Motivated and compassionate Business Office Manager with over 10 years of experience and superior knowledge of Medicare, Medicaid, and Managed Care. Detail-oriented and guided by modern leadership techniques and contemporary technology. Offering deep understanding of the revenue cycle and high standards for communication to a long-term position.
• Responsible for updating daily Census and providing to team
• Daily Cash posting
• Weekly/monthly billing
• Private Pay/Patient Liability monthly statement generating; assistance with collecting
• Meeting and exceeding monthly cash goals
• RBD
• MAM, MAI billing
• Medicaid pending- full application process
• Collection of aging accounts
• Filing AHCA complaints
• Weekly CRR meetings
• Monthly QUAD for proper Med A and B billing
• Completing received audits in a timely manor
• Reviewing and completing both PVT/INS refunds
• Setting up new user access in PCC
• Submitting SSA Rep Payee
• Assisting with Admissions team on new admissions; verifying benefits and obtaining authorizations
• Assist with facility payroll when needed
• Manage office staff
• Accounts Payable/Consolidated billing
• Responsible for collecting and managing all monthly patient liability
• Manage all resident trust accounts, balance daily resident cash withdrawals and balances
• MBM claim billing, claim review and resolving aged claims with all payors
• Driving force behind reduction in aged AR for facility; including both private and insurance
• Daily communication with residents and families to review insurance details and options upon admission
• Reviewing and obtaining all necessary documentation for Medicaid applications/recertification
• Verifying benefits for potential new admissions
• Managing and processing all AP for facility
• Facility back up for processing and submitting weekly payroll
• Foster a work environment that supports optimum workforce productivity, engagement, effectiveness and efficiency
• Consistently monitor and report collections performance effectiveness and drive improvement process
• Train new hire on all applicable systems and maintain work queues
• Day to day management and development of accounts receivable representatives
• Establish and maintain training tools and protocols
• Assist department with past due AR reports and account resolution
• Develop and implement strategic processes for the purpose of reducing of A/R days and increasing cash flow
• Complete month end projects to effectively meet monthly and quarterly goals
Reconciliation
Account analysis
Optimization
Account Reconciliation
Accounts Receivable
General Ledger Accounting
Managed Care
Financial Statement Preparation
Payroll
Transformative leadership
Conflict resolution and employee development
Account analysis and reconciliation
Process optimization
Project management