Dynamic Business Office Manager with extensive experience at Dallas County Hospital District, excelling in Medicare and Medicaid billing and account reconciliation. Proven track record in optimizing collections and enhancing patient satisfaction. Skilled in financial reporting and adept at fostering strong relationships with stakeholders to ensure seamless operations.
Overview
12
12
years of professional experience
Work History
Patient Access Rep
Cook Children’s Medical Center
12.2019 - Current
Accurately identifies patient and registers patients while maintaining regulatory and functional knowledge of all information required to register patient types in database which ensures timely
Knowledge of all task performed in the various Patient Access Service area
Provide and ensure optimum internal and external customer satisfaction is achieved
Collects patient owed cost sharing amounts (copays, deductibles, coinsurance, full costs [non-covered/self-pay]) in accordance with Standard Operating Procedure
Business Office Manager
Dallas County Hospital District- Denton Rehabilitation
06.2019 - Current
Maintain monthly Medicare and Medicaid billing
Tracking all resident applications who apply for Medicaid assistance
Performs and coordinates all collection efforts with the nursing home Administrator.
Reviewing monthly financial statements
Resolve account balances to zero prior to accounts reaching collections status
Month-end close and regulatory documents filed timely
Monitor and Collecting on account receivables
Posting all payments to appropriate accounts
Maintain and complete all resident files
Maintain current and accurate patient census data daily
Perform all aspects of private pay collections including, but not limited to, sending collection letters, making phone calls, review of unpaid accounts, and appropriate follow-up with all questions related to private pay billing statements
Bills Medicaid agency and tracks related forms, documents, payments, etc
Compiles and prepares data and reports as required for AR review
Verification of Medicare, Medicaid, Managed Care and Commercial insurance benefits
Patient Access Supervisor
Cook Children’s Medical Center
08.2013 - 12.2019
Assist the management team in overseeing the ongoing activities in the Registration Dept
Knowledge of all task performed in the various Patient Access Service area
Provide and ensure optimum internal and external customer satisfaction is achieved
Business Office Manager
Dallas County Hospital District- Prestonwood Rehabilitation
06.2018 - 06.2019
Maintain monthly Medicare and Medicaid billing
Tracking all resident applications who apply for Medicaid assistance
Performs and coordinates all collection efforts with the nursing home Administrator.
Reviewing monthly financial statements
Resolve account balances to zero prior to accounts reaching collections status
Month-end close and regulatory documents filed timely
Monitor and Collecting on account receivables
Posting all payments to appropriate accounts
Maintain and complete all resident files
Maintain current and accurate patient census data daily
Perform all aspects of private pay collections including, but not limited to, sending collection letters, making phone calls, review of unpaid accounts, and appropriate follow-up with all questions related to private pay billing statements
Bills Medicaid agency and tracks related forms, documents, payments, etc
Compiles and prepares data and reports as required for AR review
Verification of Medicare, Medicaid, Managed Care and Commercial insurance benefits
Education
High School diploma -
Green B Trimble
Fort Worth
05-1988
Skills
Medicare billing
Medicaid billing
Account reconciliation
Patient registration
Accounts receivable
Financial reporting
Summary of Qualification
Good understanding of company policies and procedures relating to administrative functions
Extensive experience executing medical billing for Medicaid, Medicare and all Commercial-Managed Care Insurance
Strong oral and written communication skills
Understanding of state, federal and HIPPA guidelines and laws.
Proficient in HCPCS, CPT, ICD-10 and other relevant coding.
Capacity for adhering to company policy of confidentiality of information.
Ability to work independently and produce high quality outcome.
Claim cycle and collection strategies.
Knowledge of Medicare/Medicaid regulations and billing requirements.
Managed Care/PPO/HMO knowledge
Ability to work independently, detail-oriented, strong written and communication skills
Timeline
Patient Access Rep
Cook Children’s Medical Center
12.2019 - Current
Business Office Manager
Dallas County Hospital District- Denton Rehabilitation
06.2019 - Current
Business Office Manager
Dallas County Hospital District- Prestonwood Rehabilitation
Capstone Student Nurse – Emergency Department at Cook Children’s Medical CenterCapstone Student Nurse – Emergency Department at Cook Children’s Medical Center
Coordinator/ Management — PERB & NLRB Higher Education Campaigns at Service Employees International UnionCoordinator/ Management — PERB & NLRB Higher Education Campaigns at Service Employees International Union