
Strategic Healthcare Administration professional with 18 years of experience in Intake Management, Insurance Verification, and HIPAA compliance. Expert in navigating EMR systems such as Epic and PointClickCare to enhance patient transitions to home care. Skilled in applying Medicare guidelines and conducting thorough medical record reviews for regulatory compliance and efficient medical billing.
Coordinated admissions process for prospective residents in skilled nursing facilities.
Perform comprehensive Medical Record Review and clinical assessments to determine admission viability for complex cases.
Utilize Payer Portal Systems to execute Insurance Verification and financial feasibility audits, reducing
administrative friction and potential billing inaccuracies.
Manage an interdisciplinary intake team, providing Staff Mentoring and Escalation Management to resolve
documentation bottlenecks and improve referral conversion rates.
Facilitate communication between referring hospitals and nursing staff to ensure accurate data entry of clinical
requirements within the EMR system
Maintained compliance with regulatory standards throughout the admissions process.
Resolved any issues related to the admission process in a timely manner.
Trained new team members on admissions procedures and best practices.
Assisted families with inquiries regarding eligibility and documentation requirements.
Document and process high-volume admissions packets, ensuring 100% accuracy in Data Entry for EMR profiles
and Medical Billing records.
Audit Medicare and private insurance eligibility to secure necessary authorizations, minimizing the risk of claim denials during the transition process.
Review prospective patient documentation prior to clinical submission, acting as a gatekeeper for regulatory compliance and HIPAA adherence.
Facilitate Process Optimization for waitlist management, resulting in improved efficiency for transitional care.
Designed and executed strategies that enhanced the admissions process, improving overall patient experience.
Facilitated communication between families and healthcare providers to streamline resident intake.
Assisted families with paperwork and facilitated smooth transitions into care services.
Conducted facility tours for potential residents and their families, enhancing their understanding of care options.