Manager Insurance
Resume:
V ictoria Rafter
Berrien Springs, M I 49103
*******@*****.***
P rofessional Objective :
An opportunity to utilize my broad-based knowledge of a Skilled Nursing Facilities as the
B usiness Office Manager.
E mployment H istory:
Holy Cross Village at Notre Dame
Accounts Receivable / Business Office: June, 2005 to May 2013
I Co-ordinated with Admissions department and the Director of Nursing, regarding
benefits available prior to admission. Met with residents /or family members, and POA
concerning any financial issues.
Responsible for invoicing Independent L iving, Assisted Living and Private Pay Residents.
Responsibilities included filing Medicare SNF claims, which included No pay claims and
I nformational claims. Filed Medicaid and Insurance claims. Responsible for Pre-
Admission and Admissions into the Billing System. Responsible for collecting socio
economic information, this included verifying insurance and benefits available prior to
admission and communicating this information to the prospective Resident. Collected
payment in advance when necessary. Also Responsible for collecting past due payments.
I was responsible for reviewing and approving invoices for the Nursing Department. I
reviewed the charges and verified the amount charged in accordance with the vender
contracts. This included only approving charges that the nursing home responsible to pay
u nder Medicare Rules and regulations.
Other Responsibilities included, managing Inventory personnel in the setup and
maintenance the nursing supply rooms for each nursing unit. Established par values for
each i tem and reviewed order prior to the order being placed.
L akeland Continuing Care St. Joseph M I
F inancial Counselor, Business Office March 2000-May 2005
Responsible for meeting with Residents and family members regarding payment for
services and the benefits available under Medicare and Medicaid. Responsible for
admissions when the Admission personnel was unavailable. Reviewed referrals, and
p rovided benefit information to the IDT team. Provided tours of the facility for family
members, and completed admission forms when necessary.
M y duties also included managing the residents t rust and petty cash funds.
Cedarwood Medical Clinic St. Joseph M I March 1999 to March 2000
Research and Analysis
My duties were to review and resolve patient accounts that appeared to have
d iscrepancies. I normally balanced the patient ledger that may have dated back 6 years or
more by reviewing any necessary Explanation of Benefits. Once the posting errors I then
made the necessary corrections to the system and balanced the account. I had to work
closely with the patients, doctors, insurance companies and their agents in a professional
manner. My position also required me to obtain pre-approvals from insurance companies
for certain procedures.
J ancha Law Office St. Joseph M I
M anager Collection Department Feb 1993 to March 1999
As head of the department I planned, organized and scheduled the f low of work th rough
t he department. This included both in house and client accounts that were placed with the
f i rm for collection. I suggested accounts for li tigation and then prepared the case. I
p repared and filed the summons, complaint, and judgments. Once the judgment was
obtained I was involved in collections of the judgment by garnishing wages, bank accounts
and/or state income tax returns. I communicated with the Attorneys involved in the case
and the clients in professional manor information regarding the legal process and actions
t hat had been taken on the accounts. I was also responsible for all accounting functions
pertaining to the Collection Department, including t rust accounts, disbursements,
expenditures, and monthly statements and payments to the Law Fi rm clients.
Associate Financial Mishawaka, I N
Account Representative Oct 1990 to Feb 1993
I was responsible for the service of customer accounts and to resolve any disputes
regarding loans made to professionals, primarily Physicians, and Attorneys.
Whirlpool Financial Benton Harbor, M I
Lead Collector Feb 1985 to Oct 1990
I was responsible for the servicing and collecting of retail account, considered for wri te off.
I a lso worked with dealers and customers to resolve any disputes between the two
E ducational Background
B usiness Certificate Kellogg Community College
E den Associate Training
B usiness Classes Lake M I College
Healthcare Accounting Course I USB
Yearly Dementia Training 14 years
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