Tina Soli
Denton
Summary
Accomplished Managed Care Billing Specialist skilled in claims management, denial resolution, and revenue cycle analysis. Proven ability to lead teams in identifying trends, resolving discrepancies, and ensuring compliance, contributing to enhanced operational efficiency and financial success.
Overview
33
33
years of professional experience
Work History
Managed Care Billing Manager
Focused Post Acute Care Partners, LLC
Fort Worth
01.2018 - Current
- Oversee clean claim submission for managed care and commercial payers.
- Monitored accounts receivable aging reports, identifying trends to expedite payment collection.
- Investigate root causes for claim denials or rejections.
- Directed appeals processes for denied claims, ensuring timely resolution and maximizing reimbursement.
- Audited payment postings against managed care fee schedules and contracts, verifying accuracy and compliance.
- Collaborate with credentialing to ensure provider data matches payer files.
Business Office Manager
LifeCare of Haltom
Haltom City
01.2015 - 01.2018
- Oversaw daily business office processes to maintain operational efficiency.
- Bill Medicare, Medicaid, and Commercial Insurance.
- Ensured compliance with state and federal regulations within business office operations.
- I also manage a staff of 5 employees.
- Bill and collect all commercial accounts.
- Manage all other accounts to ensure accurate and timely billing.
- Create and audit claims for Medicare to ensure accurate and timely billing.
- Audit Medicaid and Private Pay accounts for accuracy of billing and collections.
- Prepared monthly and weekly reports.
- Conducted audits of resident census to verify accuracy and integrity of data.
- Assign accounts to Attorney to ensure Medicaid benefits are filed timely.
- Ensure policies and procedures are being followed.
- Audit for timely completion of admission paperwork.
Traveling Business Office Manager
Senior Care Centers
Dallas
01.2014 - 01.2015
- Travel to the North Texas Region facilities and assist in the absence of the Business Office Manager with daily functions of the Business Office.
- Perform audits to ensure company policies and processes are being followed.
- Resolved difficult collection accounts to assess suitability for collection agency referral or write-off.
- Perform Collection audits on all delinquent accounts.
- Assess level of bad debt reserves, review and prepare write-offs.
- Ensured adherence to procedures for accurate and timely month-end closing.
- Audit resident census data to validate accuracy.
- Audit for timely completion of admission forms, contracts.
- Collaborated with department managers to identify and address operational needs across multiple functions.
- Assist Regional Account Manager with training new Office Manager.
- Generated reports for regional or corporate staff.
Business Office Manager
Senior Care Health and Rehabilitation
Denton
01.2013 - 01.2014
- Manage all aspects of the Business Office financials.
- Ensured accuracy of financial records and prepared comprehensive financial reports for facility oversight.
- Compiled and presented weekly and monthly financial reports to management, highlighting key findings and recommendations.
- Reviewed monthly collections data to evaluate performance trends and inform strategic decision-making.
- Collaborated with department supervisors to streamline communication including facility Administrator, Director of Nursing, Social Services Director, Admission Director and Activities Director.
- Performs monthly collection duties on delinquent accounts including Private Pay, Medicaid, Hospice and VA accounts.
- Assess level of bad debt reserves, review and recommend write-offs.
- Ensures procedures are followed to achieve accurate and timely month end close.
- Verify all insurance information for new admissions.
- Ensure accurate and timely completion of admission paperwork.
- Assist resident in filing for Medicaid.
- Reconcile resident Trust Fund.
Business Office Manager
The Meadows Health and Rehabilitation
Dallas
01.2013 - 06.2013
- Manage all aspects of the facility financials.
- Maintained financial records and prepared reports to support facility operations and decision-making.
- Maintains accounts payable/accounts receivable, resident accounts and ledgers.
- Perform monthly collection duties on delinquent accounts including, Private Pay, Medicaid, Hospice and VA Accounts.
- Analyzes collections on a monthly basis.
- Assesses level of bad debt reserves, reviews and recommends write-offs.
- Ensures procedures are followed to achieve an accurate and timely closing at month-end.
- Facilitated interactions among department heads to enhance operational efficiency and collaboration across the facility.
- Updated and maintained resident census data to ensure compliance with regulations and support operational effectiveness.
- Prepares/sends monthly resident account statements.
- Compiled data and reports for regional or corporate staff to facilitate informed oversight and strategic planning.
- Assisted residents in filing for Medicaid benefits.
Business Office Manager
NorthPointe Nursing & Rehabilitation
Watauga
01.2007 - 01.2012
- Manage all aspects of the facility financials.
- Ensured accuracy of financial records and prepared comprehensive financial reports for facility operations.
- Maintains accounts payable/accounts receivable, resident accounts and ledgers.
- Conducted monthly collections on delinquent accounts, including Private Pay, Medicaid, and Hospice accounts, to maintain financial stability.
- Prepares and reconciles bank account(s) and prepares bank deposits.
- Prepares/sends monthly resident account statements.
- Managed and accounted for petty cash funds to ensure accurate financial tracking.
- Maintains payroll hours data and prepares payroll inputs.
- Verify all insurance information for new admissions.
- Maintains records required by licensing agencies.
- Verified accurate completion of admissions forms and contracts.
- Collaborated with department supervisors to ensure effective communication and coordination among teams.
- Compiled and prepared data/reports for regional or corporate staff.
- Supported administrators and department heads with secretarial tasks, improving overall workflow efficiency.
- Assist residents in filing for Medicaid benefits.
- Assist with internal and external marketing to maintain and promote census growth.
Customer Support Specialist
GE COMMERCIAL FINANCE, CAPITAL SOLUTIONS
Irving
01.2001 - 01.2007
- Managed a $50M Telecom customer portfolio as a key member of the Customer Alliance Team, handling $4M in monthly volume.
- Managed cross-functional teams (Accounting, IT Staff, Technical Support, and Risk Management), EDI processing, and Accident Management.
- Manage EDI system to send invoices, receive remittances and purchase orders, including X12 810’s, 820’s, and 850’s.
- Manage non-standard service programs for select premier customers.
- Audit monthly pre-billing and billing reports to eliminate exceptions and expedite payment, which has reduced delinquencies to zero, and ensures net 10 payment schedule.
- Successfully developed and implemented procedures to ensure accurate and timely cash application from multiple payee systems.
- Audited and analyzed monthly management reports for multiple billing systems, ensuring accuracy and compliance.
- Designed, developed, and implemented procedures for monthly billing and management reports, improving reporting efficiency and accuracy.
Team Leader
CITICAPITAL FLEET
Carrollton
01.1999 - 01.2001
- Led collections department, managed portfolio of delinquent national accounts, trained new employees, and supported Collections Manager in daily activities.
- Managed a commercial portfolio of $65M.
- Interacted directly with Fleet Managers, CEO, CFO, account managers, and internal customers to facilitate effective communication.
- Trained new collectors on systems, and processes.
- Assisted collectors with research and resolution of complex collection issues.
- Reconciled and resolved customers' billing errors.
- Corrected cash application errors and overpayments on customer accounts.
- Performed general accounting tasks, including managing accounts receivable.
Senior Collection Specialist
THE ASSOCIATES
Irving
01.1994 - 01.1999
- Trained and supervised team of 21 collectors, enhancing overall collection effectiveness.
- Successfully handled a portfolio of consumer delinquent accounts.
- Collected special accounts, acquiring delinquent accounts aged 90 to 180 days.
- Submitted delinquent accounts to attorney or outside agency for collection.
- Audited delinquent accounts considered to be uncollectible.
- Authorized repossessions and initiated legal actions against debtors to recover outstanding debts.
- Facilitated the repossession process by referring accounts with collateral to specialized teams.
- Searched for individuals to ensure delivery of legal documents.
Education
Certificate -
Business Skills Training Center
Denton, TXCertificate -
GE Commercial Six Sigma Greenbelt
Irving, TXSkills
- Claims management and denial resolution
- Accounts receivable and collections
- Revenue cycle analysis
- Appeals management
- Team leadership
- Detail orientation
- Effective communication
Timeline
Managed Care Billing Manager
Focused Post Acute Care Partners, LLC
01.2018 - Current
Business Office Manager
LifeCare of Haltom
01.2015 - 01.2018
Traveling Business Office Manager
Senior Care Centers
01.2014 - 01.2015
Business Office Manager
Senior Care Health and Rehabilitation
01.2013 - 01.2014
Business Office Manager
The Meadows Health and Rehabilitation
01.2013 - 06.2013
Business Office Manager
NorthPointe Nursing & Rehabilitation
01.2007 - 01.2012
Customer Support Specialist
GE COMMERCIAL FINANCE, CAPITAL SOLUTIONS
01.2001 - 01.2007
Team Leader
CITICAPITAL FLEET
01.1999 - 01.2001
Senior Collection Specialist
THE ASSOCIATES
01.1994 - 01.1999
Certificate -
Business Skills Training Center
Certificate -
GE Commercial Six Sigma Greenbelt