

• Designed and laid out catalogs and marketing support materials.
• Trained new, temporary, and current employees on software, as well as on software upgrades and enhancements.
• Maintained Macintosh systems and troubleshot technical issues to ensure smooth departmental operations.
• Managed company image libraries of over 10,000 images, ensuring quality control, color accuracy, and proper clipping paths for all conventional print product art.
• Processed digital artwork and maintained a log of scanned art, creating electronic portfolios for cross-departmental use.
• Prepared image files for print and coordinated delivery to printers.

• Designed and laid out catalog pages and marketing materials to support company initiatives.
• Created collateral pieces including flyers, direct mail, inserts, trade show signage, and promotional materials.
• Imported and formatted text and images to ensure visual consistency and accuracy.
• Entered catalog, product, and auto-price information into internal systems as needed.

• Served as department lead, overseeing daily inventory operations and supervising warehouse staff.
• Maintained accurate stock levels by tracking key statistics, auditing discrepancies, and completing monthly physical inventory counts.
• Managed daily stock replenishments and coordinated with supervisors and team members to meet supply needs.
• Verified incoming products, checked delivery totals, and updated inventory records to ensure system accuracy.
• Directed counting, shipping, receiving, and manifesting processes to support efficient warehouse operations.
• Reviewed and updated inventory reports to inform departmental decision-making.

• Managed day-to-day operations in a self-directed environment, making independent decisions to maintain workflow efficiency.
• Processed product return shipments, assessing items for return eligibility and repackaging stock as needed.
• Facilitated vendor credits and refunds, ensuring accuracy and timely resolution.