Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth.
Overview
15
15
years of professional experience
Work History
Medicaid Billing Specialist
Stonegate Senior Living
02.2020 - Current
Billing Medicaid Claims for 4 Texas facilities and 3 Oklahoma Facilities
Verify all required information for accurate billing
Posting/Adjusting/Moving patient share
Pulling remits from various portals and posting payments
Follow-up calls to various MCD companies to discuss claim denials, under payments, and authorization
Run and Review Aging Report
Multi State billing (Texas, Oklahoma)
Multi Medicaid Billing: United Health Care, Cigna, Community Care (OK), (Superior, Molina, Amerigroup)
Review TMHP MESAVs
Bill MCD via THMP
Follow-up calls to TMHP for 3618 and 3619 forms
Accounts Payable Specialist
Stonegate Senior Living
10.2019 - 02.2020
Analyze, review and process vendor payments in a timely manner, ensuring proper budget code usage and accurate documentation
Cutting checks weekly for vendors and employee's expense reports
Reviewing and paying expense reports
HR Generalist
The Village Assisted Living & Memory Care
01.2016 - 01.2018
Hired to set up Business Office and administer all HR programs
Solely created and maintained approximately 100 employee files
Recruited, interviewed, and hired all new employees
Screened all new applicants, including background checks and administering the corporate mandatory survey
Conducted employee orientation, including benefit information and pay deductions
Processed all employee W-4s and distributed W-2s
Processed payroll for all employees including deductions, adjustments and verification of work or leave hours
Responsible for creating and invoicing approximately 75 accounts
Responsible for processing payments in accounts receivable totaling approximately $300,000 daily
Posted all payments daily and made a daily deposit
Responsible for all collections of outstanding invoices
Solely responsible for all accounts payable and timely processing for approximately 25 - 30 outside vendors
Processed expense reports for all employees
First point of contact for residents and their families during the admissions process
Verified all insurance benefits for prospective residents
Processed all admissions paperwork
Supported operations by conducting daily “Stand-Up” meetings to communicate key issues within each department
Medical Records EMR
Hollymead Nursing & Rehabilitation
01.2014 - 01.2016
Managed 112 medical records functions for the purposes of optimal Patient care
Implemented Cantex Continuing Care Network's Medical Records policies and procedures
Ensured the 112 medical records were complete and processed according to the Federal and State guidelines and requirements of the licensing agencies and professional organizations
Educated and trained community personnel in responsibilities and techniques of records management and maintenance
Audited 112 medical records per company policy and procedure and notifies all physicians of compliance issues with H&P's and Progress Notes
Assisted with medical records regulations including survey preparation by TDADS
Coordinated with legal counsel to prepare records for release of information
Medical Records Director
LAKE VILLAGE NURSING & REHABILITATION
01.2011 - 01.2014
Gathered patient information by collecting demographic data from a variety of sources; interacting with registration areas and physicians' offices; retrieving information from automated printer
Maintained 120 master patient indexes by completing assigned portion of daily audit trail; corrected and communicated problems according to established procedures
Initiated the medical record by creating and processing the patient care record folder
Provided quality results by following nursing home standards. Conserved continuity of work operations by documenting and communicating actions, irregularities, and continuing needs
Understood patient confidentiality by keeping patient records information confidential. Served and protected the nursing home community by adhering to professional standards of HIPAA policy and procedures, federal, state, and local requirements
Medication Technician at Stonegate Senior Living/Lakewest Assisted Living CenterMedication Technician at Stonegate Senior Living/Lakewest Assisted Living Center