Organized Business Office Manager bringing 16 years of progressive healthcare billing experience. Adept at analyzing and collecting in order to meet demanding company objectives. Knowledgeable about industry standards and best practices. Demonstrated expertise in financial and operational leadership. Multidisciplinary managerial skills in process, procedure and policy improvement initiatives. Accomplished in optimizing productivity and quality of service.
Overview
15
15
years of professional experience
Work History
Business Office Manager
Johns Island Post Acute
07.2022 - Current
Updated reports, managed accounts, and generated reports as needed for Administration.
Resolved financial discrepancies and customer billing issues with timely attention.
Maximized cash flow through optimal billing and collection processes.
Prepared and submitted monthly, quarterly and annual financial statements to Administrator.
Communicated with insurance providers to resolve denied claims and resubmitted.
Verified insurance of patients to determine eligibility.
Collected payments and applied to patient accounts.
Analyzed complex Explanation of Benefits forms and Remittance Advice to verify correct billing/payment of insurance carriers.
Posted payments and collections on daily.
Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
Prepared billing statements for patients and verified correct revenue and HCPCS codes for accuracy.
Generated reports and analyzed trends to maximize reimbursement and reduce claim denials.
Prevented financial delinquencies by working closely with other departments to resolve billing issues before becoming unmanageable.
Complied with established internal controls and policies.
Performed banking, business administration and financial tasks to guarantee five-star service for clients.
Prepared internal and regulatory financial reports, balance sheets and income statements.
Prepared cash flow projections, cost analysis and monthly, quarterly and annual reports.
Evaluated and negotiated contracts to procure favorable financial terms.
Implemented corrective action plans and solutions for employee write-ups and incident reports.
Managed financial transactions and functions for 132 patients.
Controlled accounts payable, accounts receivable, billing and claims processes to obtain maximum reimbursement from Medicare, Medicaid and other insurance providers.
Followed up with Medicare and Medicaid intermediaries to verify cost report submissions.
Maintained compliance with Centers for Medicare and Medicaid Services (CMS) requirements, submitting reports for continued participation in Medicare and Medicaid programs.
Accomplished multiple tasks within established timeframes.
Business Office Manager
Riverside Health And Rehabilitation Center
12.2015 - 08.2022
Updated reports, managed accounts, and generated reports for company database.
Resolved financial discrepancies and customer billing issues with timely attention.
Maximized cash flow through optimal billing and collection processes.
Implemented corrective action plans and solutions for employee write-ups and incident reports.
Maintained strong knowledge of applicable governing requirements and submitted documentation and reports in accordance with SCDHHS programs.
Managed financial transactions and functions for 160 patients.
Discussed resident census data and admissions and discharge information in department-head meetings.
Controlled accounts payable, accounts receivable, billing and claims processes to obtain maximum reimbursement from Medicare, Medicaid and other insurance providers.
Maintained compliance with Centers for Medicare and Medicaid Services (CMS) requirements, submitting reports for continued participation in Medicare and Medicaid programs.
Followed up with Medicare and Medicaid intermediaries to verify cost report submissions.
Communicated with insurance providers to resolve denied claims and resubmitted.
Verified insurance of patients to determine eligibility.
Collected payments and applied to patient accounts.
Site Revenue Coordinator
Hospice Of Charleston
10.2008 - 12.2015
Handled day-to-day accounting processes to drive financial accuracy.
Recorded deposits, reconciled monthly bank accounts and tracked expenses.
Managed and responded to correspondence and inquiries from hospice patients, families and vendors.
Generated invoices upon receipt of billing information and tracked collection progress.
Input financial data and produced reports using McKesson.
Supported management by processing invoices and documents with consistent on-time delivery.
Effectively communicated with clients about payment needs and kept updated, detailed and accurate spreadsheets.
Reconciled accounts, managed audits and updated financial records with remarkable accuracy.
Entered figures using 10-key calculator to compute data quickly.
Gathered, evaluated and summarized account data in detailed financial reports.
Maintained excellent financial standings by working closely with bookkeeper to process business transactions.
Education
High School Diploma -
Hingham High School
Hingham, MA
Cambridge College
Cambridge, MA
Skills
Financial Data Analyzation
Compliance Requirements
Training and Development
Handling Complaints
Resident Satisfaction
Business Correspondence
Medicaid Application
Accounts Payable and Receivable
Administrative Management
HIPAA Guidelines
Medicare Compliance
Account Collections
Billing and Invoicing
Report and Document Preparation
Research and Analysis
Timeline
Business Office Manager
Johns Island Post Acute
07.2022 - Current
Business Office Manager
Riverside Health And Rehabilitation Center
12.2015 - 08.2022
Site Revenue Coordinator
Hospice Of Charleston
10.2008 - 12.2015
High School Diploma -
Hingham High School
Cambridge College
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