Summary
Overview
Work History
Education
Skills
Career Accomplishments
Timeline
Generic

Michelle Roumell

Chico,TX

Summary

Dynamic business office manager with 25+ years of experience in long-term care management. Expertise in budget management, client relationship oversight, and operational streamlining to drive efficiency. Focused on enhancing organizational performance and customer satisfaction through strategic initiatives.

Overview

20
20
years of professional experience

Work History

Business Manager

Creative Solutions
Gainesville, TX
02.2024 - Current
  • Oversaw financial management, including budget preparation, analysis, and reporting.
  • Managed budgets and resource allocation for various projects.
  • Managed daily operations of the business office efficiently.
  • Managed daily operations within the business office, ensuring efficient workflow and productivity.
  • Coordinated financial transactions and maintained accurate records.
  • Implemented and monitored office policies and procedures to improve operational efficiency.
  • Implemented policies and procedures to ensure compliance with local regulations.
  • Ensured compliance with legal and regulatory requirements affecting the business office.
  • Conducted regular audits to ensure compliance with regulations.
  • Monitored accounts receivable, advising of delinquencies or other account irregularities.
  • Oversaw client relationships, ensuring satisfaction and retention.
  • Provided customer service support to clients by responding to inquiries in a timely manner.
  • Resolved customer complaints promptly and professionally.
  • Analyzed customer feedback data to generate reports on customer satisfaction levels.
  • Collaborated and built trust within organization and with customers, meeting or exceeding expectations.
  • Coordinated communication between departments to streamline operations.
  • Facilitated communication between departments to enhance collaboration.
  • Coordinated with other supervisors, combining group efforts to achieve goals.
  • Processed invoices, purchase orders and other related paperwork required for business operations.
  • Maintained confidentiality of sensitive company information by following established protocols in accordance with established protocols.

Payor Navigation Agent

Stonegate Senior Living
02.2021 - Current
  • Conducted initial client assessments to determine eligibility and needs
  • Performed asset searches to verify client information for application processing
  • Worked with Case managers for the approval of admission
  • Reviewed Medical Records for family involvement
  • Process Medicaid Applications from start to finish new/renewals
  • Teaching Families on the Medicaid application process
  • Completed necessary forms for additional application processing
  • Appealed Medicaid Denials
  • Communicated with State Case Workers
  • Communication with Facility Administration
  • Generated reports on a weekly and monthly basis
  • Coordinated multiple tasks to ensure timely project completion

Business Office Manager

Caraday of Fort Worth
Fort Worth, Texas
01.2022 - 01.2024
  • Managed daily operations of the business office efficiently.
  • Coordinated financial transactions and maintained accurate records.
  • Developed and implemented office policies and procedures effectively.
  • Facilitated communication between departments to enhance collaboration.
  • Conducted regular audits to ensure compliance with regulations.
  • Monitored accounts receivable, advising of delinquencies or other account irregularities.
  • Organized filing systems for easy retrieval of documents.
  • Implemented policies and procedures to ensure compliance with local regulations.

Business Office Manager

Matlock Place
01.2018 - 09.2020
  • MCD billing/Application / Qualifying of Submissions
  • SSA applications and submissions
  • Managed Trust Fund
  • Approved Requested Refunds/ Write Offs
  • Performed Month End Close/Bank Recons
  • Prepared monthly reports to provide insights on departmental activities.
  • Conducted triple checks on financial documents to ensure accuracy.
  • Admission approval / Payer source Verification
  • CO-Insurance Billing
  • Statement billing/set-up
  • Import / Export Charges
  • Posted Cash
  • 3618/3619 submission/corrections
  • Conducted census data collection to maintain accurate records.

Corporate Account Manager

Senior Living Properties
03.2016 - 03.2017
  • Consulted 33 buildings for collections/billing/ Complications
  • Managed 33 BOMS/ Plan of Corrections/ Hiring / Terminations
  • Approved Requested Refunds/ Write Offs
  • MCD billing/Application/Qualifying of Submissions
  • SSA applications and submissions
  • CO-Insurance Billing
  • Statement billing/set-up
  • Admission approval / Payer source Verification
  • Import / Export Charges
  • Conducted thorough verification of billing entries for accuracy
  • 3618/3619 submission/corrections
  • Posted Cash
  • Census
  • Trained New BOMS/ Policies and Procedures/ Systems
  • Preformed Month End Close/Bank Recons
  • Managed Trust Fund
  • Monthly reports

Business Office Manager

Parkview Care Center
08.2008 - 03.2011
  • Collections-all payer sources
  • MCD billing /Applications/ Qualifying for submissions
  • CO-Insurance Billing
  • SSA disability applications
  • Statement billing/set-up
  • Admission approval / Payer source Verification
  • Managed Trust Fund
  • Import / Export Charges
  • Customer Service
  • Requested Refunds/Write Offs
  • Performed Month End Close
  • Conducted thorough verification of invoices for accuracy
  • Entered data into electronic systems with precision
  • 3618/3619 submission
  • Posted Cash
  • Compiled and organized census data for reporting purposes

Assistant B.O.M.

Fundamental LLC- Nursing Home
06.2006 - 06.2008
  • Managed Care tracking / Billing / Appeals
  • Collections - all payer sources
  • MCD billing/Applications/ Qualifying for submission
  • CO- Insurance adjustments / billing
  • Admission approval / Payer source Verification
  • SSA Disability Applications
  • Statement billing/set-up
  • Handled Trust Fund
  • Requested Refunds / Write Offs
  • Customer Service
  • Assisted with Month End Close
  • Data Entry
  • Account Cleanup
  • Posted Cash as needed
  • Import / Export Charges
  • Attended Triple Check

Administrative. Assist / BOA

Indian Oaks Nursing Home
06.2006 - 06.2008
  • Prepared Monthly census reports
  • Handling Resident Trust Funds
  • Human Resources/ Employee Files
  • MCD billing /Applications / Qualifying for submission
  • SSA Disability Applications
  • Payroll
  • Account aging reports
  • Customer Service
  • Billed Medicaid / VA / Medicare
  • Closed Monthly Billing Logs
  • Directed Staff
  • Handled Petty Cash
  • Managed outstanding accounts receivable collections, improving cash flow and reducing delays
  • Coordinated admissions process for new patients, enhancing patient experience and streamlining onboarding
  • Handled HMO referrals

Education

Activities Director Certified -

TCC
08-2022

Skills

  • MSWord
  • Medical Software
  • Excel
  • Windows
  • American Health Tech (LTC)
  • Matrix
  • National Data Care (RFMS)
  • People Soft
  • Kronos
  • PCC
  • Collian
  • Leixis Nexis
  • Simple
  • TMHP
  • The Right Place

Career Accomplishments

  • BOM of the year, 12/01/11
  • Guest speaker and annual APS conference, 01/01/14
  • Highest companywide collections, 01/01/15

Timeline

Business Manager

Creative Solutions
02.2024 - Current

Business Office Manager

Caraday of Fort Worth
01.2022 - 01.2024

Payor Navigation Agent

Stonegate Senior Living
02.2021 - Current

Business Office Manager

Matlock Place
01.2018 - 09.2020

Corporate Account Manager

Senior Living Properties
03.2016 - 03.2017

Business Office Manager

Parkview Care Center
08.2008 - 03.2011

Assistant B.O.M.

Fundamental LLC- Nursing Home
06.2006 - 06.2008

Administrative. Assist / BOA

Indian Oaks Nursing Home
06.2006 - 06.2008

Activities Director Certified -

TCC
Michelle Roumell