Manager Insurance

Regina R LeVier (***) *** – ****

Objective:

To obtain a position in a professional field, where I

could utilize the skills I have acquired through my

years of experience in Medical Billing, Accounts

Receivable, Accounts Payable, Human Resources and

Payroll. Currently I am employed as The Human

Resource Payroll specialist at Golden Living Center

in Oil City, Pa.

Work Experience:

Current

Golden Living Center

Oil City, Pa 16301

Human Resource / Payroll Manager

• Post job openings

• New Employee Orientation

• Employee benefit enrollment

o Medical, Dental, Vision, Life, Health Savings &

401 K

• Keep employee personal records updated according to state

and federal guidelines.

o Employee Tax Data

o General Deduction Data

o Job Data

o License and Certifications

• Conduct Monthly Safety Meetings

• Track and update MDS book per OSHA guidelines

• Monthly training per Corporate guidelines

• Implement staff development programs to encourage staff

interaction.

• Post daily time clock adjustment

• Calculate, Input and Close Bi- Weekly Payroll

• Track employee PTO time.

• Assisting the Billing Department with collections of past due

insurance claims and third party payers.

o UPMC/ Blue Cross Therapy & Ancillary Charges

March 12, 2009 – January, 2011

Jefferson Manor

Billing Office Manager

• Oversee Office Billing procedures and collections

• Reconcile Checking Accounts

• Reconcile Payroll Account

• Prepare Account Payables

• End of month reconciliation of all account receivable &

payable

• Prepare monthly and yearly cost reports in compliance with

state and federal regulations

• Prepare yearly reports for auditors

• Prepare and Print 1099’s

• Oversee Medicare and Medicaid Billing

• Private Pay Billing and Collections

• Prepare Monthly Accounts Receivable Ledger

• Medicare and Medicaid Cost Report

• Close accounts and process refunds

• Staff training and developing

July 2008 – March 2009

Laurel Eye Clinic

Patient Account Department (Temporary Auditor Position)

Daily Reconciliation

• Audit Daily Reconciliation Reports for 11 offices

• Deposit and Post Transactions for the 11 offices

• Reconciled Checking Accounts

• Reconciled Credit Accounts

Collections & Reimbursement

• Collection Letters and Phone Calls

• Post payments

• Process patient and Insurance Refunds

Auditing

• Audit monthly billing procedures

• Track monthly accounts receivables

• Audit Billing Procedures and Reimbursement

July 2003 – July 2008

Snyder Memorial Health Care Center

Business Office Manager

(Left position due to moving)

Manager Duties

• Oversee Payroll

• Authorize Accounts Payable

• Prepare daily census report for administration and corporate.

• Maintain computer system and copiers

• Oversee all office procedures, employees and their duties

Third Party Billing

• Verify Insurance and Obtain verification

• Preparing paper and electronic claims.

• Commercial Insurance.

• Medicaid

• Medicare / Medicare supplemental.

• Knowledge of ICD 9 / ICD 10 Coding

• Negotiate Contracts with Commercial Insurances.

• Medicare daily meeting for Medicare cuts.

• Assisting residents and family’s with Medicaid Applications

Accounts ReceivableManagement

• Wrote Collections Policy & Procedure Manual for

Corporation

• Prepare and send collection letters.

• Collection calls/ Payment agreements.

• Post collection and make adjustments.

• Monthly cost report

• Calculate Monthly Resource Assessment Sheets (for PA

Medicaid)

• Preparing monthly A/R ledger.

• Prepare quarterly A/R ledger and present to Corporate Board.

(Decreased Accounts Receivable Ledger 67% to 17%.)

Resident Trust Fund Management

• Obtain Social Security Rep payee

• Post Receipts

• Pay Bills

• Reconcile Checking Account

• Produce and send quarterly statements

Manager Duties

• Prepare daily census report for administration and corporate.

• Maintain computer system, and copiers

• Oversee office procedures and duties

• Payroll / Benefits (back up)

July 2000 – July 2003

Clarion Psychiatric Center

Hospital Drive

Clarion Pa 16214

Physician Coordinator

Billing

• Verify Insurance and obtain authorization.

• Preparing paper and electronic claims.

• Commercial Insurance.

• Medicaid

• Medicare / Medicare supplemental

A/R

• Prepare and send collection letters.

• Collection calls/ Payment agreements.

• Post collection and make adjustments.

Duties

• Obtained and negotiated all Insurance Reimbursement

Contracts.

• Acted as Liaison between the facility and physicians.

• Prepare daily census report for administration and corporate.

• Maintain computer system.

• Back up to Finance Coordinator, payroll duties, petty cash,

accounts payable, and prepare daily finance report.

• Coordinate physician out patient practice.

• Back up for Payroll Clerk

1990-1993 / 1998– 2000

Auditory Services

310 13th Street

Franklin, PA 16323

Manager

Duties

• Managed four branch offices.

• Controlled the scheduling of customers & employees.

• Over see all office procedures.

• Maintain computer system.

• Set up monthly incentive programs for telemarketers.

• Marketing, Advertising

• Prepared monthly cost reports for accountant.

• Prepared payroll statements for payroll service.

• Transferred deposited and posted accounts.

1993 – 1998

McCleary’s Family Day Care

Main Street Knox Pa 16232

Owner of State Registered Day Care

• Responsible for all secretarial work.

• Prepared all accounts payable and receivable.

• Planned daily activities and field trips.

• Obtained Penn State certification yearly.

• Provided care for mentally challenged children.

Education:

Redbank Valley High School

New Bethlehem Pa 16214

Clarion County Vocational Technical School

Shippenville Pa 1654

Continuing Education Credits:

Practice Management Institute

December 2002

• Mastering Collections Through Insurance Processing

Computer Support Education Center

January 2003

• Complete Introduction to Word & Excel

Slippery Rock University

September 2003

• Fiscal Management, Budgeting and Accounting

• Third Party Reimbursement

Richter & Associates

May 2005

• Long Term Care Admission and Billing

Cross Country University

June 2005

• Medicare Billing

Cross Country University

August 2005

• Insurance Billing, Claims and Collections

Cross Country University

April 2006

• Medicare A and B Reimbursement

Cross Country University

April 2006

• Insurance Billing and Coding Updates 2006

Health Education

March 2004, March 2005 & March 2006

• Pennsylvania Elder Law

(Legal/ Financial/Medicaid)

Software Proficiency

• Microsoft Excel

• Microsoft Word

• MDI (Multi Data Program)

o Analyzining and Publishing with Microsoft Excel &

Microsoft Word

Contact this candidate