Jillian DuBose

Strong leader and problem-solver dedicated to streamlining operations to decrease costs and promote organizational efficiency. Uses independent decision-making skills and sound judgment to positively impact company success. Resourceful Manager offering history of success coordinating and monitoring operations across various departments. Effective leader and problem-solver dedicated to streamlining operations to decrease costs and promote organizational efficiency. Highly committed with hardworking mentality to maintain quality of services and products. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.

Report directly to the CFO and CEO to complete any tasks that need to be completed, going over reports and discussing appeals and payments and actions for non-payment payors. Accurately process and bill Medicare, Medicaid, private payer and patient claims in accordance with payer requirements and organization policy Assist in the preparation of monthly billing and accounts receivable reports. Perform monthly billing audits. Maintain accurate Medicare and Medicaid billing analysis reports. Run eligibility and determine benefits on new patients. Maintain complete and accurate billing and accounts receivable records. Prepare Medicare, Medicaid, private payer and patient remittances for data entry. Alert appropriate management team members regarding late or missing documents required for billing. Assist with the collection of receivables by monitoring accounts receivables, resubmitting bills to overdue accounts, and alerting leadership of seriously overdue accounts. Establish and maintain positive working relationships with payers and other customers. Maintain the confidentiality of patient and organization information at all times Perform other specific projects relating to billing, data entry, and computer operations as required. Experience working with the following systems required: Kinnser /Well Sky Medicare, Managed Care, and Long-Term Care billing modules TMHP Long-term care Medicaid billing portal, Managed Medicaid MESA My Ability eligibility, Medicare claims, and All-Payer eligibility and claims portals Availity All major insurance portals Microsoft Excel. Contracting and Credentialing for over 10 companies. Government contracts handling all VA contracts and credentialing

• Certified in Home Health Billing
• Certified in Hospice Billing
• Medicaid Billing (TMHP)
• Medicare (CMS)
• Managed care Billing

Passionate, motivated and fiscally responsible health care executive with 22 years of experience managing operations to achieve organizational objectives. Demonstrated knowledge of strategic planning and expansion with a proven record of providing effective leadership to increase revenue and improve patient outcomes. Experienced in cross-functional collaboration, accountable care practices and regulatory compliance. 5 or more years of progressive network management experience including hospital contracting and network administration in a healthcare company. 20 or more years of project leadership experience Extensive provider contracting skills, including contract preparation and implementation, financial analysis and rate proposal development Excellent written and verbal communication skills and experience presenting to varied audiences Ability to manage multiple priorities in a fast-paced environment Ability and willingness to travel on a minimal basis, as required.