MICHELLE SERAPHIN
Eastchester
Summary
Dedicated and detail-oriented Financial Coordinator with over10 years of experience, specializing in long-term care (LTC) and skilled nursing facility (SNF) settings. Demonstrated expertise in managing financial operations, including budgeting, accounting, billing, and reimbursement processes. Proven ability to streamline financial procedures, enhance accuracy, and ensure compliance with regulatory standards.
Overview
27
27
years of professional experience
Work History
Case manager (TEMP)
Freiwald Center Rehabilitation and Nursing Center
09.2024 - 12.2024
- Initiate authorization request with Insurance Companies and follow up until auth is granted
- Send weekly Clinical to Insurance Companies or as requested
- Coordinate with Social worker, Therapist and Doctor to discussed patient care
- Review the care plan for patient and Discussed with Insurance Companies
- Advocated with the insurance companies for more time base on patient needs
- Assist patient with NOMNC and appeals
Financial Coordinator
Westchester Rehabilitation and Nursing Center
04.2024 - 06.2024
- Oversee the reimbursement processes, ensuring timely and accurate billing and collections
- Assist residents and their families in completing and submitting Medicaid applications, ensuring that all necessary documentation is provided
- Manage the annual Medicaid recertification process for existing residents, ensuring that all paperwork is filed on time to avoid lapses in coverage
- Eligibility Verification: Verify residents’ eligibility for Medicaid benefits and monitor any changes in their financial or medical status that might affect eligibility
- Billed Medicaid weekly
- Billed Medicare and HMO’S monthly
- Resolve any billing Discrepancies related to Medicaid ,Medicare and HMO
Finance Manager
Yonkers Garden for Rehabilitation & Nursing
11.2021 - 03.2024
- Oversee the billing process to ensure accurate and timely submission of claims to Medicare, Medicaid, and private insurers
- Resolve billing discrepancies and manage denied claims to maximize reimbursements
- Stay updated on changes in reimbursement regulations and adjust billing practices accordingly
- Provide financial insights and analysis to support strategic planning and decision-making
- Identify opportunities for cost savings and revenue enhancement
- Assist residents and families with application process for Medicaid
- Develop and implement long-term financial strategies to support the facility's growth and sustainability
Finance/Admissions Coordinator
Tarrytown Hall Care Center
08.2019 - 07.2020
- Assist residents and their families in completing Medicaid applications and renewals
- Verify eligibility requirements and ensure all necessary documentation is collected and submitted accurately
- Follow up with residents, families, and relevant agencies to ensure timely processing of applications
- Review Admission documents and screen for potential new admissions
- Conduct initial and ongoing financial assessments of residents to determine financial eligibility
- Conduct monthly, quarterly, and annual financial closings and audits
- Manage financial audits and coordinate with external auditors
Finance Coordinator
Methodist Church Home
11.2016 - 08.2019
- Billed Medicaid Weekly and new Budget Via Epaces
- Billed Medicare and HMO’s monthly
- Process monthly private and NAMI billing
- Resolving any billing discrepancies related to Medicaid, Medicare and HMO
- Analyzed aging reports for all payor
- Collaborate with patients or patient’s families to discuss their financial needs
- Collaborate patients or patient’s families who are applying for Medicaid
- Provide ongoing support and guidance to residents and families throughout the Medicaid process
- Assist with guardianship as needed for Patients
Finance Coordinator/Admission assistance
Waterview Nursing Home
12.2013 - 11.2016
- Help residents and their representatives complete Medicaid applications on a regular basis
- Ensure that all required documentation is gathered and submitted timely
- Follow up on applications to ensure they are processed with no discrepancies
- Conduct financial assessments to determine resident’s Medicaid eligibility
- Review residents' income, assets, and medical expenses against Medicaid eligibility criteria
- Send weekly clinical to Insurance companies or as needed
- Coordinate with social worker, therapist and doctor to discuss patient care
- Review the care plan for patients an discuss with caseworker fro the insurance company
- Advocated with insurance company for more time base on patients need
- Assisted patients with NOMNC and appeals
Account Receivable /Billing Coordinator
Hebrew Hospital Home Inc. Bronx NY
03.1998 - 05.2008
- Processed Monthly Billing for NAMI
- Make collection calls
- Negotiated Payment
- Processed weekly Medicaid Billing and Daily Medicaid Bill through E,paces
- Sent claims to secondary payers after Medicare paid and follow up with Insurance Co
- Prepared checks for deposit and posted the to the accounts Receivable
- Prepared and submitted Expedite form to Medicaid and recertification
- Processed change of addresses to Social Security and various Pensions Co
- Submitted Insurance information to other vendor who renders services to patient
- In charge of Patient Banking
- Prepared and mailed patient funds statement
- Reconciled petty cash Account monthly and processed refunds as needed
- Maintained an account to Security Deposit and processed refund as needed
Education
Bachelors Degree -
Pace University
05-1990
Timeline
Case manager (TEMP)
Freiwald Center Rehabilitation and Nursing Center
09.2024 - 12.2024
Financial Coordinator
Westchester Rehabilitation and Nursing Center
04.2024 - 06.2024
Finance Manager
Yonkers Garden for Rehabilitation & Nursing
11.2021 - 03.2024
Finance/Admissions Coordinator
Tarrytown Hall Care Center
08.2019 - 07.2020
Finance Coordinator
Methodist Church Home
11.2016 - 08.2019
Finance Coordinator/Admission assistance
Waterview Nursing Home
12.2013 - 11.2016
Account Receivable /Billing Coordinator
Hebrew Hospital Home Inc. Bronx NY
03.1998 - 05.2008
Bachelors Degree -
Pace University
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