Experience

Angels Care Home Health

• United States
• Hospitals and Health Care
• 200 - 300 Employee

• Director of Reimbursement

  • Apr 2019 - Present

  Oversee the reimbursement functions in accordance with state, federal and local agencies.  Supervises a team of twenty-two including Supervisors, Reimbursement, Verification and Cash Applications Specialists.  Review monthly aging reports and adjustment processing.  Oversee annual revenue of $123M.

• Reimbursement Manager

  • Feb 2013 - Apr 2019

  Oversee the reimbursement functions in accordance with state, federal and local agencies. Supervises a team of fourteen Reimbursement, Verification and Cash Applications Specialists. Develops, evaluates, implements and revises policies and procedures related to reimbursement activities. Works with accounting and other departments in preparation of financial statements and audits related to reimbursement. Keeps abreast of all reimbursement procedures of third-party and private insurance payers and government regulations.Accomplishments: Devised, presented, and implemented a plan to bring insurance billing/collections in house as well as centralizing insurance verifications and authorization process.  Centralized OASIS submission process.



Cintas

• Irving, Texas

• Accounts Receivable Supervisor

  • Jun 2012 - Feb 2013

  Oversaw the day-to-day operations of the AR Collections Team, Credit Card Team and Posting Team.  Supervised and trained a staff of 23.  Daily review and research of unapplied cash reports.  Aging analysis of accounts that are 60 days past due.  Reviewed and approved daily cash control forms. Oversaw the day-to-day operations of the AR Collections Team, Credit Card Team and Posting Team.  Supervised and trained a staff of 23.  Daily review and research of unapplied cash reports.  Aging analysis of accounts that are 60 days past due.  Reviewed and approved daily cash control forms.



Odyssey HealthCare

• Collection Analyst/Special Projects

  • Feb 2009 - Sep 2011

  Processed credit balances for Medicaid accounts and input billing rates in the system. Reviewed aging reports. Decreased credit balances from $3.4 million to $1.5 million. Input daily and quarterly billing rates for 110 plus locations in 35 states. Assisted in new employee training.

• Reimbursement Supervisor

  • May 2007 - Feb 2009

  Oversaw the day-to-day operations of the Cash Application Department with a staff of 16. Cash posting between $60 - $70 million per month. Weekly and monthly cash balancing. Processed rate adjustments along with write-offs. Reviewed cash reconciliation report.



Concepts of Care/Infusion Management Systems

• Payroll/Billing Supervisor

  • Jul 1985 - Mar 1996