Experience

Therap Services

• United States
• Software Development
• 100 - 200 Employee

• Billing Specialist

  • Nov 2020 - Present



UMAR Services

• Billing Coordinator

  • Sep 2017 - Nov 2020

  Charlotte, North Carolina Area • Responsible for maintaining program site credentialing with all managed care organizations (MCO’s) and NC Tracks. • Coordinates, submits and/or insures all participant contracts are in place with MCO’s. • Responsible for reviewing, recording and submitting billing for all services. • Apply & record payments received for services. • Liaison with site staff and electronic health records • Maintains/Updates all information with necessary agencies in the billing process – MCO’s, NC Tracks… Show more • Responsible for maintaining program site credentialing with all managed care organizations (MCO’s) and NC Tracks. • Coordinates, submits and/or insures all participant contracts are in place with MCO’s. • Responsible for reviewing, recording and submitting billing for all services. • Apply & record payments received for services. • Liaison with site staff and electronic health records • Maintains/Updates all information with necessary agencies in the billing process – MCO’s, NC Tracks, Alpha, Provider Direct, NPI and NPPES. • Responsible for all invoicing (participant private pay, HUD, production/service income). • Assist CFO with month end close as requested. • Enter Operation and Development deposits into accounting system. • Apply charge account payments to expenses recorded by AP Specialist. • Prepare resident refunds monthly in coordination with Social Service Coordinator. Show less



First Choice Community Services, Inc.

• Qualified professional

  • Dec 2016 - Feb 2018

  Charlotte, North Carolina Area • Execute all phases of client intake process (Medicaid and State funded services). • Monitor program data and ensure accuracy for monthly reporting. • Review monthly data to ensure billing accuracy as well as client progress. • Complete monthly percentages and progress summaries. • Research and consult with State and County regarding current developments, rules, regulations and policies. • Mange account billing of services, bi-monthly expenses and budget reports. • Supervise services and… Show more • Execute all phases of client intake process (Medicaid and State funded services). • Monitor program data and ensure accuracy for monthly reporting. • Review monthly data to ensure billing accuracy as well as client progress. • Complete monthly percentages and progress summaries. • Research and consult with State and County regarding current developments, rules, regulations and policies. • Mange account billing of services, bi-monthly expenses and budget reports. • Supervise services and hours as needed per the personal care of plan. • Perform a variety of clerical/support functions including correspondence letters, meeting minutes, and calendar maintenance. • Prepare and edit correspondence, communications, presentations and other documents. • Design and maintain databases, file and retrieve documents and reference materials. • Conduct research, and collect and analyze data to prepare reports and documents. • Manage and maintain executives' schedules, appointments and travel arrangements. • Arrange and coordinate meetings and events, record, transcribe and distribute minutes of meetings. • Monitor, screen, and respond to incoming communications and liaise with internal staff at all levels. • Interact with external clients, co-ordinate project-based work, and review operating practices. • Implement and oversee electronic health/medical records. Show less



THERAPEUTIC SERVICES GROUP, INC

• United States
• Wellness and Fitness Services
• 1 - 100 Employee

• Program Director/ Qualified Professional

  • May 2009 - Dec 2016

  Charlotte, North Carolina Area • Assisted all levels of management team in support services to include Co-Exec. Directors, Director of Operation and Marketing Manager. • Executed all phases of the client intake process (Medicaid and State funded services) while monitoring program data and ensuring accuracy of monthly reporting. • Researched and consulted with State and County entities regarding current developments, rules, regulations and policies. • Generate monthly calendar of events; coordinate the development… Show more • Assisted all levels of management team in support services to include Co-Exec. Directors, Director of Operation and Marketing Manager. • Executed all phases of the client intake process (Medicaid and State funded services) while monitoring program data and ensuring accuracy of monthly reporting. • Researched and consulted with State and County entities regarding current developments, rules, regulations and policies. • Generate monthly calendar of events; coordinate the development, implementation, marketing and quality assurance processes of the program. • Design and maintain databases, file and retrieve documents and reference materials • Facilitated completion of Behavior Support Plans, and served as Administrative Assistant to inhouse psychologists. • Served as internal investigations lead regarding Medicaid fraud & plan of corrections. • Oversee program admission decisions, discharge decisions, and development of department administrative policies and procedures. • Monitor program content to ensure compliance with Federal and State standards. • Managed account billing of services, bi-monthly expenses and budget reports. • Supervised services and hours as needed per the personal care of plan. • Served as a member of the QA/QI Committee and Human Rights Committee. Show less