Jennifer Perez
Ontario,USA
Summary
Results-driven Healthcare Administration professional with over 6 years in skilled nursing operations and revenue cycle management. Expertise in Medicare, Medi-Cal, managed care, claims processing, and compliance. Focused on enhancing facility operations, streamlining workflows, and fostering collaboration between clinical and administrative teams to optimize quality and financial outcomes.
Overview
1
1
Certification
1
1
year of post-secondary education
5
5
years of professional experience
Work History
Business Office Manager
Riverside Post Acute Care
Riverside, California
09.2025 - 02.2026
- Oversee daily operations of the skilled nursing facility’s business office, ensuring compliance with company policies, Medicare, Medi-Cal, and regulatory requirements.
- Managed resident accounts, billing, insurance verification, collections, and accounts receivable follow-up to ensure timely and accurate financial processes.
- Review and maintain resident financial records, admission documents, payer information, and reimbursement documentation.
- Process and monitor Medicare, Medi-Cal, managed care, private insurance, and other payer billing requirements.
- Track authorizations, eligibility, TARs, and payer requirements to support accurate reimbursement.
- Coordinate with Admissions, Social Services, Nursing, Case Management, and Administration regarding resident financial needs and discharge planning.
- Prepared billing and financial reports, month-end activities, and audit documentation to support compliance and operational transparency.
- Maintained positive relationships with residents, families, insurance companies, vendors, and facility staff to foster trust and effective communication.
- Supervise, train, and support business office staff while ensuring deadlines and accuracy are met.
Front Office Assistant / Medical Records
Halo Staffing Group
Irvine, USA
06.2025 - 08.2025
- Supported the facility by performing various business office functions, including Medical Records, Admissions/Intake, and front desk duties.
- Prioritized tasks effectively to ensure timely completion.
- Completed tasks accurately and on schedule according to job requirements.
- Collaborated effectively within team to enhance workflow and patient interactions.
Regional CBO Biller
Pursue Health
Irvine, USA
03.2023 - 07.2024
- Ensure all claims are billed timely and paid according to the contractual revenue reimbursement and within contractual timeframe.
- Ensure claim information is complete & accurate
- Reviewed aging reports bi-weekly to ensure timely payments
- Review & understand contracts to ensure proper booking & timely payments
- Update the Director, Managed care on any problem accounts in need of assistance
- Communicate & work with health plans for resolution of unpaid balances
- Communicate with the facility on any documentation needed to ensure collection of account
- Ensure Skilled claims are billed out by the 7th day of each month
- Ensure Custodial claims are billed out by the 2nd business day of each month
- Verify there are authorizations for all claims billed, if any are missing (add to no auth log) notify facility
- Monitored and reviewed claims over 60 days to facilitate collection before the 90th day
- Ensure all current revenue is billed & collected, while ensuring all old balances are collected
- Completed monthly Triple Check to identify errors or concerns with claims prior to billing
- Submit insurance claims to clearinghouse or individual insurance companies electronically or via paper UB04 or CMS-1500 form
- Follow up with insurance companies on unpaid or rejected claims
- Prepare appeal letters to insurance carrier when not in agreement with claim denial (Attach necessary docs to accompany appeal)
- Accessed and navigated provider portal sites to obtain necessary claims information.
- Participate in scheduled AR Reviews with full preparation of status for all assigned accounts
- Develop monthly calendar to ensure completeness of monthly claims billing & necessary follow-up
Business Office Assistant Manager
Villa Mesa Care Center
Upland, USA
05.2022 - 03.2023
- Followed up on private aging accounts to ensure timely resolution and maintain cash flow
- Collected payments on outstanding balances to reduce delinquency and support financial stability
- Assisted residents with medi-cal applications to facilitate access to necessary healthcare services
- Send out collection letters
- Answer any questions or concerns of residents / family members in regards to billing.
- Conducted rounds in assigned rooms to monitor resident well-being
- Bill custodial claims
- Submit LTC / Bed hold Authorization Requests
- Cover receptionist during breaks (Greet & Check In Visitors. Answer & Direct Phone calls.
Business Office Assistant
RIVERWALK POST-ACUTE
Riverside, USA
09.2021 - 03.2022
- Maintained confidentiality on all patient record data.
- Reviewed claims for coding accuracy.
- Managed custodial billing for Medi-Cal, IEHP, Molina, Scan
- Prepared and submitted Authorization Requests to ensure timely processing
- Run common working files and medi-cal certs
- Billed hospice claims to facilitate reimbursement
- Conducted patient census to track occupancy and resource allocation
Business Office Assistant
CRYSTAL COVE CARE CENTER
Newport Beach, USA
02.2021 - 10.2021
- Accepted and processed payments from customers in person and over telephone.
- Tracked and recorded status of delinquent accounts and sent follow-up letters to request payment.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Submitted refund requests for erroneous claims to recover funds.
- Compiled and submitted TARS for processing
- Collected and submitted CalOptima ARFS for reimbursement
- Created and submitted hospice billing documents for approval
- Completed and submitted REP PAYEE application for review
- Executed CalOptima split billing procedures
Business Office Assistant (Externship 200Hrs)
HUNTINGTON VALLEY HEALTHCARE CENTER
Huntington Beach, USA
11.2020 - 01.2021
- Documented and filed patient data and medical records to ensure accurate and organized patient information.
- Reviewed account information to confirm patient and insurance information is accurate and complete.
- Applied HIPAA Privacy and Security Regulations while handling patient information.
- Performed data entry for ancillary services to maintain accurate patient records.
- Utilized various health record indexes and storage retrieval systems, including Matrix, Aerial, and Myability to verify health insurances
- Prepared and submitted refund requests for residents to facilitate timely processing.
- Posted Cal RA documents to the system for accurate recordkeeping.
- Prepared requests for AUTHS
- Pulled, boxed, and logged financial folders on computer to maintain organized financial records.
Education
MEDICAL BILLING AND CODING -
American Career College
Anaheim, CAHIGH SCHOOL DIPLOMA -
Parkridge Private School
Long Beach, CA 01.2012 - 12.2012
Skills
- ICD-10
- CPT coding
- ICD coding
- EHR systems
- EMR systems
- HIPAA
- Accounts receivable
- Hospice Billing
- HCPCS
- Microsoft Excel
- Microsoft Word
- Microsoft Outlook
- Microsoft Office
- Medisoft Software
- Problem Resolution
- Organization
- Records management
- Patient Confidentiality
- Communications
- Leadership
- Records management
- Write-off preparation
- Refund preparation
- Contracts
- Medicare
- Managed care
- Long term care
- Medical billing
- Medical coding
Certification
- Certified Medical Biller And Coder
Timeline
Business Office Manager
Riverside Post Acute Care
09.2025 - 02.2026
Front Office Assistant / Medical Records
Halo Staffing Group
06.2025 - 08.2025
Regional CBO Biller
Pursue Health
03.2023 - 07.2024
Business Office Assistant Manager
Villa Mesa Care Center
05.2022 - 03.2023
Business Office Assistant
RIVERWALK POST-ACUTE
09.2021 - 03.2022
Business Office Assistant
CRYSTAL COVE CARE CENTER
02.2021 - 10.2021
Business Office Assistant (Externship 200Hrs)
HUNTINGTON VALLEY HEALTHCARE CENTER
11.2020 - 01.2021
HIGH SCHOOL DIPLOMA -
Parkridge Private School
01.2012 - 12.2012
MEDICAL BILLING AND CODING -
American Career College