Toni Marie Ilagan

Sr. Business Office Manager

CareOne

11.2014 - Current

Assisted with development and implementation of financial policies and procedures to streamline operations.
Delivered performance reviews, recommending additional training or advancements.
Successfully managed budgets and allocated resources to maximize productivity and profitability.
Maintained positive customer relations by addressing problems head-on and implementing successful corrective actions.
Evaluated employee performance and conveyed constructive feedback to improve skills.
Recruited, interviewed and hired employees and implemented mentoring program to promote positive feedback and engagement.
Communicated with insurance providers to resolve denied claims and resubmitted.
Handled account payments and provided information regarding outstanding balances.
Adhered to established standards to safeguard patients' health information.
Reconciled accounts receivable to general ledger.
Audited and corrected billing and posting documents for accuracy.
Utilized various software programs to process customer payments.
Posted payments and collections on regular basis.
Prepared billing statements for patients and verified correct diagnostic coding.
Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
Created improved filing system to maintain secure client data.
Verified insurance of patients to determine eligibility.
Generated accounts payable reports for management review to aid in financial and business decision making.
Responded to emails and other correspondence to facilitate communication and enhance business processes.
Contributed to smooth business operations by planning and organizing meetings and conferences.
Handled confidential and sensitive information with discretion and tact.
Documented and distributed meeting notes to identify, analyze, and improve workflows.
Organized and coordinated conferences and monthly meetings.
Screened calls and emails and responded accordingly to support executive correspondence.
Evaluated and negotiated contracts to procure favorable financial terms.
Established internal audit procedures to validate and improve accuracy of financial reporting.
Maximized cash flow through optimal billing and collection processes.
Billing & Collections for Medicare, Managed Care, Medicaid & Private Pay via PCC.
Month End Triple Check & verification of labs, xray, pharmacy & therapy charges.
File medicaid applications & redeterminations.
Maintain & control financial threshold in RFMS