Jules Karter

*Manage property operations as a LIHTC Income Restricted community initial & renewal lease qualifications.

*Prepare site for REAC and HQS inspections

*Responsible for all daily management operations including budget, NOI, lease-up absorption goals and retention and supervising community staff

*Interview of applicants determining program eligibility through documentation review and income/assets calculations to meet income restrictions

*Process, and review documentation to meet company and program compliance standards as a "First Approver"

*Review and determine prior-authorization requests on State Medicaid

*Complete payment rates on medical billings and claim adjustments

* Research legislative Administrative Rulings for decision and medical appropriateness

*Interpret Administrative Rulings to explain benefits to providers and clients

*Research complex billing issues with resolution

*Determine client eligibility for Oregon Medicaid programs

*Analyze 41 provider Internal Medicine Residency Clinic daily encounters for correct coding

* Establish clean claim resolution for adjudication and reimbursement

* Expert knowledge in Medicare/Medicaid CMS guidelines per LCDS

* Responsible for provider scheduling for rotations, faculty precepting, teaching service