Experience

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  CommuniCare Health Services

  • United States
  • Hospitals and Health Care
  • 700 & Above Employee

  • AR Analyst

    • Oct 2018 - Present

    • Review Monthly Divisional Aging, 27 facilities, looking for Payer trends and at-risk accounts• Ensure that collection calls and letters are sent in a timely fashion. (PCC Notes)• Review the pending logs, Private pay/Patient liability reports for timely collections• Review month end close reports and advise the BOM and Administrator of problems; help resolve these issues.• Work with facilities to mitigate financial risk associated with uncooperative residents/responsible party to minimize process breakdown. • Assist the Business Office in responding to requests made by local County/State Agencies• Assist the Business Office with filing and attending state hearings when assigned• Track issue cases for monthly review and follow up.• Assist with review of all adjustments and bad debt completed by facility and Regional team members for accuracy.• Help BOM’s with getting cases approved with county caseworkers.• Assist with training new BOM’s and Divisional Team meetings.• Monitor residents’ pending and private AR accounts, Reference Policy Collection Effort Procedures for Private and Medicaid Resource• Submit all required forms to state agencies in a timely fashion (i.e. Medicaid applications)• Assist with Private Write-Offs, Private Refunds, and Adjustments as needed• Reference Policies Bad Debt/Write Off Requests and Patient Refund Requests• Analyze pending / private bad debt and cash collections and review with Divisional Director of Finance• Answer questions and provide information to families and residents• Assist in completing Medicare/Medicaid forms as needed• Assist Divisional Director of Finance, CBOs and Home Office staff as needed• Coordinate documentation for internal/external audits• Assist in Monitoring/Auditing resident funds including bank statements, authorizations form (RTF Record Keeper) and quarterly statements

  • Assistant Regional Director of Finance

    • Aug 2016 - Present

    • Assist 17 Maryland Facilities with gathering financial data from the resident, family and responsible party for Long-Term care Medical Assistance.• Medicaid Recoveries: working with local agencies to overturn denials for incomplete or overscaled Medicaid applications 2008-2017• Review verifications and determine if qualifications for benefits have been met.• When appropriate become the authorized representative when applying for benefits• Maintain proper documentation to support efforts with all applications submitted.• Escalate Guardianship cases to attorney timely• File appeals with the appropriate agency when necessary• Build working relationships with local the agency which determines Medicaid Eligibility• Conduct Medicaid Pending Audits for each facility providing next step instructions• Complete Medicaid Application oversights

  • Business Office Director

    • May 2014 - Aug 2016

    • Direct processing of accounts receivable, adjustments, private and third-party agencies, and census information.• Manage resident trust funds (RFMS) and maintain confidential files (Deficiency free 2014,2015 & 2016)• Manage collections of past due residents’ accounts receivable and provide reports on these to the Executive Director and Regional Director of Finance.• Assist with Admission and Discharge Process• Establish accounting records and procedures to conform to local and federal requirements.• Maintain insurance records, address questions regarding extent of coverage and apply/renew (Medicaid) insurances on a routine basis.• Increased Cash collections 20% annual and maintain a monthly cash collection average of 101.2%• Reduced bad debt 30% annual. Average monthly under 2%• Decreased ADO from 89 to 46 annual. Average monthly 46See less

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  Sava Senior Care

  • Business Office Director

    • Aug 2010 - May 2014

    • Responsible for all Accounts Receivable activities including Medicare, Medicaid, Private, Managed, Hospice, and VA.• Post and balance census, cash receipts, charges and adjustments on a daily basis and month-end requirements.• Conducted weekly resident chart audits for Billing Accuracy Process.• Coordinate and maintain Resident Fund Management Services accounts. (deficiency free 2011-2014)• Ensure proper billing and tracking of operating costs through management of office staff and policies• Manage the review of payment policies and procedures with new admissions and their responsible parties.

  • A/R Coordinator

    • Dec 2008 - Aug 2010

    • Assuring that proper accounting procedures are in place and records are maintained in compliance with state and federal regulations.• Maintaining facility daily census• Conducted weekly resident chart audits.• Medicare and private billing, collections, computer system administrator, ancillary billing and coordination of cost report preparation

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  CES Security, Inc.

  • Event Service Manager

    • May 2007 - Dec 2008

    • Maintaining an established set of clients and recruiting new ones using networking tools in conjunction with the Baltimore and Washington, DC Convention and Tourism Corporation publication.• Writing contracts specific to each client and event, including details on pricing, insurance coverage, and other requested services.• Frequently worked onsite at customer events providing direct support to event planners and security lead officers for security-related matters.• Managed CES staff onsite at customer events in Baltimore and Washington metropolitan areas.• Recruited personnel via ad placements by working with local publications• performed basic managerial tasks such as scheduling and payroll duties.• Created deployment plans to appropriately staff customer events with needed resources.• Reconciled payroll for special events.See less

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  Morphius Records, Inc.

  • Director of Marketing and Promotions

    • Sep 2004 - May 2007

    • Coordinated advertising in numerous local and international publications (both traditional and online media).• Designed advertising campaigns for the touring bands on the roster. • Tracked development of the bands and album sales by contacting publications and stations for feedback. • Acted as a liaison between the bands and the public, and occasionally, between the bands and label management.• Coordinated royalty reporting every three months for all the clients of the Morphius Development Consortium. • Managed numerous interns during the summer and performed light office duties, as needed.

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  Diamond Comic Distributors

  • New Account Coordinator

    • Jun 1998 - Oct 2004

    • Coordinated the shipment of sample products, sales sheets, and monthly press kits to our traveling salesmen, as well as, the monthly distribution of promotional sales kits by working Director of Sales. • Responsible for the shipment of monthly catalogues distributed to potential new accounts. • Researched potential sales leads by comparing our product lines with various retail outlets. I would • Managed temps needed during peak times.