Summary
Overview
Work History
Education
Skills
Certification
Additional Information
Timeline
Generic

Meleeka Crawford

Bronx,,New York

Summary

Experienced in optimizing collection efforts, dedicated to enhancing efficiency and effectiveness of operations. Proven track record in analyzing data and implementing strategic solutions, consistently driving results and improving overall performance. Commitment to delivering exceptional customer service allows for thriving in fast-paced environments and excelling at building strong relationships with residents and families. Strong attention to detail and problem-solving skills enable identification of areas for improvement and implementation of innovative strategies for optimal outcomes.

Overview

11
11
years of professional experience
1
1
Certification

Work History

Director of Finance

The Plaza Rehab and Nursing Center
Bronx, New York
08.2021 - Current
  • Supervise a multi-functional finance team optimizing workflow and performance as it relates to Medicaid, collections and resident fund operations.
  • Manage and provide strategic direction for a $22 million revenue with successful 20% growth within 1 year.
  • Collaborate with the Social Security Administration office, pension companies, guardians, power of attorneys, residents and families in all escalated financial matters.
  • Assist in the resolution of all billing matters related to denials and authorizations.
  • Reconciliation of ledgers for billing accuracy.
  • Triple check review to assure billing integrity and accuracy as it relates to Medicare, Medicaid and HMO’s.
  • Attend fair hearings/ guardianship proceedings, etc.
  • Update policies and procedures as needed.
  • Attend aging, utilization review and clinical reimbursement meetings.
  • Lead interdisciplinary meetings to meet financial obligations to improve revenue through innovative strategies.

Senior Entitlement Coordinator

The Plaza Rehab and Nursing Center
Bronx, New York
05.2015 - 08.2021
  • Track new admissions/ insurance verification.
  • Meet with residents and families to confirm Medicaid eligibility or private pay/ gather documents.
  • Ensure timely submission of Medicaid applications, recerts and 2159’s,
  • Assist with staff training/ onboarding.
  • Assist the team in problem solving issues related to Medicaid, collections and resident fund matters.
  • Attend aging and utilization review meetings.
  • Serve as a back up to the Director.

Entitlement Assistant

Jewish Home LifeCare
Bronx, New York
07.2013 - 05.2015

Education

Monroe College
Bronx, NY
08.2001

Skills

  • Team Building Leadership
  • Account Reconciliation
  • Account Receivable
  • Collections
  • Preparing financial statements
  • Review of financial data
  • Teamwork and Collaboration
  • Customer Service
  • Conflict resolution
  • Time Management
  • Critical Thinking
  • Effective Communication
  • Adaptability and Flexibility
  • Organizational Skills
  • Payroll

Certification

Certified Health Financial Professional (CHFP)-

In progress

Additional Information

Proficient in Microsoft word, excel, Emedny, Reliable/ Visual, Sigma, Bluemark, MEDS, Cardknox, RFMS

Timeline

Director of Finance

The Plaza Rehab and Nursing Center
08.2021 - Current

Senior Entitlement Coordinator

The Plaza Rehab and Nursing Center
05.2015 - 08.2021

Entitlement Assistant

Jewish Home LifeCare
07.2013 - 05.2015

Monroe College
Meleeka Crawford