Summary
Overview
Work History
Education
Skills
Timeline
Generic

Glenda Philips

Richmond,TX

Summary

MBA graduates with an emphasis in accounting. Extensive background in Long term care facility. Extensive knowledge in account receivables and account payable, medical terminology, billing and coding. 10 years customer service experience. Knowledge in insurances verification, Medicaid and Medicare guidelines. Detailed oriented, passionate, and the ability to use a tactful and appropriate communication in sensitive and emotional situations.

Overview

2
2
years of professional experience

Work History

Director of marketing and sales

Medical Resort at Sugar Land
  • Driven referrals from hospitals discharge planners, case managers
  • Referrals average from 0 in July to 126 within 2 weeks
  • Public relations, physicians relations
  • Join marketing with hospice companies, home health companies
  • Meeting family for the potential admissions to promote our services
  • Ensuring all needs are met for new admissions
  • Coordinate with case managers for long term patients that are admitted to the hospitals
  • Creating events for case managers, discharge planners and social work
  • Attend all ACO meetings to ensure facility within standards

Admissions director / business office director

Paradigm at West Bury
02.2023 - 07.2023
  • Financial review to determine if potential long term care resident is qualifying for Medicaid
  • Ensuring form 3618/3619 is submitted in a timely manner
  • Working with MDS to ensure all required assessments are completed for Medicaid
  • Accomplished to have 132.10% cash collections within the first 30 days of working in the facility
  • Accomplished to turned over Medicaid issues ($75,000) within the first 30 days
  • Assist residents with Medicaid applications and SSI application
  • Assist residents with social security checks issues
  • Managing residents trust funds
  • Managing facility census
  • Ensuring prior authorization is completed prior to resident admission
  • Manages account receivable and collection activity in the facility
  • Ensuring Monthly statements are being send out on time

Business office Manager/admission director assistant

Universal Healthcare Lillington
08.2022 - 02.2023
  • Managed resident trust funds
  • Managed facility census
  • Ensuring pre-authorization/pre-cert is complete for new admission and interim residents
  • Responsible for submitting clinical updates to the insurance companies
  • Responsible for Medicaid application, status and updates
  • Responsible for Private collections and reimbursement
  • Responsible for account receivables
  • Ensuring bed offers are accepted or denied in a timely manner
  • Reading referrals to ensure it is within the facility capability to care for the resident
  • Insurance verification
  • Sex offender search
  • PASRR
  • Manages billing, accounts receivable and collection activity in the facility
  • Organizes, evaluates, and monitors business office operations and supervises assigned personnel in accordance with established policies and procedures
  • Meets with family members to gather information and ensures that all payer sources are documented and input correctly into EHR
  • Assist with Medicaid Pending applications, and works with resident, family and applicable outside agencies to finalize facility coverage through Medicaid

Business office Manager/ Human resources Manager

Accordius Health at Rose Manor
02.2022 - 08.2022
  • Manage all HR-related tasks for 50+ employee including payroll processing, employee benefits program, documentation, interviewing, training and on-boarding new employees
  • Coordinate with IT department to update and automate several onboarding tasks, streamlining new-hire process
  • Cut benefit costs by 15% through negotiating for improved contracts with leading healthcare agency staffing
  • Cooperated with law enforcement to conduct background checks on prospective candidates
  • Assisted new employees with on-boarding training, ensuring all application forms were filled correctly and that employees understood company health benefits package
  • Managed resident trust funds
  • Managed facility census
  • Ensuring pre-authorization/pre-cert is complete for new admission and interim residents
  • Responsible for submitting clinical updates to the insurance companies
  • Responsible for Medicaid application, status and updates
  • Responsible for Private collections and reimbursement
  • Responsible for account receivables
  • Responsible for sending invoices and monitoring outstanding balances to ensure each account is paid on time and in full
  • Manages billing, accounts receivable and collection activity in the facility
  • Organizes, evaluates, and monitors business office operations and supervises assigned personnel in accordance with established policies and procedures
  • Meets with family members to gather information and ensures that all payer sources are documented and input correctly into EHR
  • Assist with Medicaid Pending applications, and works with resident, family and applicable outside agencies to finalize facility coverage through Medicaid

Health Information Management Manager Admission director assistant Business office manager assistant

Liberty Healthcare Management
04.2021 - 02.2022
  • Preparing patient documentation for uploading into EHR
  • Admission, Discharge and quarterly audit to ensure that the facility departments are in compliance
  • Medicare certifications for new admission and re-admission who are using Medicare, Managed Care and VA
  • Processing ROI following the HIPAA guidelines
  • ICD-10CM coding for new admission, re-admission and interim
  • Ensuring diagnosis are accurate to ensure max reimbursement
  • Ensuring that the MD/physicians are following the Medicare and Medicaid guidelines
  • Backup Admissions
  • Compliance for Infectious disease for the COVID-19 reporting to NHSN
  • Updating state binder for state survey
  • Assist with Medicaid pending applications
  • Communicating with Insurance company regarding clinical review, NOMNC and extensions
  • Manages census activities including daily, weekly and monthly balancing with the nursing and admission department
  • Establishes and maintains a system of financial record keeping
  • Prior Authorization and secondary payer authorization
  • Processing FL2 for the resident who transition to the long-term care
  • Insurance verifications
  • Meet with all residents and family member upon admission and at discharge to explain financial obligations and paperwork
  • Ensuring bed offers are accepted or denied in a timely manner
  • Reading referrals to ensure it is within the facility capability to care for the resident
  • Insurance verification
  • Sex offender search
  • PASRR

Education

Master’s - health information management

American Public University System
02.2021

Master of Business Administration - Accounting

Upper Iowa University
05.2019

Bachelor’s - business administration

Upper Iowa University
05.2017

Skills

  • Typing skill above 40 WPM
  • Microsoft Outlook
  • Leadership
  • Management experience
  • Microsoft Office
  • Organizational Skill
  • HIPAA knowledge
  • Medical Terminology
  • Medical Records
  • Medical Coding
  • Office Management
  • Epic
  • Insurance Verification
  • Prior-authorization/Pre-cert
  • Documentation review
  • EMR systems
  • Strategic planning
  • Marketing

Timeline

Admissions director / business office director

Paradigm at West Bury
02.2023 - 07.2023

Business office Manager/admission director assistant

Universal Healthcare Lillington
08.2022 - 02.2023

Business office Manager/ Human resources Manager

Accordius Health at Rose Manor
02.2022 - 08.2022

Health Information Management Manager Admission director assistant Business office manager assistant

Liberty Healthcare Management
04.2021 - 02.2022

Director of marketing and sales

Medical Resort at Sugar Land

Master’s - health information management

American Public University System

Master of Business Administration - Accounting

Upper Iowa University

Bachelor’s - business administration

Upper Iowa University
Glenda Philips