Terra Cox
Montrose,CO
Summary
Over 27 years of experience and have excelled in several different areas with previous roles. Committed and compassionate about achieving the highest level of performance and satisfaction.
Overview
18
18
years of professional experience
Work History
AR Reimbursement Specialist
Volunteers Of America National Services
07.2023 - Current
- Performs in all Accounts Receivable duties in revenue billing and Prepares adjustments as necessary for ALL PACE programs including Colorado, North Carolina, Michigan, and Kentucky.
- Assists Senior Directors, Health Plan Operations with facility financial audits.
- Submits required reports to Medicaid, Medicare, and other third payers.
- Creates invoices and mail out private pay invoices.
- Reconciles monthly detailed revenue.
- Reports monthly census to Corporate Accounting Manager and also Corporate Secretary.
- Reviews monthly P2P reports, PDE reports, and ESRD participants.
- Downloads and reviews 820 Medicaid and CMS Medicare MMR files monthly.
- Updates current participants' financial information as changes occur.
- Completes monthly CMS Attestation with Executive Directors. Completes monthly Medicaid reports to each State.
- Assumes specific responsibilities in preparation of month-end reports and back up, and submits month end information to Corporate Office.
- Implementing and following all CMS Part D policies and procedures including coordination of benefits, TrOOP reporting and PDE submittal process.
- Member of PACE Compliance committee and completes Part D auditing as required by Compliance Committee work plan.
- Performs other duties or special assignments as directed by Director of Health Plan Operations.
- Completes yearly Part D Bids to CMS.
- Assists other facility personnel in proper use of data processing equipment.
- Responsible for completing Part D reserve calculations for submittal to Corporate Accounting.
Business Office Manager
Senior CommUnity Care Of Colorado PACE
10.2020 - 07.2023
- Responsible for all revenue billing.
- Reconciles all accounts receivable and prepares adjustments.
- Submits required reports to Medicare, Medicaid, and other third payers.
- Create and mail out private pay and patient liability statements.
- Reconciles monthly detailed revenue for month end reporting.
- Oversees/Manages all duties performed by Accounts Payable and procurement services employees.
- Monthly cash fax log balances to monthly bank statements.
- Review monthly P2P reports, PDE reports, and report ESRD participants.
- Download and post payments for 820 Medicaid, CMS Medicare, and participant payments monthly.
- Report monthly census to Corporate Accounting and also Corporate Secretary.
- Submits monthly RAPS reports and fix any errors reported back.
- Update monthly current participants' financial information as changes occur.
- Reviews all invoices for completeness, proper coding, and approval.
- Enters invoices into AP system
- Completes monthly enrollment data validation.
- Submits yearly Part D bid to CMS.
- Reports monthly census to Corporate Accounting.
- Meets with Participants' and families to set up payment arrangements.
- Reviews time cards for completeness.
- Oversees processing of payroll bi-weekly.
- Completes monthly Part D reserve calculations for submittal to Corporate Accounting.
- Works with Milliman in preparation of annual Part D bid. Sends monthly updated reserve models.
- Ensures recording and deposit of all cash receipts.
- Interviews and hires department personnel; supervises statistical information to Executive Director as requested.
- Assist Executive Director in ongoing financial analysis and facility audits.
- Assumes responsibility for overall organization and Business Office.
Practice Administrator
Montrose Surgical Associates
08.2006 - 12.2021
- Supervised team of 13 office personnel.
- Developed policies and procedures for effective practice management.
- Developed close working relationships with front office and back office staff.
- Boosted staff morale by offering constructive feedback and specific direction.
- Consulted with 5 General Surgeons on business decisions.
- Oversaw accounting, budgeting, and financial reporting.
- Assessed processes and procedures, complying with OSHA, and HIPAA regulations.
- Created and implemented organizational policies and procedures.
- Addressed and remedied all patient or team member issues.
- Communicated closely with patients, ensuring medical information was kept private.
- Provided supervision and management to team of support personnel.
- Managed daily practice operations to optimize appointment scheduling, patient records management and billing functions.
- Defined testing protocols, quality assurance initiatives and clinic policies and procedures.
- Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
- Liaised with other healthcare professionals to develop comprehensive patient care plans and provide highest quality of care.
- Created customized care plans, working with hospital staff and families to assess and meet individual needs.
- Scheduled surgeries, managed pre-certifications and verified insurance coverage.
- Successfully negotiated client contract renewals to create increased revenue.
- Completed Bi-weekly payroll.
Education
High School Diploma -
Montrose High School
Montrose, CO05.1995
Skills
- Leadership
- Accounting
- Administrative Support
- Microsoft Office
- Excel
- Financial Documentation
- Financial Reporting
- Payroll
- Bank Statement Reconciliation
- Payment Posting
- Customer Service
- Data Analysis
- Attention to Detail
- Multi-Tasker
- Initiative
- Efficiency
- Dependability
- Organizational Skills
Timeline
AR Reimbursement Specialist
Volunteers Of America National Services
07.2023 - Current
Business Office Manager
Senior CommUnity Care Of Colorado PACE
10.2020 - 07.2023
Practice Administrator
Montrose Surgical Associates
08.2006 - 12.2021
High School Diploma -
Montrose High School
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