Qiana M. Simmons

• Updated reports, managed accounts, and generated reports for company database.
• Resolved financial discrepancies and customer billing issues with timely attention.
• Printing of Daily Census, New Patient Demographics and Financial Information.

• Adding New Patients into Medi, Pending and Contract Log.

• Discharge all patients from Medi, RFMS, ABE with date once deceased or discharged from facility.

• Updating payer changes and verifying all insurances.

• Opening of all DHS mail, complete REDE forms, send OBRA, 3654, made notation of all denials, Completed Medicaid Applications, Admission Packets and Therapy Verification.

• Copying, Scanning and Depositing of all checks into current resident accounts in RFMS and Private Bank, also printing and scanning of all transaction reports to be emailed and mailed daily. • Requesting authorizations for all LTC/Custodial residents in timely manner.

• Provided resident trust funds when requested, made sure residents signed receipts, request check from corporate to replenish funds, count down bank every Friday to assure balance and log cash recap sheet.

• Requested supplies weekly, assisted family and residents with documents and financial information, etc.

• Must be physically and mentally capable of performing routine job duties.

• Provides clerical support to the HR department.

• Must be able to communicate the philosophy of the facility.

• Must possess the ability to make and carry out sound policies and procedures.

• Be personable with residents, families, and staff in a professional and cooperative manner.

• Performs periodic audits of HR files and records to ensure that all required documents are collected and filed appropriately.

• Assist with payroll functions including processing, answering employee questions, fixing processing errors, and distributing checks.

• Maintains human resources records for employees by recording the hiring, transfer, termination, change in job classifications, and merit increase dates as well as tracking vacation, sick, and personal time.

• Must have compassion, tolerance, and understanding for the residents of the facility.

• Assist Administrator with administrative duties.

• Human Resources, recruiting, interviewing, on boarding, and terminating staff. This also includes managing a biweekly payroll. • Reinforce company policies to ensure quality of service.

• Monitor and manage accounts payable. this includes organizing and or disputing any incorrect bills.

• Assist in creating an emotional and physical environment conducive to the best interest of staff and residents. This includes daily and other periodic rounds.

• All Other Duties Assigned.

• Followed classroom plans left by class teacher to continue student education and reinforce core concepts.
• Repeatedly requested as substitute teacher by teachers based on excellent past referrals and trusted performance.
• Kept students on-task with proactive behavior modification and positive reinforcement strategies.
• Managed classroom behavior effectively, implementing clear expectations and consistent consequences for all students.
• Maintained day-to-day classroom management and discipline to promote learning initiatives.
• Kept accurate and current attendance records and assignment sheets to maintain file compliance.
• Provided one-on-one tutoring sessions for struggling students, helping them improve academic performance and gain confidence in their abilities.
• Enhanced classroom engagement by incorporating hands-on activities and group projects.
• Followed lesson plans designed by absent teachers.
• Enforced school and class rules to maintain order in classroom.
• Implemented classroom management techniques to maintain positive learning environment.
• Utilized variety of instructional strategies to meet individual student needs.
• Assisted students in mastering subject material and preparing for tests.
• Monitored student performance and provided feedback to inform instruction.
• Monitored student behavior and administered discipline as needed.
• Serves as a role-model to students.
• Demonstrates ability to learn and convey a variety of subject matters quickly, while adhering to school processes and protocols.

• Complete Payer setup and changes for all residents 2022- 2022 Chicago, IL

• Ensure that Medicaid applications are completed by coordinating with Admissions Department and family

• Maintain financial files on all residents.

• Complete BOA Authorizations for new Medicaid/Medicaid Pending Residents. Open BOA Account if necessary

• Apply representative payee for social security and/or change of address.

• Verify responsible party in PointClickCare has a complete address and phone number for statements and collection calls upon admission

• Prepare and Scan Deposits

• Update Corporate Office on all Medicaid changes including admissions, discharges, payer changes, and income changes

• Rerun Medicaid eligibility monthly for all residents

• Make weekly collection calls to families for private pay, resident liabilities and any other outstanding accounts

• Make notes in the resident file under Collections Tab to track progress.

• Complete Medicaid Redeterminations.

• Complete Managed Medicaid Re-Authorizations

• Complete Medicaid Pending

• Process payroll with ADP, change forms as required for terminations, pay increase, leave of absence, promotions, etc., in a timely manner

• Provide eligible team members with insurance related information and maintain accurate records of health, dental and life insurance coverage elections including distribution of enrollment applications, coverage changes, etc. Submit such documents to corporate office on a timely basis, along with 401K, COBRA, FMLA and Workers Compensation

• Process payroll in a timely fashion to AMS Payroll Specialist, ensuring all changes and policies are applied and followed

• Assist hiring managers to check references of job candidates, and coordinate drug screening, background checks and Livescan fingerprints prior to hire

• Confirm proper Licensure, OIG Fraud Exclusion and Health Care Worker Registry for all professional staff including, CNAs, LPNs, RNs and other department managers and supervisors

• Maintain accurate personnel records, files and ordering of uniforms

• Conduct comprehensive orientation for all new team members

• Monitoring employee hours worked daily with punching in/out or missed punches

• Complete Payer setup and changes for all residents.

• Ensure that Medicaid applications are completed by coordinating with Admissions Department and family

• Maintain financial files on all residents.

• Complete BOA Authorizations for new Medicaid/Medicaid Pending Residents. Open BOA Account if necessary.

• Apply representative payee for social security and/or change of address.

• Verify responsible party in PointClickCare has a complete address and phone number for statements and collection calls upon admission.

• Scan Deposits with A/R Billing and Input of Private Insurance Payments

• Update Corporate Office on all Medicaid changes including admissions, discharges, payer changes, and income changes.

• Rerun Medicaid and Medicare eligibility monthly for all residents.

• Make weekly collection calls to families for private pay, resident liabilities and any other outstanding accounts.

• Make notes in the resident file under Collections Tab to track progress.

• Complete Medicaid Redeterminations.

• Complete Managed Medicaid Pre-Authorizations.

• Complete Medicaid Pending.

• Process payrolls change forms as required for terminations, pay increase, leave of absence, promotions, etc., in a timely manner.

• Provide eligible team members with insurance related information and maintain accurate records of health, dental and life insurance coverage elections including distribution of enrollment. applications, coverage changes, etc. Submit such documents to corporate office on a timely basis, along with 401K, COBRA, FMLA and Workers Compensation.

• Process payroll in a timely fashion to AMS Payroll Specialist, ensuring all changes and policies are applied and followed.

• Assist hiring managers to check references of job candidates, and coordinate drug screening, background checks and Livescan fingerprints prior to hire.

• Confirm proper Licensure, OIG Fraud Exclusion and Health Care Worker Registry for all professional staff including, CNAs, LPNs, RNs and other department managers and supervisors.

• Maintain accurate personnel records, files and ordering of uniforms.

• Conduct comprehensive orientation for all new team members

• Hold, safeguard, manage and account for resident personal funds deposited with the facility including resident banking and distribution of resident trust fund statements of accounts.

• Monitoring employee hours worked daily with punching in/out or missed punches.

• Printing of Daily Census, New Patient Demographics and Financial Information.

• Adding New Patients into Medi, Pending and Contract Log.

• Discharge all patients from Medi, RFMS, ABE with date once deceased or discharged from facility.

• Updating payer changes and verifying all insurances.

• Opening of all DHS mail, complete REDE forms, send OBRA, 3654, made notation of all denials, Completed Medicaid Applications, Admission Packets and Therapy Verification.

• Copying, Scanning and Depositing of all checks into current resident accounts in RFMS and Private Bank, also printing and scanning of all transaction reports to be emailed and mailed daily.

• Requesting authorizations for all LTC/Custodial residents in timely manner.

• Provided resident trust funds when requested, made sure residents signed receipts, request check from corporate to replenish funds, count down bank every Friday to assure balance and log cash recap sheet.

• Requested supplies weekly, assisted family and residents with documents and financial information, etc.