Megan Ramon-Cruz
Greenville,SC
Summary
Results-driven Business Office Manager experienced in enhancing operational efficiencies and leading teams to create smooth-running office environments. Improved productivity and reduced costs through strategic planning, budgeting, and project management. Specialized knowledge in Medicare, Managed Medicare, and SC Medicaid regulations, compliance, claims processing, and case management.
Overview
2
2
years of post-secondary education
2027
2027
years of professional experience
Work History
SNF Business Office Manager
Greenville Post Acute/Chandler Post Acute/Linley Park Post Acute
Greenville, SC, SC
10.2023 - Current
- Managed financial and administrative operations of facility, including billing Medicare, Medicaid, Hospice, and private insurance for annual revenue over $15M; handled accounts receivable and resident accounts with RFMS while ensuring regulatory compliance and coordinating with residents, families, and staff.
- Completed month-end closing process, performing account reconciliations, journal entries, and accruals to support accurate financial reporting.
- Oversaw case management to ensure timely concurrent reviews
Primary Care Office Manager/ Weekends
Greenville Medical Associates
Greenville, SC
01.2020 - Current
- Managed administrative tasks, oversaw office staff, and maintained office procedures to ensure smooth workflow. Collaborated with departments to support organizational success, oversaw physicians' schedules, procured medical records, verified insurance benefits, communicated with patients, managed appointment scheduling, scanned and faxed documents, monitored email correspondence, and secured prior authorizations.
- Managed patient scheduling to ensure efficient front desk operations.
- Coordinated insurance verification, referrals, and billing follow-up.
Remote Insurance Verification Specialist
Logo’s Wound Care
Greenville, SC
- Assured timely verification of insurance benefits prior to patient procedures & appointments.
- Ensured timely verification of insurance benefits, facilitating seamless patient procedures and appointments.
- Maintained accurate, current insurance policy information in patient records to support effective care delivery.
- Documented insurance details and authorization notes in patient records to ensure compliance and streamline verification processes.
Senior Sales Service Representative
First Citizens Bank
- Executed office management tasks, ensuring adherence to regulatory requirements and compliance standards while managing risks related to credit and operational aspects of interactions. Maintained service standards of accuracy, responsiveness, courtesy, and partnership, aligning service and referral efforts to enhance customer and bank value through proactive conversations identifying high-quality referral opportunities. Applied relationship-oriented sales approach in customer interactions, emphasizing preparation, strategic planning, and engaging in customer-focused conversations through effective probing.
- Represented bank at civic events to promote business initiatives and identify Community Reinvestment Act opportunities.
Sales Manager
Stanton Optical
- Directed store operations and sales for team of 20 employees, achieving annual revenue of $2.2M. Assisted patients in product selection, insurance verification, payment processing, and facilitating special orders. Managed store operations, including opening and closing procedures, bank deposits, report generation, employee performance monitoring, inventory management, staff scheduling, and correspondence. Led talent acquisition initiatives, conducting interviews, making hiring decisions, and developing team members for promotion.
- Achieved recognition for exceptional performance as one of the Top 10 Sales Associates for delivering impressive revenue results.
Education
LPN - Health Care Management
ECPI University
Greenville, SC 03.2026 - 07.2027
Certificate - Billing, OSHA & HIPAA Regulations
Greenville Technical College
Greenville, SC 01.2016 - 01.2017
NIHSS, CPR, PALS, BLS & ACLS -
Certified
Skills
- Revenue Cycle Management
- Medical Billing & Coding
- Revenue Management
- Case Management for authorizations
- Compliance auditing
- Documentation control
Additional Information
Expected salary: $85,000-$95,000*can be negotiated based on compensation package.
Additional Experience
- Accountant for subcontractors of roofing- Greenville, SC
- CEO for commercial painting & professional cleaning- Williamston, SC
Software:
- Accountant for subcontractors of roofing- Greenville, SC
- CEO for commercial painting & professional cleaning- Williamston, SC
Timeline
LPN - Health Care Management
ECPI University
03.2026 - 07.2027
SNF Business Office Manager
Greenville Post Acute/Chandler Post Acute/Linley Park Post Acute
10.2023 - Current
Primary Care Office Manager/ Weekends
Greenville Medical Associates
01.2020 - Current
Certificate - Billing, OSHA & HIPAA Regulations
Greenville Technical College
01.2016 - 01.2017
Remote Insurance Verification Specialist
Logo’s Wound Care
Senior Sales Service Representative
First Citizens Bank
Sales Manager
Stanton Optical
NIHSS, CPR, PALS, BLS & ACLS -
Certified