Nelson Robaina, Jr.

ad46x0@r.postjobfree.com

www.Linkedin.com/in/Nelson-Robaina-FLA

Tavares, Florida, Phone: 954-***-****

Many years of successful monetary management experience including Medicare and Medicaid cost reporting, budget process, analysis, forecasting, and strategic planning. Ability to strengthen business profitability through monitoring performance plans, maximizing reimbursement, enhancing revenue, and reducing expenditures. Superior knowledge and experience with federal, multi-state, corporate healthcare regulations and corporate compliance. As regional director I have worked with healthcare facilities in 27 states. Specialize in mergers and acquisitions of skilled nursing facilities and submission of Change of Ownership (CHOW) applications. Review and negotiate payer contracts and agreements. Ability to lead and collaborate at all levels to ensure corporate objectives and integrity. Can think creatively, resolve problems, find solutions, and complete tasks timely and accurately. Strong and effective communication skills and time management. Able to translate regulations into easy-to-understand summaries.

Skills and Areas of Expertise

● I Possess highly advanced interpersonal skills, a strong leader with a sense of vision for the organization’s financial operations and will promote an organizational culture that provides effective and efficient public service delivery with the highest level of customer service.

● Auditing, balances, security, Return on Investment (ROI) analysis, control system, financial data, internal audit, labor management, operating budget, management system, budget preparation, capital expenditure, expenditure control, accounting practices, financial objectives, financial statements, accounts receivable management, capital budget, budget development, and coordinate projects. Quality Assurance (QA) mock surveys.

● Meet deadlines, problem-solving, tight deadlines, strong initiative, attention to detail, dynamic environment, manage multiple projects, written communication skills. Import, invoicing, reconcile, data entry, balance sheets, problem analysis, analytical skills, financial reports, management skills, general accounting, accounting software, accounting procedures, information management, reconciliation, timely billing, and able to resolve problems.

● Accounts payable experience, corporate accounting, vendor relationships, management experience, general ledger maintenance, filing, receiving, spinal cord injury accounting, financial reporting, and 1099 preparation.

● Healthcare accounting and finance, presentation and training skills, strategic direction, financial operations, and executive leadership.

● Business, financial management, financial performance, financial policy, working knowledge of GAAP. Account reconciliations, balance sheet reconciliations, financial reporting, and trial balance.

● Contract Drafting/Negotiation, passion, dedicated, persuasive, supportive, collaborative, detail-oriented, strategic thinker, coordination, and mission-driven.

● Cross-functional collaboration and communication with company leadership.

● Medicare, Medicaid, Managed Care, and hospital agreements.

● Excellent communication, and Business correspondence

● Vendor management, risk evaluation, management & mitigation, Change of Ownership (CHOW), Budgeting and financial review, and passion for revenue enhancement

Accomplishments

● Increased profitability through budgeting and financial analysis.

● Decreased accounts receivable by $6 million or 17% thru training, collections and follow up.

● Review all payer contracts and vendor agreements for entire company.

● Lead trainer during merger and acquisitions. Developed system to improve collections.

Career Experience

Director of Financial Services – Life Care Services (LCS), Lake Port Square, Leesburg, FL 2023

● Responsible for all monthly financials for 400 Continuing Care Retirement Community (CCRC) apartments, 80 bed Skilled Nursing Facility (SNF), and 60 bed Assisted Living Facility.

● Management of revenue, expenses, capital expenditures, budgets, and profit and loss.

● Weekly review and approval of accounts payable.

● Review and approve financial applications for all CCRC potential residents.

● Accountable for employee security access to software systems and web portals.

Corporate Compliance Officer, Symmetry Healthcare, Davie, FL 2018-2022

● Coordinated, reviewed rate settings, and submission of Medicare and Medicaid cost reports.

● Negotiate all managed care payer contracts for 15-Skilled Nursing Facilities (SNF).

● Converted facility accounting and eMAR system from MatrixCare to Point Click Care (PCC).

● Completed Change of Ownership (CHOW) applications for healthcare facilities bought & sold.

● Developed corporate compliance & standardized policies and procedures during COVID-19.

● Implemented drug free workplace across company saving up to 7.5% on insurance premiums.

Vice President of Reimbursement, Millennium Management, Miami, FL 2005-2018

● Responsible for due diligence regarding mergers and acquisitions of nursing home facilities.

● Worked closely with attorneys and banks during transitions and refinancing property loans.

● Opened a pharmacy and obtained approval from Drug Enforcement Administration (DEA).

● Opened a detoxification, substance abuse, and mental health facility from the ground up.

● Led accounts receivable transition team for 57-Skilled Nursing Facilities (SNF) in 7-states.

● Responsible for processing change of ownership applications for over 73-SNF facilities.

● Reduced the change of ownership application processing time from 9-months to 2-3 months.

● Conducted contract review and negotiations with managed care payers and vendors.

● Member of Corporate Compliance team responsible for reviewing policies and procedures.

● Completed annual revalidation and credentialing applications for payers: Medicare, Medicaid, Managed Care, Health & Human Services, Civil Rights certification, and State Emergency Evacuation plans.

Experience With:

● Proficiency with Microsoft (MS) Office, advanced MS Excel skills, Word, Outlook, MS Access, PowerPoint, Teams, QuickBooks, Adaptive Planning, C3, Salesforce, Direct Supply TELS, Zoom video, Dropbox, The Joint Commission, internet research, Federal Register, and CMS healthcare portals. Photocopier, data management, monthly reports, customer service, financial concepts, administrative work, business administration, financial reporting. Traumatic Brain Injury (TBI). Health Insurance Portability and Accountability (HIPAA), over 20 years supervisory experience, financial reporting, Enterprise Resource Planning (ERP) systems, non-profit, annual audit, monthly reporting, financial policies, and financial accounting.

● Willing to travel for business. Bilingual – English/Spanish (fluent both oral and written).

● Clear vision of projects, lifting, ability to predict, analytical, multi-task, competitive, strong communications, manual dexterity, aware of time constrains, ability to work independently, maintains confidentiality within office, accuracy, integrity, compassion, innovation, resilience, professional, knowledgeable, accountability, critical thinking.

Additional Experience

Director of Reimbursement, Avante Health Group, Hollywood, FL

Director of Reimbursement, Restore Health Group, Inc., Atlanta, GA

Corporate Compliance & Information Conversion Specialist, GranCare, Atlanta, GA

Regional Financial Analyst, Convalescent Services, Inc., Atlanta, GA

Senior Regional Auditor, Texas Health Enterprises (Daybreak), Denton, TX

Accounting Manager, Hillhaven Corp. (Kindred Healthcare/Vencor), Wichita, KS

Education

Bachelor of Science in Business Administration (BSBA)

Shorter University, Rome, Georgia

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