Director Of Operations

• Nov 2020 - Present

Undertakes administrative functions to ensure that the business development, operational, billing, and office management are carried out effectively and efficiently.-Supervises all administrative functions and personnel-Specialized Consultative Services QP-ITFS staff supervisor-Acts as Safety Officer; conduct drills, inspections, and trainings-Corporate Compliance Manager-Addresses concerns and complaints from staff/parents/referral sources-Ensures all applicable employee licensures, ASHA dues, NPI #s are verified and remain active and current-Responsible for credentialing Individual Providers with Contracts-Assist Executive Director with Agency Contracts-Act as Mecklenburg CDSA Representative-Maintain CDSA Staff Rosters-Participate in CARF Accreditation readiness---Maintain standards---Complete policy reviews and updates-Organize QA/QI meetings-Develop QA/QI Quarterly Reports (Outcome Management Reports)-Staff/Service Productivity Reporting-Authorization/Utilization Management Reports-Website Management-Oversee YouTube Channel Show less

Billing/Payroll Specialist

• Nov 2013 - Present

Billing-Maintain knowledge of Medicaid billing requirements and guidelines-Review staff schedules in comparison to documented visits-Create batch files using the EHR platform-Ensure all service codes are appropriate for service provided-Process invoices for claims in a timely manner-Maintain proper knowledge of each Managed Care Plan/MCO/LME portal-Verify eligibility for both Medicaid and Private Insurance-Enter invoices into Quickbooks for reporting purposes-Receive and record RA summaries-Create and review Outstanding Balance reports-File disputes/appeals/reconsiderations for denied claims-Create and analyze quarterly billing outcome reportsPayroll-Review timesheets in comparison to visit documentation-Enter hours worked into formulated spreadsheet-Maintain monthly hours worked-Track Paid Time Off hours-File and record staff timesheets-Communicate with contracted Accountant Show less

Cleaner

• Jan 2008 - Jul 2010