MONICA N. ALLEN

Powder Springs, GA *****

Mobile 678-***-**** * Home 770-***-**** acs7z6@r.postjobfree.com

PROFESSIONAL OBJECTIVE

To obtain a stable and stimulating position utilizing my education, experience, knowledge, and achievements to support an organization in accomplishing its overall corporate goals and objectives.

QUALIFICATION SUMMARY

A strong record of achievement in a wide range of healthcare finance and case management. Knowledge in these areas includes medical billing, UB04 review/corrections, commercial insurance, managed care, Medicare Part A, B, C &D, Medicaid, recruitment and development, eligibility determination, budget management, accounts receivable, payable, collections, reconciliation and dispute resolution.

TECHNICAL SKILLS/ SOFTWARE

Microsoft Office Suite ~ EPIC ~ RAMP ~ GroupWise ~ SAP ~ PeopleSoft ~ Oracle ~ American Health Tech (AHT) ~ Point Click Care (PCC) ~ Resident Fund Management Service (RFMS) ~Zirmed ~ Mutual of Omaha

EDUCATION

University of Phoenix Sandy Springs, GA

Master Degree in Business Administration

SUNY Empire State College Buffalo, NY

Bachelor of Science Human Resources

Erie Community College Buffalo, NY

Associate of Applied Science in Accounting

EMPLOYMENT HISTORY

Signature Healthcare, Atlanta, GA

Business Office Manager March 2015- Present

Manage the daily operations of the business office, facility revenue and expenses

Advise and support residents and family members in various insurance options to alleviate financial hardship

Assist the facility Administrator with budget development and long range financial planning

Review and correct billing claims to ensure payments are received in a timely manner

Communicate with government and other agencies regarding resident’s eligibility and benefits

Review departmental expenses and advise department managers on budgetary control

Adcare Healthcare, Marietta, GA Sept 2014- May 2015

Business Office Manager

Responsible for overseeing the daily operation functions of the business office

Ensure monthly collection goals are met, evaluate level of bad debt and recommend write-offs

Work with other departments to enhance front end processes to ensure accurate data collection

Manage and maintain the integrity of the resident trust fund account

Expedite billing and collection procedures to maximize revenue and cash flow

Communicate with Federal and State Regulatory agencies regarding residents’ eligibility and benefits

Attend meeting to strategically plan the overall organizational goals

WellStar Paulding Nursing & Rehabilitation Center, Dallas, Georgia Oct 2013 – Aug 2014

Business Office Supervisor

Supervise daily workflow to ensure Federal and State rules, regulations, policies and procedures are adhered

Recover thousands of dollars in Medicaid revenue

Manage and maintain residents’ financial files, admission papers, and trust fund account

Coordinate and implement collection process on aging accounts

Review payment policies and procedures with new admissions and their responsible party

State of Georgia, Atlanta, Georgia July 2011 – Oct 2013

Business Operations Generalist

Interview clients to determine eligibility for ABD Medicaid, Medicare Savings Programs/ Low Income Subsidy Program

Educate beneficiaries, caregivers, and professionals on Medicare benefits, consumer rights and protections

Provide advocacy, one-on-one counseling and financial assistance to Medicare beneficiaries

Community, state, and federal partnership development, conference and health fair orchestration and attendance

Manage assigned budgets, conducts data analysis and provide supervision in the absent of Team Leader

Handle statewide phone hotline, complex issues regarding Medicare and Medicaid coverage, fraud, errors and abuse

EMPLOYMENT HISTORY

State of Georgia, Dallas, Georgia Feb 2011 – July 2011

Economic Support Specialist

Conifer Health Solutions at Grady Health System, Atlanta, Georgia Aug 2010 – Dec 2010

Patient Advocate II

Erie County Government, Buffalo, New York Oct 2007 – Nov 2009

Social Welfare Examiner

Sheehan Memorial Hospital, Buffalo, New York Dec 2000 – Oct 2007

Accounting Specialist, Team Lead

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