PATRICIA BIWOT

• Supervise a team of medical billers to ensure accurate coding, and timely submission of claims.
• Conduct weekly audits of accounts receivable balances to ensure the accuracy of payments received versus billed amounts.
• Perform ongoing internal audits to ensure that the MCITP documentation and Medicaid billing are in compliance with COMAR regulations.
• Lead the Montgomery County Infants and Toddlers' Program response to external audits, which include the MSDE, MDH, and OIG audits.
• Establish a positive working relationship with MCPS, ITP site leadership, and staff at MSDE and MDH, and maintain open lines of communication with the different stakeholders.
• Respond to inquiries regarding remittance advice and revenue from the HHS Fiscal Auditor, and the MCITP Management and Budget Specialist.
• Prepare monthly reports summarizing progress toward meeting organizational goals for revenue collections.
• Ensure compliance with federal, state, and local laws and regulations related to health care services provided by the organization.
• Analyze data trends to identify areas needing improvement in the billing process.
• Provide training on medical billing software applications to the Medicaid billing team.
• Interpret state regulations (MSDE and MDH) pertaining to Medicaid services in the Infants and Toddlers Program, and present them in an understandable format to MCPS providers and the Medicaid billing team.
• Developed instructional modules pertaining to Medicaid requirements for IFSPs, and facilitated training of the MA billing team, service coordinators, occupational therapists, physical therapists, and speech therapists.

• Served as CCS for 40 clients, assuming responsibility for complex, high-volume assignments, and guiding endeavors to successful completion.
• Oversee the coordination of self-directed services, ensuring compliance with policies, regulations, and program standards.
• Spearheaded the development of robust Person-Centered Plans in order to secure Medicaid funding for DDA services.
• Developed Self-Directed Services' annual budget in line with the approved DDA funding.
• Monitored SDS annual budget use, and worked closely with the Financial Management and Counseling Services providers to ensure SDS participants were utilizing their budgets appropriately. appropriately.
• Ensured accurate completion of departmental billing procedures, with supervisory guidance as needed.
• Suggested enhancements to the CCS program, covering case management, resourcing, and service collaboration.
• Guided other CCS in understanding Maryland state policies and regulations, and the CCS role, especially in the Person-Centered Planning process, by responding to inquiries and facilitating training on completing and monitoring annual budgets for self-directed clients.

• Verified insurance coverage and benefits for clients in the Community Options waiver and educated clients on their Medicaid benefits.
• Fostered collaboration between patients, family caregivers, management, clinical staff, and the community.
• Identified and analyzed medical, psychological, and social factors impacting client situations, and used the information to help clients find community resources to address their challenges.
• Effectively served as an advisory resource by providing patient/family and clinical experience expertise during monthly calls to over 40 clients.
• Kept abreast of funds available for clients through different entities, such as DDA, housing, government regulations, health insurance changes, and financing options, by doing research.
• Evaluated patient care procedural changes and environmental factors for effectiveness.
• Created annual goals, objectives, and budget and made recommendations to reduce costs for forty clients.
• Actively maintained up-to-date knowledge of applicable state and Federal laws and regulations pertaining to programs funded by Medicaid and Medicare.
• Monitored over 15 residential service agencies to ensure that patients' health and safety needs were met by conducting site visits.
• Fostered collaboration with local healthcare providers and physicians.
• Worked collaboratively in interdisciplinary teams by negotiation and consensus building.
• Evaluated performance through nursing notes from home health agencies and local health departments.

•Planned and coordinated monthly program meetings with the program staff this included: developing meeting materials and drafting meeting summaries and minutes to discuss new policies and monthly safety topics.
•Provided the administrative and programmatic support to facilitate the successful implementation of Individual Service Plans, the support included staff hiring, trainings, monthly scheduling and oversight.
•Ensured clients' community involvement by supporting staff; managing logistics, arranging travel and following up with the program director to guarantee the processing of reimbursements for staff was done in a timely manner.
•Responsible for managing multiple tasks such as completing probationary and annual performance evaluations of direct care staff in the program, reviewing and approving timecards for processing payroll department.
Direct Support Professional Duties
•Provided instruction and encouragement to service recipients to help them develop basic living skills
•Completed daily progress notes to document the development and implementation of long and short-term goals for service recipients as developed by the interdisciplinary team under the supervision of the Program Coordinator.

• Adapted classroom plans to support needs of children with special learning requirements.
• Onboarded and mentored volunteer staff to carry out program goals.
• Prepared, coordinated and distributed information about yearly schedule of activities and classes.
• Kept program children safe and secure at all times with proactive monitoring strategies.
• Analyzed revenue and program cost data to determine budget priorities.
• Identified and recruited potential volunteer workers.
• Used critical thinking to break down problems, evaluate solutions and make decisions.
• Organized monthly meetings and did note taking for the individualization team and family caregiver team to come up with a strategy to address the needs of the ministry participants.
• Kept children's records current through database management (excel); assigned leadership team members to update profiles when needed.
• Planned, provided leadership and held quarterly respite events; this included recruiting volunteers and planning the evening's activities.
• Assisted with coordinating special events such as the Great Pumpkin Party to include promoting events on social media and recruiting volunteers.

• Carried out research projects and developed a guideline for writing a sustainability plan and advocacy plan for a CCID workgroup.
• Tracked a bill through the Iowa legislature online and discussed the progress of the bill and its implications on CCID roles.
• Attended Iowa legislative sessions with preceptor to follow a bill that pertains to umbilical cord blood donation and reviewed how it may affect CCID.
• Collaborated with a team to develop a communication toolkit on newborn screening for parents, healthcare providers and newborn screening staff.