Annette Mendiola
San Antonio,TX
Summary
Organized and highly experienced office manager with over 25 years of financial and operational leadership in long-term care. Recognized for strong leadership, regulatory compliance, and the ability to streamline processes while supporting quality care delivery. Proficient in maintaining full compliance with all applicable federal, state, and local standards, guidelines, and regulations.
Overview
19
19
years of professional experience
Work History
Business Office Manager
Memorial Medical Nursing
San Antonio, TX
06.2025 - Current
- Lead end to end building operations including monthly billing cycles, Medicare A&B claims, Managed Care submissions, Private Pay, and Hospice statements
- Oversaw AR management, collections, and IME/DME invoice processing to maintain cash flow and reduce outstanding receivables.
- Ensured patient trust accounts were accurately managed using RFMS accounts payable processes.
- Completed 3618/3619 submissions in SimpleLTC
- Collaborated with MDS to uphold accurate RUGS/PDPM scoring and
- Performed RFMS and operational account reconciliations
- Ensured all ancillary charges were captured
- Facilitated meetings for Utilization Review and Triple Check to ensure compliance and accuracy.
- Handled ADRs and appeals to ensure timely reimbursement and uphold revenue integrity.
- Verified Medicare, Medicaid, and private insurance coverage to ensure accurate eligibility and reimbursement
- Coordinated closely with admissions to streamline patient onboarding
- Applied for Medicaid Long-Term and SSI benefits gathered all required documentation to support Medicaid eligibility
- Collected and verified applied income upon patient arrival to ensure accurate financial assessment
- Submitted Report of Change to Medicaid and notified Social Security of new admissions, discharge, or expirations
- Conducted monthly Medicaid pending meetings to track progress, resolve barriers, and facilitate timely approvals.
Business Office Manager
Meridian Care Monte Vista
San Antonio, TX
03.2008 - 06.2025
- Supervised and oversaw business office activities, including billing, collections, patient trust accounting, payroll, human resources, and accounts payable, ensuring operational efficiency. Prepared and submitted monthly, quarterly, and annual financial statements to support strategic decision-making.
- Managed resident billing, insurance claims, and collections to maintain accurate financial records.
- Supervised admissions paperwork, ensuring compliance with nursing facility documentation requirements.
- Coordinated accounts payable, receivable, and payroll processes with high attention to accuracy.
Education
Elementary Education
Palo Alto College
San Antonio, TXHigh School Diploma - undefined
John Jay High School
San Antonio, TX05-1991
Skills
- Insurance verification (Medicare Medicaid, Managed Care, VA, PVT)
- Claims and Denials Resolution
- SSI and Long-Term Medicaid application processing
- Regulatory reporting (Medicaid Reports of Change and Social Security notifications)
- Trust account management
- Applied income collection & verification
- Policy compliance
- Patient intake and financial clearance
- Admissions coordination
- Medicaid case tracking
- Medicaid case review
- Confidential information accuracy
- Workflow prioritization
- Healthcare Software: PCC (PointClickCare), SimpleLTC, EPRG/Welmed, One Healthcare, VA Customer Engagement Portal, Inovalon, Availity, MyAbility, Waystar Proclaims, TMHP, ECHO, Optum
- Coding & Billing: ICD coding
- Document management
- Microsoft Office suite: Word, Excel, Outlook, Teams
- Regulatory and Compliance knowledge: Medicare/Medicaid Regulations, SSA/SSI guidelines, TWC guidelines
- Data entry
- Professional communication
- Administrative oversight
- Operational efficiency
Accomplishments
- Supervised team of 13 staff members.
Personal Information
Title: Business Office Manager
Timeline
Business Office Manager
Memorial Medical Nursing
06.2025 - Current
Business Office Manager
Meridian Care Monte Vista
03.2008 - 06.2025
High School Diploma - undefined
John Jay High School
Elementary Education
Palo Alto College