Annette Winston
Rivaya/Zahav
Maywood,IL
7
years of professional experience
Detail-oriented Business Office manager and Scheduler Coordinator with expertise in staffing, labor cost management, and medical billing. Committed to ensuring quality care through effective scheduling and problem-solving.
Work History
Scheduler Coordinator
2 Years 9 MonthsStaffing Coordinator
- Coordinate daily, weekly, and monthly staffing schedules for nurses and CAregivers to ensure adequate coverage across all shifts.
- Monitor staffing needs based on resident census, acuity, scheduled services.
- Manage last-minute call-offs, open shifts, and staffing shortages by contacting available employees and coordinating replacement coverage.
- Maintain accurate records of employee availability, PTO, attendance, overtime, and scheduled hours.
- Communicate schedule changes, shift assignments, and staffing updates to employees, supervisors, and department leadership.
- Collaborate with the Director of Nursing and management team to identify staffing needs and maintain appropriate coverage.
- Monitor overtime and staffing hours to help control labor costs while maintaining quality resident care.
- Coordinated schedules for full-time, part-time, PRN, and agency staff.
- Managed staffing emergencies by promptly adjusting schedules to maintain continuity of resident care.
Business Office Manager
3 Years 2 Months- Oversee daily office operations in a skilled nursing and long-term care environment, including resident billing, Medicaid, Medicare, managed care, private pay, collections, A/R, and reimbursement activities, Trust Funds.
- Manage Medicaid LTC applications, renewals, eligibility documentation, and follow-up, including complex cases involving guardianship, POA, and court proceedings.
- Perform Medicare Triple Check to verify census, payer information, supporting documentation, billing accuracy, and reimbursement prior to submission. Monitored accounts receivable and aging balances, identified outstanding accounts, and followed up to enhance collections and decrease aged accounts.
- Coordinated with residents, families, guardians, caseworkers, and payers to address financial and eligibility issues.
- Collaborate with Administration, Admissions, Social Services, Nursing, and Case Management to resolve financial barriers and support discharge planning.
- Executed month-end closing activities, including account reconciliation, review of outstanding balances, billing verification, and preparation of financial information for management review.
Claims Examiner
3 Years 9 Months- Adjudicated medical claims while verifying eligibility, coordination of benefits (COB), authorizations, contract requirements, and payment accuracy.
- Reviewed claims to ensure accurate processing and appropriate payment or denial decisions.
- Created and sent invoices to clients for services rendered.
- Researched complex claims and payer issues to resolve discrepancies and ensure accurate reimbursement.
- Prepared and submitted invoices
Education
Medical Coding - Medical Billing And Coding
Skills
Scheduling
Cost management
Medical billing
Receivables management
Payer coordination
Account management
Microsoft Office Suite
CRM software
Problem-solving
Team collaboration
Strong work ethic
Certified nursing assistant
Timeline
Scheduler Coordinator
Lifespace Communities
01.2024 - CurrentRead More
Business Office Manager
Rivaya/Zahav
08.2023 - CurrentRead More
Claims Examiner
Innovista Health Solutions
10.2019 - 07.2023Read More
Triton College
Medical Coding from Medical Billing And Coding
Read More