Laurie Priar
Highwood, IL *****
acqfi7@r.postjobfree.com
OBJECTIVE:
To secure a position with a company that will benefit from the use of my experience while providing me with added experiences and advancement opportunities.
QUALIFICATIONS:
I have been in Healthcare Management for the past twenty eight years. I work independently and with minimal supervision in all aspects of my duties. I am a quick learner and have an excellent work record.
PROGRAMS/SYSTEMS:
MS Word, Excel, Outlook, Lotus, Ecare, FISS/HIQA, Meditech, SSI, Kronos, C-Snap, Forward Health, Availity, Blue Chip and Navinet
EXPERIENCE:
Blue Cross Blue Shield 2014-present
Provider Network Consultant
● Monthly/Quarterly Visits to Providers
● Educate providers on billing procedures/policies
● Provide training for providers
● Provide support for MMAI, ICP, Medicare Advantage, Commercial billing
Chicago Lakeshore Hospital 2014-2014
Business Office Manager (3 locations)
● Manage verifications and registrations for outpatient and inpatient
● Review daily charges
● Review daily bank deposits
● Review Medicaid pending and Charity applications
● Review payments, credits and process refunds
● Work closely with Case Management and Intake departments
● Interview/Hire Staff
● Staff Evaluations and Training
Kindred Healthcare, Inc. 2002-2014
Business Office Manager (12 LTAC hospitals), 2012 - 2014
Director of Patient Accounts for the North Central District, 2007- 2012
Business Office Manger for Kindred Sycamore and Northlake, 2005-2007
Business Office Manager for Kindred Sycamore, 2002-2005
Manage Billing, Collections and Supervisory staff at 12 LTAC hospitals
Work Closely with District CFO as well as 6 Controllers
Responsible for oversight of all billing and collections for Medicare, Commercial, Managed Care, Managed Medicaid, and Medicaid for Illinois, Indiana, Wisconsin, and North Dakota
Manage Pilot Hospital for the Patient Virtual Financial Folder
Member of Committee for Corporate to re-write Billing Policies and Procedures
Assist corporate office in Meditech Training
Maintain 85/85 Requirements for PIP Payments
Consistently exceed yearly AR Days and Cash Goals
Work closely with the RBOM in reviewing billing production for the Mid-West Region
Review all admissions for correct set up
Oversee Verifications & Intake procedures
Review all discharges for final coding
Review Medicaid Pending and Charity applications
Review and approve Medicare Bad Debts and Self Pay Bad Debt write offs
Process Mid-Month and Month End Closes; Review Net Revenue
Monitor Stop-Loss accounts according to contracts
Review Blue Cross Experience Report and UPP Statements
Review Credits, Post Payments, & Process Refunds
Interview/Hire Staff
Staff Evaluations and Training
Prepare weekly reports for Region, Controllers and District CFO
Pine Acres Care Center 2000-2002
Business Office Manager
Managed Payroll, Accounts Payables and Receptionist
All data entries for Accounts Receivables
Completed all billing of Medicare, Commercial, Medicaid and Self Pay
Completed Month End Closes
Processed Medicaid Applications
Reviewed all admits
Maintained Patient Trust Accounts
Processes Worker Compensation claims
Maintained monthly Department Budget
Prepare Daily Deposits
Interview/Hire Staff
Staff Evaluations and Training
Back up to Payroll, Accounts Payable and Receptionist
Rochelle Healthcare Center 1987-2000
Director of Business Services
All Data Entry for Accounts Receivables and Payables
Monthly Billing of Medicare, Commercial, Medicaid and
Self Pay
Set up new admits
Prepare Daily Deposits
Maintain Patient Trust Accounts
Processed Medicaid Applications
Process Accounts Payable
Process Bi-Weekly Payroll
Process Month End closes for Accounts Receivables and Payables
Processes Worker Compensation Claims, New Hires and Insurance enrollment
Medical Records
Education:
1982 Oregon High School High School Diploma
1992 Kishwaukee College Certified Nursing Assistant
1993 Rockvalley College PT/OT Certificates
2003 Kishwaukee College Management Courses
*References available upon request