Experience

JCC of the Greater Palm Beaches

• Volunteer

  • Feb 2013 - Present

  Mandel location Palm Beach Gardens, Florida I volunteer in the main office of the Palm Beach Gardens location. I volunteer for the Adult Education and Membership Director. General office duties: Validating/cross referencing of payments of guest and Members of the "J" for paid/free programs. Updating membership data bases for different adult programs. Filing, Mail processing. Phone calls to members.



American Eldercare

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Accounts Receivable Specialist

  • Jun 2009 - Feb 2013

  Delray Beach, Florida Community Home Based Services Medicaid Diversion Program in 64 Florida counties. Posting of monthly capitated rate invoices into Great Plains. Posting of monthly payments into Great Plains. Accounts Receivable reconciliation of wrong county payments, census, and eligibility issues. Accounts Receivable reconciliation of census between Great Plains and "Q" case management data base. Monthly regulatory reports to Department of Elder Affairs/A.C.H.A. payment reconciliation and enrollment. Prepare… Show more Community Home Based Services Medicaid Diversion Program in 64 Florida counties. Posting of monthly capitated rate invoices into Great Plains. Posting of monthly payments into Great Plains. Accounts Receivable reconciliation of wrong county payments, census, and eligibility issues. Accounts Receivable reconciliation of census between Great Plains and "Q" case management data base. Monthly regulatory reports to Department of Elder Affairs/A.C.H.A. payment reconciliation and enrollment. Prepare bad debt write offs of Medicaid Pending denials/Self pay-Fee for Services. Prepare bad debt write offs of Medicaid approved/enrolled debit & credit balances. Assist controller with revenue reconciliation. Posting of inter-company payments of HHA, ALF/IL, and SNF. Posting of misc. payments from medical provider vendors of consolidated Part A/B billing. Worked Date of Death audits from State of Florida. Prepared audit papers for internal auditors. Show less



AppleOne

• Accounts Receivable Specialist

  • Dec 2008 - May 2009

  American Eldercare Delray Beach, Florida Temp to perm position for their client American Eldercare.



Lake Worth Manor

• United States
• Hospitals and Health Care

• Asst Business Office Manager

  • Sep 2007 - Nov 2008

  Lake Worth Florida Assistant Business Office Manager for 120 bed for profit skilled nursing facility. Assist in collections & Atty. referral. Assisted in Accounts Receivable reconciliation, adjustments, bad debt write offs, and refunds. Assist in cash reconciliation of operational account and Resident Trust Fund. Assist in insurance billings including Medicare Part "A/B", Medicaid, Hospice, Medicare secondary, Manage Care,V.A., Medicaid Diversion program, and Long-term Care insurance. . Preparation of… Show more Assistant Business Office Manager for 120 bed for profit skilled nursing facility. Assist in collections & Atty. referral. Assisted in Accounts Receivable reconciliation, adjustments, bad debt write offs, and refunds. Assist in cash reconciliation of operational account and Resident Trust Fund. Assist in insurance billings including Medicare Part "A/B", Medicaid, Hospice, Medicare secondary, Manage Care,V.A., Medicaid Diversion program, and Long-term Care insurance. . Preparation of ancillary charges, for resident statements and insurance billings. Resident charges include medical supplies,personal supplies, Insurance billings include Rehab., lab, X-Ray, pharmacy, Room & Board,. Prepare outside vendors bills for Accounts Payable. Prepare operational cash and Resident trust deposits. Operational account postings in A/R system, Daily transactions of Resident Trust fund:R.F.M.S. vendor. Medicare billing through M.D.I. DDE & Medicaid through WINSAP & DDE Web Portal. Manage care billing through Availity Web portal. Prepare consolidated Part "A/B" outside vendors for Accounts Payable. Prepare Medicaid Part "A"/B" coinsurance bad debt log for Medicare reimbursement of interim payment, Show less



MorseLife, Inc.

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

• Business Office Manager

  • Jul 1997 - Jun 2007

  West Palm Beach, Florida Responsible for Accounts Receivable for 280 bed nonprofit skilled nursing facility. Managed staff of three and volunteers. Daily census and balancing of month-end census. Cash postings and operational account reconciliation. Oversee insurance billings including Medicare Part "A"PPS and B, Medicaid, Hospice, Medicare secondary, physician/mental health services, long-term care, and Workers Compensation. Supervise preparation of ancillary charges for resident statements and insurance billings… Show more Responsible for Accounts Receivable for 280 bed nonprofit skilled nursing facility. Managed staff of three and volunteers. Daily census and balancing of month-end census. Cash postings and operational account reconciliation. Oversee insurance billings including Medicare Part "A"PPS and B, Medicaid, Hospice, Medicare secondary, physician/mental health services, long-term care, and Workers Compensation. Supervise preparation of ancillary charges for resident statements and insurance billings. Resident charges include telephone, barber & beauty, cable t.v., and other personal items. Insurance billings include rehabilitation, lab, pharmacy, transportation, and room and board. Prepare outside vendor bills' for Accounts Payable (consolidated billings). Responsible for follow up on private and insurance collections, appeals, and probates. Accounts Receivable reconciliation, adjustments, bad debt write off, and refunds. Medicaid and Medicare billing through PC-ACE and DDE. Medicaid billing through WINSAP. Filed Medicare and Medicaid provider applications for Morselife Physician, ARNP, and LCSW with appropriate fiscal intermediaries. Journal entries for staff accountant. Pharmacy bill reconciliation report for Director of Nursing, C.F.O., and C.O.O. Account resolution to receive proper pharmacy vendor credits. Prepare vendor payment.

• Physician Billing and Accounting

  • Jul 1997 - Jun 2007

  West Palm Beach, Florida Physician Billing and Accounting :Responsbile for billing medical providers including geriatric practitioners ( Physicians and nurse practitioners) and licensed clinical social workers. Oversee ICD-( and CPT coding of physician, nurse practitioner, and LCSW charges. Also processed nursing home billings including Part "B" secondary (Medicaid & thrid party). Responsible for electronic billing X-12 billing to Medicare, Medicaid, and third party insurance carriers from Medical Office Software… Show more Physician Billing and Accounting :Responsbile for billing medical providers including geriatric practitioners ( Physicians and nurse practitioners) and licensed clinical social workers. Oversee ICD-( and CPT coding of physician, nurse practitioner, and LCSW charges. Also processed nursing home billings including Part "B" secondary (Medicaid & thrid party). Responsible for electronic billing X-12 billing to Medicare, Medicaid, and third party insurance carriers from Medical Office Software billing system. Prepared private pay statement for deductibles and co-payments. Prepared Medicare and insurance payments for deposits into the MOS billing system. Prepare Medicare and insurance payments for deposits. Posted Medicare and insurance payments into the MOS billing system. Posted adjustments and refunds into MOS billing system. Prepared journal entries for staff accountant. Prepared Medicare and Medicare provider enrollment application for rotating M.D., A.R.N.P., and L.C.S.W. students at teaching facility. Billed Medicare secondary insurance for Skilled Nursing Facility of O.T., P.T., and S.P. Tx.. Billed long term care policies for Skilled Nursing Facility. Collaborating with Medicare, Medicaid regulatory officials, patients and others to track and control accounts receivable.