Kimberly Pate
Cordova,TN
Summary
Dynamic professional liaison with a proven track record of enhancing communication and cultivating strong relationships across diverse teams. Exceptional skills in team collaboration and adaptability to evolving needs drive impactful results. Extensive expertise in conflict resolution, project management, and strategic planning ensures alignment with organizational goals. Committed to driving success through effective partnerships and transparent communication, fostering an environment of trust and collaboration.
Overview
13
13
years of professional experience
Work History
Market Liaison/ Special Projects Administrator
Signature HealthCARE LLC
10.2022 - Current
- Develop a partnership with Administrators, Regional Business Development Director and Chairmen to set expectations.
- Assist with development and execution of a target referral development plan to include: analyzing the local healthcare system; identifying and meeting the needs of institutional customers; marketing our facility s core competitive advantages; building a core selling message; coordinating selling strategies and tactics with our facilities.
- Make daily external clinical on-site visits and contacts for targeted institutions.
- Generate referrals to selected facilities to support their census and quality mix goals.
- Develop a positive working relationship with referral facility staff (Admissions, DON, etc.) to identify and support their needs.
- Assist in building a relationship between facility and targeted institution leadership teams.
- Conduct on-site patient assessments in a timely manner after a referral is given by a hospital discharge planner, case manager, social worker, physician, or family member.
- At assessment, review patient records, which include history and physical, progress notes, nurse s notes, labs and x-rays, physician orders: obtain any relevant patient information to facilitate a timely admission.
- Assist as needed with pre-admission care planning.
- Interview patient and/or family members as available to determine transition needs (disposition to home or lower level of care).
- Educate patients and families on services and admission standards of participating facilities.
- Prepare and conduct information and in-service presentations for patients, families and facility staff.
- Provide education on Medicare/insurance benefits, as needed.
- Work with facility staff to understand census and quality mix goals and referral process expectations.
- Develop and maintain a thorough understanding of state-of-the-art nursing standards of practice.
- Ensure compliance with State and Federal regulations.
- Day to day operations.
- Manage monthly budgets.
Administrator in Training
Signature HealthCARE LLC
08.2021 - 10.2022
- Supervised, motivate, delegate, monitor department heads such as, nursing, therapy, plant operation, HRIS, social service, dietary and housekeeping.
- Special projects of different skilled nursing facility within Tennessee.
- Collaborate with other manager to create an emergency preparedness plan and become complaint with state certification.
- Hands on training on the daily operations of each department within the facility in accordance with current federal/state guidelines and regulations.
Business Office Manager
Signature HealthCARE LLC
11.2020 - 07.2021
- Responsible for monthly Medicaid, Medicare, Hospice and Managed Care billings along with timely follow-up with intermediaries on delinquent payments.
- Maintain AR Days and Aging Percentage at Goal Level.
- Reconcile P-Card, Petty Cash and RFMS.
- Month-End Close-Triple Check.
- Accounts Payable- scanning and loading into Connexus AP.
- Review payer source listing within Matrix for new admissions.
- Hiring, training, coaching and counseling, and terminating department staff as deemed necessary.
Admissions Director/ Business Office Manager
Collierville Nursing and Rehabilitation
01.2018 - 10.2020
- Responsible for managing and directing the admission process at a skilled nursing facility that offers short term rehab, long term care, and a vent unit.
- Handle inquire calls from hospital, families, and insurance companies.
- Daily sales calls to social worker and discharge planner.
- Maintain knowledge of Medicare and Medicaid regulations.
- Insurance verification as well as initiate pre-authorization to various insurance companies for authorization to a skilled nursing facility, short stay, vent weaning, and long-term care.
- Create and send Contracts to Regional One Health for approval for contracted patients.
- Participate in morning meeting to which alerts appropriate staff member of projected admissions, discharges, room changes, appointments, and grievances.
- Maintain processes within the facility to ensure the continuation of communication between departments as they pertain to admits and discharges. Continuous updates to the system to ensure all patient/family information is accurate in accordance with HIPAA laws.
- Administrator over Referral Management Systems Allscripts and Morecare for three facilities in this region that are utilized by Admissions Directors, Clinical Liaisons, and Director of Nursing.
Assistant Business Office Manager
Signature HealthCARE LLC
09.2016 - 12.2017
- Responsible for monthly Medicaid, Medicare, and other insurance billings along with timely follow-up with intermediaries on delinquent payments.
- Collect and post co-payments, patient liability, and pay for private pay residents.
- Accumulate and maintain, in an organized manner, vital statistics relating to admissions, discharges, deaths, transfers and daily census of facility residents.
- Maintain AR Days and Aging Percentage at Goal Level.
- Responsible for completing and submitting all daily/weekly/monthly reports accurately and on time as assigned by the Business Office Manager.
- Process Medicaid Applications.
- Pursue past due accounts persistently and provide proper back-up documents.
- Bank deposit, reconciling account, and maintain financial records.
- Prepare disbursement checks for payment of expenditures.
- Developed and Implemented process improvement procedures.
Admissions Director/Trainer
Signature HealthCARE LLC
05.2014 - 08.2016
- Responsible for reviewing and clinically approving referrals for admissions to a skilled nursing facility for short term rehab and long-term care.
- Insurance verification as well as initiate pre-authorization to various insurance companies for authorization to skilled nursing facility, short stay, and long-term care.
- Ensure appropriate admissions paperwork, referral sources and other admissions data are entered into the automated referral system.
- Work with staff to educate on census and quality mix goals.
- Insure office practices are in compliance with HIPPA regulations.
- Responsible for proper conversions of icd-9 and icd-10 coding as required by the insurance companies regarding patient diagnosis and treatment plans for skilled nursing.
Central Supply Coordinator
Signature HealthCARE LLC
05.2012 - 05.2014
- Prepare correspondence and claims concerning damaged merchandise, errors in shipment, etc., and return to vendor as required.
- Monitor cost and maintain related records.
- End of the month billing and inventory reconciliation.
- Provide information and documentation for Medicare Part B billing.
- Ensure that vendors provide appropriate MSDS in accordance with OSHA regulations.
Education
Master of Business Administration - Business Administration
Bethel University
McKenzie, TN01.2016
Bachelor of Science - Health Care Management
Baptist College of Health Sciences
Memphis, TN01.2014
Skills
- Marketing
- Business development
- Leadership Experience
- Organizational Skills
- Strategic planning
- Project management
- Customer relationship management
- Next Gen IHN
- PCC/Matrix Care/Epic
- Medical Insurance Verification
- Microsoft Office
- Critical evaluation capacity
<Enter your own>
Work Permit: Authorized to work in the US for any employer
Timeline
Market Liaison/ Special Projects Administrator
Signature HealthCARE LLC
10.2022 - Current
Administrator in Training
Signature HealthCARE LLC
08.2021 - 10.2022
Business Office Manager
Signature HealthCARE LLC
11.2020 - 07.2021
Admissions Director/ Business Office Manager
Collierville Nursing and Rehabilitation
01.2018 - 10.2020
Assistant Business Office Manager
Signature HealthCARE LLC
09.2016 - 12.2017
Admissions Director/Trainer
Signature HealthCARE LLC
05.2014 - 08.2016
Central Supply Coordinator
Signature HealthCARE LLC
05.2012 - 05.2014
Bachelor of Science - Health Care Management
Baptist College of Health Sciences
Master of Business Administration - Business Administration
Bethel University
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