Experience

Cypress Skilled Nursing LLC

• 1 - 100 Employee

• Business Office Manager

  • Sep 2018 - Present



Bria of Trinity Village

• Milwaukee, WI

• Business Office Manager

  • Oct 2016 - Sep 2018

  Bria of Trinity Village is a Life Plan Community. It provides continuum of care across all levels of care, including independent living, assisted living, and skilled nursing. As Business Office Manager at Bria of Trinity Village, I oversee management of office staff, prepare work schedules, conduct performance reviews and terminations, and participate in daily management strategy meetings. Additionally, I manage accounts payable/receivable, prepare all financial reports for the facility, and process/reconcile resident monthly statements. I also handle collections, as well as interviewing prospective residents and their families to determine financial responsibility. Included in my responsibilities is conducting audits of patient information, and investigating and resolving billing disputes acting as a liaison between the billing department, billers, and third- party payors. A few achievements of my work at Bria include: ✯ Responsible for direct management of 10-person staff. ✯ Recovered $350k in lost revenue from claims through investigation and resolution of claims issues. Show less



Ascension Living

• United States
• Hospitals and Health Care
• 100 - 200 Employee

• Business Office Manager

  • 2015 - 2016

  Ascension Senior Living is a leading not-for-profit senior living provider, and is one of the largest in the country. It operates senior living communities across 11 states in more than 35 facilities, having a total of approximately 10.000 residents, patients, and program participants. As Business Office Manager at Ascension Senior Living, I managed day-to-day operations and supervision of the billing department and staff. My responsibilities included maintaining the census data for the independent living, assisted living, adult day care, and skilled nursing facilities. As part of the process for accepting new residents, I conducted insurance coverage reviews of prospective residents and reported the results to the admission team. On a continuing basis, I processed resident statements, posted charges, made adjustments, applied payments, closed out monthly accounts, and conducted collections, and updated the internal billing system to reflect changes in patient information, diagnosis codes, and procedure codes. For claims that were denied or rejected, I identified and corrected any issues in the claim for its resubmittal for payment. A few highlights of my work at Ascension Senior Living include: ✯ Investigated and resolved billing disputes by liaising between billing department, billers, and third-party payors. ✯ Conducted audits of patient information. Show less



Mary-Jude Nursing Home

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

• Business Office Manager

  • 2013 - 2015

  Mary Jude Healthcare is a rehabilitation and skilled nursing facility that provides additional services such as adult day care and respite care. As Business Office Manager at Mary Jude Healthcare, I managed day-to-day operations, employee benefits, and supervision of the payroll and benefits department and staff. I maintained OIG reports and OSHA logs. I prepared month-end statistical and financial reports, reconciled the facility’s bank accounts, set-up and maintained resident financial files, posted payments to resident accounts, and mailed resident statements. Claims submittals were handled by me, submitting Medicare, Medicaid, community care, family care, and secondary insurance claims. I oversaw collection efforts for 30-day delinquent accounts and provided the administrator with written recommendations on delinquent accounts. A few highlights of my achievements at Mary Jude include the following: ✯ Achieved reduction in number of days outstanding from 160 days to 45 days. ✯ Successfully recovered $120k of previously written-off accounts receivable. ✯ Performed direct data entry utilizing FISS to enter Medicare Part A & B claims. Show less



Luther Manor, a Life Plan Community

• United States
• Medical Practices
• 100 - 200 Employee

• Medicial Billing Specialist

  • 2009 - 2012

  Luther Manor is a Life Plan Community for senior living that included independent living, assisted living, and skilled nursing facilities, and also offers adult day-care. As Medical Billing Specialist at Luther Manor, I provided specialized medical billing support for the facility. I prepared month-end billing reports, processed resident billing statements, conducted follow-ups of co-insurance claim submittals, and performed data entry of Medicare and Medicaid claims. Additionally, I investigated outstanding accounts and resolved past-due delinquencies. A few highlights of my work at Luther Manor include: ✯ Successfully resolved outstanding accounts. ✯ Conducted follow-ups on claim submittals. ✯ Performed data entry of Medicare Hospice, Medicare Part A & B, and Medicaid claims. Show less



Community Care Inc

• United States
• Hospitals and Health Care
• 400 - 500 Employee

• Financial Representative

  • 2008 - 2009

  Community Care is not-for-profit long-term care provider serving more than 10,000 individuals in Wisconsin. As Financial Representative at Community Care, I was responsible for monitoring the account balances of community members, assisting community members with establishing budgets, applying social security payments, and resolving past due accounts. One of the examples of value I brought to Community Care includes: ✯ Worked with legal custodians and community members to resolve past due accounts. Show less