Susan Young
Hudson,ME
Summary
Dependable, organized and detail-oriented with ability to manage multiple tasks and priorities. Broad experience includes office management, accounting principles, billing, accounts receivables and revenue cycle management. Recognized for exemplary customer service and ability to work independently and as a team.
Overview
14
14
years of professional experience
Work History
Insurance Collection Specialist
NHCA
01.2022 - Current
- Managed insurance receivables, both managed and commercial.
- Duties include identifying and following through on insurance balances on the aging reports
- Direct contact with insurance companies regarding over/under payments, submitting corrected claims and appeals as needed
- Ensuring claims are submitted correctly by validation of rates and appropriate services are included
- Preparing and processing of monthly reports
- Providing training through various tools and knowledge.
Business Office Manager
NHCA
01.2018 - Current
- Executed tasks involving adjustments/refunds and cash processing to maintain operational integrity.
- Maintain Resident trust funds and completes monthly reconciliation
- Engaged with residents, patients, and family members about financial matters.
- Ensure compliance with state and federal regulations
- Research and analyze accounts for Revenue cycle management and meet regularly to maintain accounts
- Manage Medicaid Pending Tracking, ensure that payer sources are accurate for billing purposes
- Process Maine Care and private billing and ensure all payer sources are billed in a timely manner and follow through with denials
- Prepare accounts for collection agencies, attorneys, and write off procedures
- Maintain Petty Cash and reconcile monthly
Business Office Manager
Stillwater Health Care
09.2017 - 01.2018
- Accounts Receivable, Adjustments/refunds, census information, ancillaries, cash deposits, and posting
- Maintain Resident trust funds and completes monthly reconciliation
- Interact with residents, patients, and family members regarding financial matters
- Ensure compliance with state and federal regulations
- Process Revenue cycle management and meets regularly to maintain accounts
- Verify Insurances and obtain pre-authorizations for admissions and therapies
- Complete Admission and Discharge of Residents and all updates in ECS for census
- Process invoices for Accounts payables and follows up on all inquiries
Business Office Manager
Orono Commons
03.2015 - 08.2017
- Accounts Receivable, Adjustments/refunds, census information, ancillaries, cash deposits, and posting
- Maintains Resident trust funds and confidential files
- Interacts with residents, patients, and family members regarding financial matters
- Ensures compliance with state and federal regulations
- Processes Revenue cycle management and meets regularly to maintain accounts
- Manage Medicaid Pending Tracking, ensures that payer sources are accurate for billing purposes
- Verifying Insurances and obtaining pre-authorizations
- Processes private billing and ensures all payer sources are billed in a timely manner
- Prepares accounts for collection agencies, attorneys, and write off procedures
- Supervises, monitors, and evaluates administrative assistant and maintains payroll files
- Coordinates documentation for both internal and external audits
MaineCare Billing Specialist - Temp Position
Maine Veterans Homes
03.2014 - 03.2015
- Coordination of research and preparation of Maine Care reconciliations beyond the normal billing requirements
- Communicate with Maine Care and HMS to assure accuracy of information on audit settlements
- Communicate with other Billing Specialists to provide accurate information
- Research and assist with other billing and accounting procedures as needed
Office Manager/Administrative Assistant
IBEW Local
09.2012 - 03.2014
- Manage Payroll, Accounts Payables, Account Reconciliations, Accounts Receivables and Collections
- Coordinate monthly meetings and prepare financial reports for the executive board
- Month end, quarterly, and year end preparations and reports
- Design, prepare and distribute various forms to appropriate individuals
- Oversaw new membership application processes, answered phone inquiries, distributed mail, and executed daily accounting tasks.
Billing Specialist - Temp Position
Maine Veterans Homes
03.2011 - 09.2012
- Manage Resident Billing in Medicare, Maine Care, and Commercial procedures and follow-ups on denials
- Accounts Receivable and Collections
- Assist Office Manager with Resident accounts and Private Billing
- Responsible for maintaining insurance verifications and assisting with eligibility requirements
- Processed and maintained monthly and year end account reconciliations and closing
Education
Associates Degree - Accounting
Mid-State College
Auburn, MESkills
- Microsoft office
- Policy interpretation
- Claim processing
- Debt collection
- Superior customer service
- Attention to detail
- Organizational skills
- Analytical and critical thinking
Timeline
Insurance Collection Specialist
NHCA
01.2022 - Current
Business Office Manager
NHCA
01.2018 - Current
Business Office Manager
Stillwater Health Care
09.2017 - 01.2018
Business Office Manager
Orono Commons
03.2015 - 08.2017
MaineCare Billing Specialist - Temp Position
Maine Veterans Homes
03.2014 - 03.2015
Office Manager/Administrative Assistant
IBEW Local
09.2012 - 03.2014
Billing Specialist - Temp Position
Maine Veterans Homes
03.2011 - 09.2012
Associates Degree - Accounting
Mid-State College
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