Monica A. Rossi
Walton Hills,OH
Summary
Seasoned Healthcare Billing Manager with more than 25 years of experience in fast-paced Healthcare billing industry. Excellent leadership and management skills. Track record of achieving exceptional results in Accounts Receivable and Accounts Payable.
Overview
38
38
years of professional experience
Work History
Executive Director
Park Creek Center
10.2023 - Current
- As Executive Director of a 57 bed facility my responsibilities included admissions/marketing, account receivable/payable, scheduling, HR functions including payroll, maintenance of the building and customer service to residents and families. I grew the census from 36 residents to over 50 maintaining a 90% occupancy rate. I was able to lead a team into the person centered care approach. I was able to build relationships that had been broken for 8 years by prior administration. I have been able to maintain 24 hour nursing and continue a 1:12 staffing ratio, with limited agency use.
- Worked closely with organizational leadership and board of directors to guide operational strategy.
- Guided staff through periods of organizational change, maintaining morale and engagement during transitions.
- Monitored compliance with laws and regulations to protect organization from legal liabilities and penalties.
- Managed a diverse team of professionals, fostering a collaborative work environment for increased productivity.
- Promoted a culture of continuous improvement by encouraging professional development opportunities for staff members.
- Exercised appropriate cost control to meet budget restrictions and maximize profitability.
- Strengthened internal communication channels to facilitate cross-functional collaboration and decisionmaking.
- Championed diversity, equity, and inclusion efforts within the organization to create a more inclusive work environment.
- Built and maintained strong company teams by hiring and training qualified staff to create positive and productive work environments.
- Aligned department vision, goals, and objectives with company strategy to achieve consistently high results.
- Increased organizational efficiency by streamlining processes and implementing new systems.
- Implemented innovative marketing strategies to raise brand awareness and drive revenue growth.
- Boosted team productivity and morale by developing comprehensive employee training and development program.
- Negotiated with vendors to secure cost-effective deals for office supplies and equipment, managing budget effectively.
- Managed financial, operational and human resources to optimize business performance.
- Established and maintained strong relationships with customers, vendors and strategic partners.
- Collaborated with legal, accounting and other professional teams to review and maintain compliance with regulations.
- Oversaw business-wide changes to modernize procedures and organization.
- Analyzed industry trends and tracked competitor activities to inform decision making.
Finance Department
Village of Marymount
01.2020 - 10.2023
- In the Finance Department and under the management of the controller my responsibilities included Accounts Receivable, collections, Medicare/Medicaid billing, Medicaid applications, and maintaining resident trust fund. While in my current position, I completed my Administrator-in-training program including the Core of knowledge under the facility Executive Director as my preceptor. I passed/completed my Ohio and Core exams.
- Self-motivated, with a strong sense of personal responsibility.
- Worked effectively in fast-paced environments.
- Skilled at working independently and collaboratively in a team environment.
- Proven ability to learn quickly and adapt to new situations.
- Excellent communication skills, both verbal and written.
- Worked well in a team setting, providing support and guidance.
- Demonstrated respect, friendliness and willingness to help wherever needed.
- Assisted with day-to-day operations, working efficiently and productively with all team members.
- Managed time efficiently in order to complete all tasks within deadlines.
- Organized and detail-oriented with a strong work ethic.
- Paid attention to detail while completing assignments.
- Used critical thinking to break down problems, evaluate solutions and make decisions.
- Strengthened communication skills through regular interactions with others.
- Developed and maintained courteous and effective working relationships.
- Proved successful working within tight deadlines and a fast-paced environment.
- Learned and adapted quickly to new technology and software applications.
- Adaptable and proficient in learning new concepts quickly and efficiently.
- Passionate about learning and committed to continual improvement.
- Demonstrated strong organizational and time management skills while managing multiple projects.
Business Office Manager
Southern Hills Health & Rehab
05.2017 - 08.2018
- Business Office Manager of a 99 bed skilled facility with 12 Memory care specialized unit
- Responsibilities include maintaining an accurate A/R with a DSO below 40
- 100% collections of monthly Medicare/Medicaid/ private pay collections
- Management of a staff of 6 employees
- Supervision of Accounts Payable, Accounts Receivable, Payroll, and reception employees
- Updated reports, managed accounts, and generated reports for company database.
- Resolved financial discrepancies and customer billing issues with timely attention.
- Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
- Ensured compliance with company policies and industry regulations through regular audits and process updates.
- Established workflow processes, monitored daily productivity, and implemented modifications to improve overall performance of personnel.
Office Manager
Eldercarevision Services Inc.
06.2016 - 05.2017
- All Management and front desk functions including scheduling and payroll for private practice
- Accounts Receivable using officemate, and Accounts Payable using Quickbooks
Billing Specialist
Richter& Associates
05.2015 - 05.2016
- Billing Specialist and consultant responsible for Accounts Receivable for 25 clients
- Problem solve Insurance reimbursement issues
- Monthly conference calls with clients for status updates and cash flow issues
- Identify processes and procedures that will generate quicker and more efficient revenue
Accounts Receivable
Proforma
10.2014 - 04.2015
- Accounts Receivable Collector responsible for the collection of National and International accounts.
- Responsible for follow up scheduling on a 14 days cycle of 100 accounts per day
Lab Billing Manager
Kellison &Co
10.2013 - 04.2014
- Lab Billing Manager for the Lab Billing Department, Supervision of 25 employees; 5 charge entry specialists, 2 cash entry posters, 8 Insurance Follow-Up representatives, 1 workflow coordinator, 3 batching staff, 1 refund specialist, and 5 special project employees.
- Responsible for the day to day operations of billing for 9 Lab clients from locations throughout the United States.
- Responsible for auditing each employees productivity and accuracy
- Performed disciplinary action (when necessary).
- Department objective was to follow the process of each client; from charges received, to entry of charges, internal edits, cash posting, resolution of denials, and refunds.
Regional Director of Accounts Receivable/Accounts Payable
Embassy Healthcare
10.2011 - 10.2013
- Regional Director of Accounts Receivable/Payable of 16 LTC facilities
- Primary focus was on the outstanding aging.
- Assisted the Business office managers with understanding of procedures, processes, and policies of the company.
- Monitored the progress of resolution and collection of potential bad debt issues.
- Worked directly under the CEO and CFO of the organization and advised of any trends and issues resulting in potential revenue generating issues.
Business Office Manager
Stratford Commons
09.2010 - 09.2011
- Business Office Manager of a 105 bed skilled facility and a 32 bed assisted living community
- Responsibilities include maintaining an accurate A/R with a DSO below 50
- 100% collections of monthly Medicare/Medicaid/ private pay collections
- Management of a staff of 6 employees
- Supervision of Accounts Payable, Accounts Receivable, Payroll, and reception employees
Business Office Manager
Homewood Residence at Richmond Heights
03.2009 - 09.2010
- Business Office Manager of a new skilled nursing home that opened on 7/15/2009
- Responsibilities included initiating policies and procedures for the Business Office
- Preparation for Medicare/Managed Care and private pay billing, including contracts and electronic databases
Project Coordinator/Physician Follow-Up Manager
Kellison &Co
05.2006 - 10.2008
- Project Coordinator for the Physician Follow-Up Department
- Responsibilities included supervision of eleven employee; 3 customer service representatives, 1 special client representative, and 7 Insurance Follow-Up representatives
- Responsible for the delegation of daily work flow
- Auditing of each employees productivity and accuracy
- Employee Disciplinary Action (when necessary).
- Responsible for the overall Insurance follow-up for 38 clients and 9 different specialties.
- Trained on the AS400.
Business office Manager
Aristocrat Berea
01.2005 - 01.2006
- Responsibilities included the supervision of the Accounts payable and Accounts receivable clerks
- Responsible for the month end closing process, cash collections, resident trust reconciliation, Medicaid direct billing
- New/re-determination of Medicaid applications, cash posting, and charge entry.
- Trained in the Add-On System, MAS 90, MAS 200, and the RFMS resident trust banking.
Business Office Manager
University Manor
01.2002 - 01.2005
- Responsibilities include the month-end close procedures
- Cash posting, census entry, charge entry, completion of 9400’s, on-line Medicare billing, manual billing of Medicaid
- Oversight of the resident trust and reconciliation
- Collection of resident resources
- Supervision of a staff of 7
- Able to functionally complete payroll, Medicaid applications, 9401’s, withdraws/deposits, and obtain levels of care.
Business office Manager
Cedarwood Plaza N.H.
01.2001 - 01.2002
- Business Office manager
- Responsibilities included the supervision of the Medicaid Liason and Assistant Bookkeeper
- A/R justification, month-end close procedures, operations of the entire business office
- Managing of the resident trust accounts, private pay and patient liability collections, cash posting, census entry, completion of 9400’s and 9401’s, UB92 generation
- Medicare and Managed Care follow-up
- Able to submit for levels of care and assist with the admissions process.
- Trained on the Keene system( RAM)
Team Lead Specialist
PHS Deaconess Hospital/Mt. Sinai Hospital
01.1998 - 01.2001
- Team Lead Specialist
- Responsibilities include problem solving, appeals, pre-certification /preauthorization issues, referrals, provider negotiated adjustments/corrections, follow-up with managed care, Commercial, Worker’s Compensation, Medicaid, and HMO Insurance Companies
- Maintaining per diem and negotiated rates within the individual contracts
- Experience with MSP claims and HCAP eligibility applications and approvals.
Biller
Drs. Smith, Rome, Michael (UPCP)
01.1995 - 01.1998
- One of three billers
- Position and responsibilities included refiling insurance claims, problem solving, posting fees and payments, adjustments/corrections, and changing procedure and diagnosis codes
- Skills also include ICD-9 coding, CPT coding, injection coding and batching of codes
- Trained and knowledgeable for reviewing electronic claims for BC/BS and monitoring payments
- After five months of employment, I was responsible for the initiation and structure of the collection department.
- The collection structure was designed through our PBS system and manually followed-up using an aged trial balance.
- I initiated and constructed three collection letters in 10,14, and 30 day increments.
Collector
Med Center
01.1994 - 01.1995
- One of ten collectors
- Pursued delinquent accounts with determination of 100 or more telephone calls per day and $13,000.00 per month quota.
- Following-up with an account that is delinquent was imperative to a ten day cycle.
- An alternative to an outside collection agency was based on a three strike rule.
Collection Manager
Drs. Sass, Friedman, and Associates
01.1991 - 01.1995
- Operating Collection Manager
- The structure and implementation of collection policies and procedure
- Instructed four office employees to pursue delinquent accounts, using strong, tactful, persuasive, and pleasant phone conversation to achieve full payment or compromise.
- Following-up with an account that is delinquent is imperative to a 30 day limitation.
- Decisions to send an account to an outside collection agency was solely the determination of the physicians of the practice.
Secondary Insurance Biller
Edgepark Surgical, Inc
01.1988 - 01.1991
- Billing Department secondary Insurance Biller
- Calculated billing of customer accounts
- Communicating by telephone with customers and Insurance Companies
- Mailing of monthly bills, keeping accurate records and filing payments
- After two months, I advanced to the Collection Department.
- Responsible for delinquent accounts in Ohio and other states.
- The decision as to whether repossession was deemed necessary of medical equipment or billing for lost items became accredibility decisions.
Education
High school -
Cleveland Central Catholic
Beltss
Bachelor’s Degree - Healthcare Management
Colorado Technical University
Colorado Springs, CO06.2015
Associates Degree - Accounting
Colorado Technical University
Colorado Springs, CO05.2011
Skills
- Customer service expertise
- Effective verbal communication
- Administrative management
- Effective time management
- Human resources management
- Computer proficiency
- Analytical reasoning
- Effective negotiation
- Analytical judgment
- Personnel resource management
- Advanced problem analysis
- Teaching skills
Timeline
Executive Director
Park Creek Center
10.2023 - Current
Finance Department
Village of Marymount
01.2020 - 10.2023
Business Office Manager
Southern Hills Health & Rehab
05.2017 - 08.2018
Office Manager
Eldercarevision Services Inc.
06.2016 - 05.2017
Billing Specialist
Richter& Associates
05.2015 - 05.2016
Accounts Receivable
Proforma
10.2014 - 04.2015
Lab Billing Manager
Kellison &Co
10.2013 - 04.2014
Regional Director of Accounts Receivable/Accounts Payable
Embassy Healthcare
10.2011 - 10.2013
Business Office Manager
Stratford Commons
09.2010 - 09.2011
Business Office Manager
Homewood Residence at Richmond Heights
03.2009 - 09.2010
Project Coordinator/Physician Follow-Up Manager
Kellison &Co
05.2006 - 10.2008
Business office Manager
Aristocrat Berea
01.2005 - 01.2006
Business Office Manager
University Manor
01.2002 - 01.2005
Business office Manager
Cedarwood Plaza N.H.
01.2001 - 01.2002
Team Lead Specialist
PHS Deaconess Hospital/Mt. Sinai Hospital
01.1998 - 01.2001
Biller
Drs. Smith, Rome, Michael (UPCP)
01.1995 - 01.1998
Collector
Med Center
01.1994 - 01.1995
Collection Manager
Drs. Sass, Friedman, and Associates
01.1991 - 01.1995
Secondary Insurance Biller
Edgepark Surgical, Inc
01.1988 - 01.1991
High school -
Cleveland Central Catholic
Beltss
Bachelor’s Degree - Healthcare Management
Colorado Technical University
Associates Degree - Accounting
Colorado Technical University
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