Dependable Healthcare professional with over 15 years of experience in Healthcare and Skilled Nursing within multiple roles who brings strong focus on team collaboration, strategic planning, and achieving results. Adept in financial management, operational efficiency. Known for reliability, adaptability, and effective communication to provide the best outcome of the company to meet the standards and core principals expected.
Overview
19
19
years of professional experience
Work History
Business Office Manager
Tarpon Bayou Center/ Hearthstone
07.2022 - Current
Managed daily operations to ensure smooth business office functionality, including accurate daily census management and entry, cash posting, deposits, Resident Fund Management, ect.
Verify and accurately communicate and maintain insurance benefits for incoming admissions including post admission for Medicare, Managed Care, Commercial and Florida Medicaid payors to ensure sound financial aging for company.
Reconcile facility RFMS.
Mail Statements and perform collection calls/ letters as needed
Complete and prepare required paperwork and communicate with legal departments for resident guardianship and collection efforts including court hearings.
Assist in resident application for Florida Medicaid benefits.
Assist, educate and guide residents and families with knowledge of insurance, financial responsibility and expectations.
Month end close responsibilities for accurate posting on cash, ancillary charges, census, journal entries and therapy charges.
Resolved financial discrepancies and customer billing issues with timely attention.
Contributed to successful annual goals by achieving awards from company for cash collection and overall business office performance for consecutive years.
Florida Medicaid Billing manually and communicate approvals and changes to company CBO.
Manually adjust and modify healthcare claims for accurate billing and payments including tracking pending claims for status and dispute when necessary.
Maintain monthly cash goals, often exceeding 100% surpassing monthly and quarterly expectations.
Management and oversight of positions to include Receptionist and Payroll department including performing as needed job functions for both roles.
Post and accurately transmit AP as needed including uploads,reconciliation of paid and pending invoices and manual checks.
Conducted performance evaluations for employees, identifying areas for improvement and providing constructive feedback.
Admissions Director/Business Office Manager
Mease Life
10.2014 - 07.2022
Direct and oversee 3 Receptionists for facility front desk, monitor for compliance, accuracy, and complete scheduling, hiring, education and evaluations as required.
Confer with leadership team to evaluate needs and strategize operational improvements for census improvements and marketing.
Maintain an accurate facility daily census.
Monitor and Navigate multiple insurance software including: Availity, Ability, UHC, Navihealth and more.
Communicate and maintain strong relationships with local hospital case managers, social workers and physicians.
Insurance verifications and authorizations.
Facility Admission Contracts.
Input census changes to reflect payor changes for accurate billing.
Communicate with insurance companies and physician offices for accurate insurance information, authorizations and billing for Medicare, Medicaid and Managed Care products.
Coordinate admissions of new and returning clients from hospital, home, health care settings.
Ability to multi task and work in a faced pace environment managing up to 60 admissions a month.
Manage the inquiry process professionally, timely and with appropriate follow-up
Conduct tours of the facility to perspective residents, family members and marketing clients to educate them on facility operation.
Provide excellent customer service, while fielding inquiries regarding our services and or issues with existing patients/families including room management.
Assisted with facility Social work for six months with responsibilities including: Advanced directives, BIMS and MDS required assessments and discharge planning needs.
Perform monthly minutes for facility QAPI
Assist facility NHA in state survey processes and required form completion.
Enter all facility staff and resident COVID-19 test results into DOH for compliance.
Director of Marketing and Admissions
SunBridge/ Genesis HealthCare
07.2012 - 10.2014
Admissions and Marketing Director for 120 bed Skilled Nursing Facility including external marketing.
Developed, maintained and deepened strategic partnerships with agencies, vendors and local hospitals, physicians, ALF,s and communities for census growth.
Devised marketing plans using digital strategies, print advertising, and word of mouth tactics.
Executed updated marketing plans to increase branding exposure, customer traffic and sales.
Successfully worked hand in hand with Administrator to increase facility rating from a 2 to 5 star facility.
Met census goals achieving occupancy on multiple occasions.
Trained with regional oversight on marketing strategies.
Coordinated and attended local events and hospital vendor fairs.
Complete all insurance verifications, insurance authorizations and Admission contracts.
Human Resources Manager/ Accounts Payable/Payroll Clerk
Genesis HealthCare
09.2011 - 07.2012
Reviewed all facility invoices for accuracy, entered new vendor information and payment terms for processing.
Processed facility payroll timely and accurately including retro changes and modifications.
Managed facility petty cash.
Handled all new hire paperwork including Level 1, 2 background screening.
Performed new hire orientation.
Assisted employees and Fellow administration with compliance and moral concerns.
Provided backup to facility Admissions Director in their absence including providing training to newly hired admission directors.
Admissions Ambassador
Genesis Healthcare
04.2010 - 09.2011
Assisted Admissions staff and Business Office with different administrative duties by inputting data into Point Click Care System, filing papers and fielding phone calls.
Guided prospective residents and families through admissions process, addressing inquiries and providing detailed information.
Performed Insurance verifications and acted as a backup to Admissions Director.
Assisted all new residents and families with rehab process and conducted tours.
Delivered newspapers and personal items to residents
Answered call lights and performed non nursing requests for residents.
Assisted nursing staff by arranging transportation and X-ray appointments for in house residents.
Receptionist
Harborside Healthcare
05.2007 - 04.2010
Answered and directed incoming calls using multi-line telephone system.
Delivered administrative support to team members by making copies, sending faxes, organizing documents and rearranging schedules.
Sorted incoming mail and directed to correct personnel each day.
Oversaw office inventory by restocking supplies and submitting purchase orders.
Prepared packages for shipment by generating packing slips and setting up courier deliveries.
Handled payment processing and provided customers with receipts and proper bills and change.
Assisted admissions department with tours/ inquiries and required paperwork including cross trained on accepted insurance and facility accomodations.
Resolved customer problems and complaints.
Education
Some College (No Degree) - Nursing
St. Petersburg College
Palm Harbor, FL
High School Diploma -
Tarpon Springs High School
Tarpon Springs, FL
05.2007
Skills
Insurance knowledge including Medicare, Medicaid, Managed Care
Management, HR, Accounts payable and Social Worker SNF experience
CCRC experience
Marketing and Business Development
Computer proficiency including software experience with Point Click Care, Matrix, Paycom and more
Customer service
Time management
Office administration
Credit and collections
Administrative support
Reliability
Accomplishments
Cash Collections
Business Office Performance
References
Available upon request
Timeline
Business Office Manager
Tarpon Bayou Center/ Hearthstone
07.2022 - Current
Admissions Director/Business Office Manager
Mease Life
10.2014 - 07.2022
Director of Marketing and Admissions
SunBridge/ Genesis HealthCare
07.2012 - 10.2014
Human Resources Manager/ Accounts Payable/Payroll Clerk