Laura Mertes

• Reviewed referrals from all referral sources to determine one’s acceptance to one of our nursing facilities based on clinical needs.
• Promoted continuity of care by collaborating closely with primary care providers and other members of the healthcare team.
• Maintained accurate documentation of patient information, ensuring compliance with HIPAA regulations and protecting patient
• Collaborated with insurance companies to verify coverage details before admission.

To ensure my communities are implementing effective measures to ensure the timely receipt of all payments due from IDPA, Medicare, residents, and families.

Responsibilities include, but not limited to:

- Ensure Business Office Manager's notify residents and families of their financial obligations upon or prior to admission.
- Ensure BOM's obtain proper documentation of each newly-admitted resident's financial obligations is distributed, signed, and filed.
- Ensure BOM's verify each residents' financial resources and ability to pay when applicable.
- Ensure BOM's are educating residents and families on, and assisting them in complying with IDPA and Medicare requirements.

- Ensure BOM's make monthly phone calls to responsible parties regarding missing payments.
- Ensure BOM's submit Medicaid Applications and complete timely follow up on pending cases.

- Education and training when needed

- Establishing and maintaining relationships with Social Workers, Physicians, and other clinical establishments in order to achieve census growth.

- Physician recruitment

- Review referrals for potential admission

- Verify financial eligibility through MyAbility and Medi

- Assist in obtaining skilled authorizations when necessary

-To ensure the Business Office Managers in my communities oversee the quality of resident account services at the
facility.

- To assure resident accounts services are provided in accordance with the facility's established policies and procedures, applicable laws and regulations

- Assist in providing resident account services in each community in order to assure the highest level of resident account services is maintained at all times.

- Oversee collections and Medicaid Pending cases

- Training and education

- Followed up with delinquent accounts to obtain funds and reduce aging balances