Dynamic financial professional with extensive experience, excelling in Medicaid eligibility and private collections. Proven track record in client relations and problem-solving, ensuring compliance and maximizing cash collections. Skilled in overseeing billing operations and conducting quality assurance audits, fostering organizational excellence and operational efficiency.
Responsible for leading and supervising the overall business office operation of thirteen facilities in accordance with state, federal, and company guidelines. Specific focus on private collections, Medicaid eligibility and application in both states, and bad debt. In addition to this role, I perform the Quality Assurance audits for these facilities.
GlenCove Health and Rehabilitation Center
May 1995 - November 2018 (Hurricane Michael)
Grand Boulevard Health and Rehabilitation Center
November 2018 - March 2022
Responsible for billing, accounts receivable, and collection activities for the facility to include achieving cash collection and AR goals. Perform and supervise the accounting functions for accounts receivable, accounts payable, payroll, receptionist, and resident trust fund as assigned. Support the company's mission, vision, core values, and provide excellent customer service to associates, residents, vendors and guests. Provide potential long term residents/families with information regarding Medicaid eligibility through approval.
In accordance with facility standards of practice:
*Oversee billing, accounts receivable, and collection
*Organize, evaluate, and monitor business office operations
and assigned personnel
*Ensure integrity and confidentially of all resident financial
data
*Oversee month end close activities related to charge
capturing and submission of all billing statements and
invoices to payers
*Interact with payers to define billing requirements and
ensure prompt payment of claims
*Oversee census activities including daily, weekly, and
monthly balancing with nursing and admission departments
*Produce reports for analysis purposes as needed
*Evaluate the potential need for ICP Medicaid, interview
families/residents, and oversee the process through approval
Client Relations
Problem Solving
Multitasking
Excellent organizational and communication skills
Extensive knowledge of Medicaid, Medicare, and other third party payers