Tracey St. Ours

• Process semi-monthly payroll and reporting
• Record all timesheet entries, update employee time off, and track in HRIS
• Manage all recruitment efforts including job postings, interview scheduling, phone screening, and work with employment agencies
• Onboard new hires, process background and credit checks, I-9 verifications, benefit enrollment, and ensure all required paperwork is complete
• Ensure company Human Resources policies and procedures are adhered to and continually improved
• Develop and maintain confidential employee files, documents, pay scale details, and evaluations
• Administer annual open enrollment benefits and communicate changes to employees
• Review employee performance assessments and salary adjustments
• Coordinate annual employee events

• Responsible for onboarding new hires, training, employee relations, employment law compliance and benefits administration for seven different location with over 250 employees
• Provides support in areas of the human resources department that include recruitment and employment, personnel records employee and/or labor relations, job evaluation, compensation management, benefits administration, organization development and training
• Compile data and creating reports for the HRIS from Paylocity to Dayforce
• Confirm employee information in the HRIS is precise
• Onboards new employees, which includes training HR systems and reviewing the employee handbook and other HR related materials with new employees
• Monitors performance evaluations and revises if necessary and administers compensation programs
• Reviews all corrective actions for accuracy and revises before delivery of corrective actions
• Participates in developing department goals, objectives, and systems
• Recommends new approaches, policies, and procedures to continue improvements in efficiency in departments and services performed
• Administers various human resources plans and procedures; prepares and maintains employee handbook and policies and procedures manual
• Maintains human resources information system records and compiles reports from databases
• Maintains compliance with federal and states regulations concerning employment

Documented, analyzed and upgraded HR processes that involved the HRIS

• Ensured accurate employee data and information in the HRIS
• Trained and supported additional staff on the HRIS with Empeon
• Maintain personnel files to be in compliance with applicable legal requirements
• Kept personnel files up to date with status changes, terminations, wage increases, and new hires within a timely fashion for 180+ employees
• Assisted in the hiring process by publishing open positions on Apploi, reviewing resumes, and performing in-person interviews and reference checks
• Conducted all background checks
• Prepared payroll for processing (enter missed meal breaks, approve missing punch requests, process wage increases, and coordinate with managers to ensure timecards are approved) using Kronos
• Assisted employees in answering general benefit and payroll questions
• Assisted the staffing coordinator and communicates any changes in staffing needs as they occur
• Responsible for Accounts Payable
• Coordinated and assists with FMLA, worker's compensation, benefit claim forms, and various employee benefit paperwork
• Informed eligible employees on benefits that are offered and informs employees who to contact if there are questions regarding their benefit coverage

• Reviewed clinical documentation to screen for appropriateness of admission, continued stay criteria, and special studies regarding delivery of care, treatment, and services
• Coordinated authorized and re-certification of services by external entities reimbursing the facility for care provided
• Coordinated peer reviews with providers and reimbursement entities, audited the EMR for evidence of service provision, led the utilization committee, and was responsible for quarterly reports to facility leadership
• Reviewed admission documentation for compliance with admission and continued stay criteria outlined in Title 43A of the Mental Health Law; discussed medical necessity with providers (physicians, APRNs, physician assistants, and clinicians)
• Described consumer diagnosis, symptoms, medication regimen, and prognosis to insurance companies and mental health professionals

• Coordinated all admission efforts to fulfill the strategic plan of the facility and organization
• Participated in daily meetings to inform staff of new admissions or room changes
• Informed necessary departments of the arrival of new residents and coordinate the admission process as outlined within the facility policy
• Received and clinically review all referrals regarding prospective residents from hospitals, assisted living facilities, and homes
• Verified all insurance benefits and obtains all prior authorizations
• Maintained updated bed availability within the facility
• Compiled and distributes all admissions paperwork
• Submitted all electronic Level 1 PASSRs
• Completed daily AR census submission reports for our corporate office
• Adhered to all necessary laws and regulations governing the facility's operations

• Accountable for branch accounts receivable balances, inclusive of billing and collections
• Utilized Riversoft Office to bill patient's and clients, then monitor the status of billed and unbilled accounts
• Billed insurance companies $50K+ per week and submitted invoices weekly for private duty patients totaling $15K per week
• Ensured timeliness of AR submission, authorizations, payments, and follow-ups as needed
• Reviewed all Medicare replacement and private insurance claims for accuracy
• Submitted all claims within timely filing
• Reached out to insurance companies on denials and submitted appeals
• Collected $80K+ per month from insurance companies on overdue collection accounts
• Reviewed weekly unbilled report and created a billing report and summary to send to upper management
• Trained all new employees for the business office

• Scheduled all existing patients with physician's and advanced practitioners using PCIS and UroChart
• Checked patients in, verified all demographic information, and collected co-pays
• Heavy call volume of 150+ patients per day when on the phone
• Finalized cash drawer at the end of day
• Trained all new employees

• Verified insurance benefits with Medicare, Medicaid, and private insurance
• Submitted claims to the clearinghouse on a daily basis
• Resolved claim denials and resubmitted claims within timely filing
• Posted EOBs to patients' accounts in Quick Practice
• Collected overdue payments from insurance companies resulting in over $80K
• Trained all new and current employees