Marcie Spencer
Cleburne,TX
Summary
Results-driven healthcare business professional with extensive experience in skilled nursing, hospital revenue cycle management, admissions, and business office operations. Recognized for exceptional organizational skills and collaborative leadership, fostering trusted relationships with patients, families, providers, and payers. Committed to leveraging operational expertise and a people-focused approach to enhance organizational effectiveness while driving positive outcomes and improving the overall patient experience through strategic initiatives and teamwork. Proven ability to manage business office operations, streamline processes, and implement efficient office systems that boost productivity and cultivate a collaborative work environment.
Overview
18
18
years of professional experience
Work History
Business Office Manager
Cherokee Rose Nursing & Rehabilitation (Sister Facility: Granbury Care Center)
Glen Rose, TX
09.2022 - Current
- Promoted/selected to support sister facilities, overseeing comprehensive business office operations for a Skilled Nursing Facility (SNF).
- Manage daily collections, invoicing, resident trust accounts, admissions and bookkeeping functions.
- Process Medicaid applications and Medicaid-pending cases; coordinate SSI/SSA admission process and financial eligibility.
- Oversee financial approvals, bank procedures, and compliance with state and federal regulations governing SNFs.
- Maintain and analyze census, financial reports, and Excel spreadsheets to support operational and financial decision-making.
- Utilize SimpleLTC, Ability RCM/Innovalan, Exacare and PCC systems; manage and ensure accuracy.
- Conduct insurance and therapy verification to ensure proper admissions, authorization and reimbursement.
- Coordinate admissions financial clearance and ensure compliance with payer and regulatory requirements.
- Collaborate across departments using Microsoft Teams to support facility operations and financial performance.
Admissions Coordinator / Guest Relations
Granbury Care Center
Granbury, TX
09.2021 - 09.2022
- Managed all skilled and long-term care admissions from hospitals, community referrals, and other facilities.
- Coordinated intake processes, ensuring completion and accuracy of all required admission documentation.
- Obtained and verified clinical, financial, and insurance information necessary for admission approvals.
- Handled all insurance authorizations for skilled nursing services and assisted with in-house authorizations as needed.
- Served as on-call admissions contact, responding promptly to calls and emails to facilitate timely placements.
- Built and maintained strong working relationships with hospital case managers and families across multiple regions to support referral growth and census stability.
- Communicated effectively with residents' families, community partners, and internal interdisciplinary teams to ensure a smooth admission process.
- Contributed to census growth through consistent follow-up, relationship management, and efficient admissions execution.
Business Office Specialist
Glen Rose Medical Center
Glen Rose, TX
01.2018 - 09.2021
- Managed BCBS specialty claims, secondary commercial and Medicaid billing, primary collections, and MVA/Workers' Compensation claims.
- Ensured timely claim submission and conducted follow-up to resolve billing discrepancies and payment delays.
- Performed inpatient, outpatient, ER and surgery registration/authorizations.
- Worked directly with patients to collect demographic, insurance, and financial information while providing high-quality customer service.
- Collaborated with clinical and administrative departments to ensure accurate registration and billing processes.
- Trained laboratory personnel on registration procedures, improving workflow efficiency and registration accuracy.
- Quickly adapted to a hospital revenue cycle environment with no prior experience, consistently meeting performance expectations.
Broker
Glen Rose Transportation Management
Glen Rose, TX
03.2008 - 03.2013
- Served as a third-party logistics broker, coordinating freight transportation by matching customer shipments with qualified carriers at competitive rates.
- Negotiated pricing and service terms while maintaining quality, compliance, and customer satisfaction.
- Managed end-to-end shipment coordination through proactive communication and detailed follow-up to minimize delays and claims.
- Built and maintained strong relationships with customers and carriers through honest, reliable service.
- Handled all brokerage documentation, including brokerage and freight agreements, contracts, carrier qualifications, bills of lading, and Comchek processing.
- Oversaw accounts payable and receivable related to freight transactions, ensuring accurate and timely payments.
Education
Hill College
Cleburne, TXVeterinary Technician Level I -
TVMA Program
Austin, TX09-2007
High School Diploma - undefined
Glen Rose High School
Glen Rose, TX05-1999
Skills
- Leadership & Operations Management
- Office & Account Management
- Budgeting & Financial Oversight
- Staff Training & Leadership Development
- Revenue Cycle & Finance
- Medical & Long-Term Care Billing
- Collections & Accounts Receivable
- Insurance Verification & Authorizations
- Medicaid & SSI/SSA Processes
- Admissions Coordination
- Sales & Census Growth
- Customer Service, Networking & Relationship Management
- Administrative & Technical
- Documentation & Compliance
- Data Entry & Record Management
- Microsoft & Windows Operating Systems
- Scheduling & Event Coordination
Timeline
Business Office Manager
Cherokee Rose Nursing & Rehabilitation (Sister Facility: Granbury Care Center)
09.2022 - Current
Admissions Coordinator / Guest Relations
Granbury Care Center
09.2021 - 09.2022
Business Office Specialist
Glen Rose Medical Center
01.2018 - 09.2021
Broker
Glen Rose Transportation Management
03.2008 - 03.2013
High School Diploma - undefined
Glen Rose High School
Hill College
Veterinary Technician Level I -
TVMA Program