Tracey Floyd
Madison,MS
Summary
Adept at strategic planning and staff management, I spearheaded operational strategies at PlainView Assisted Living, enhancing resident satisfaction and ensuring fiscal sustainability. My leadership development and community engagement skills forged strong relationships, driving organizational success. Achieved significant improvements without exceeding budget constraints.
Overview
29
29
years of professional experience
Work History
Executive Director
PlainView Assisted Living
09.2014 - Current
- Worked closely with organizational leadership and Regional director to guide operational strategy.
- Oversaw financial budget, ensuring fiscal responsibility and long-term sustainability for the organization.
- Guided staff through periods of organizational change, maintaining morale and engagement during transitions.
- Forge strong relationships with Regional director, providing regular updates on organizational progress and soliciting their expertise when needed.
- Forge a strong relationship with community and social services for Marketing and refferals.
- Nursing duties as needed.
- Maintain schedule and staffing along with supplies for kitchen and building needs.
Nurse
St Joseph Hospice
09.2016 - 10.2018
- Performed accurate documentation of patient assessments, interventions, and outcomes in compliance with regulatory standards.
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Performed routine wound care and dressing changes on schedule.
- Promoted a safe and comfortable end of life environment by addressing patient and family's concerns promptly and professionally.
Medical Billing Specialist/
MS Family Doctors
04.2002 - 09.2014
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Located errors and promptly refiled rejected claims.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Identified and resolved patient billing and payment issues.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Maintained strong working relationships with healthcare providers, fostering clear communication regarding billing-related matters.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Collected payments and applied to patient accounts.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Verified insurance of patients to determine eligibility.
- Posted payments and collections on regular basis.
- Used data entry skills to accurately document and input statements.
- Obtained patient vital signs and input/output measurements from inpatients.
- Performed routine evaluations of each patient's status, needs, and preferences.
- Gathered lab specimens, ordered testing, and interpreted results to diagnose patients.
- Assisted physicians with diagnostic testing and procedural support for optimal treatment decisions.
- Educated patients and caregivers on medical diagnoses, treatment options, chronic disease self-management and wound management.
Medical Billing Front Office
UMC
10.1995 - 11.2001
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Organized paperwork such as charts and reports for office and patient needs.
- Maintained a clean and welcoming reception area to ensure a positive first impression for all visitors to the medical facility.
- Helped patients complete necessary medical forms and documentation.
- Maintained current and accurate medical records for patients.
- Supported office staff and operational requirements with administrative tasks.
- Checked patient insurance, demographic, and health history to keep information current.
- Demonstrated strong attention to detail when updating patient demographics, ensuring accurate information for proper billing and treatment purposes.
- Identified and resolved patient billing and payment issues.
- Managed patient accounts effectively, resolving discrepancies and addressing outstanding balances in a timely manner.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Collected payments and applied to patient accounts.
- Precisely evaluated and verified benefits and eligibility.
- Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
- Collaborated closely with the clinical team to ensure proper documentation was obtained for accurate billing purposes.
- Pre-certified medical and radiology procedures, surgeries and echocardiograms.
- Verified insurance of patients to determine eligibility.
- Prepared billing statements for patients and verified correct diagnostic coding.
Education
ServSafe - Food And Restaurant Service
ServSafe
Jackson Ms.01.2023
No Degree - Tuberculosis Surveillance And Testing
Mississippi State Department of Health
Jackson Ms.07.2021
Practical Nursing - Practical Nursing
Hinds Community College
Raymond, MS11.2009
No Degree - Medical Insurance Coding
American Academy of Professional Coders
Jackson, MS12.1999
No Degree - Windows3.1 Basic Computer
Hinds Community College
Raymond, MS04.1997
GED -
State Board For Community And Junior College
Mississippi12.1994
Skills
- Community Engagement
- Program Management
- Strategic Planning
- Project Management
- Staff Management
- Budgeting and financial management
- Leadership Development
- Marketing
- Resident satisfaction
Timeline
Nurse
St Joseph Hospice
09.2016 - 10.2018
Executive Director
PlainView Assisted Living
09.2014 - Current
Medical Billing Specialist/
MS Family Doctors
04.2002 - 09.2014
Medical Billing Front Office
UMC
10.1995 - 11.2001
ServSafe - Food And Restaurant Service
ServSafe
No Degree - Tuberculosis Surveillance And Testing
Mississippi State Department of Health
Practical Nursing - Practical Nursing
Hinds Community College
No Degree - Medical Insurance Coding
American Academy of Professional Coders
No Degree - Windows3.1 Basic Computer
Hinds Community College
GED -
State Board For Community And Junior College
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