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Manager Office

Location:
Brecksville, OH
Posted:
May 13, 2014

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Resume:

Monica A. Brnich

***** ********** *******

Brecksville, Ohio 44141

216-***-****

Objective: To maximize and utilize my knowledge and skills

Employment

**/****-******* *** ******* Manager-Kellison &Co.

As the Lab Billing Manager for the Lab Billing Department, my responsibilities included supervision

of 25 employees (5 charge entry specialists, 2 cash entry posters, 8 Insurance Follow-Up

representatives, 1 workflow coordinator, 3 batching staff, 1 refund specialist, and 5 special project

employees). I am responsible for the day to day operations of billing for 9 Lab clients from locations

throughout the United States. I am auditing of each employees productivity and accuracy, and

performed disciplinary action (when necessary). My department follows the process of each client

from charges received, to entry of charges, internal edits, cash posting, resolution of denials, and

refunds.

10/2011-10/2013 Regional Director of Accounts Receivable/Accounts Payable-Embassy

Healthcare; Oakwood Village, ohio

As Regional Director of Accounts Receivalble/Payable of 16 LTC facilities my primary focus was

on the outstanding aging. I assisted the Business office managers with understanding of procedures,

processes, and policies of the company. I monitored the progress of resolution and collection of

potential bad debt issues.I worked directly under the CEO and CFO of the organization and advised

of any trends and issues resulting in potential revenue generating issues.

09/2010-09/2011 Business Office Manager-Stratford Commons; Solon, Ohio

As Business Office Manager of a 105 bed skilled facility and a 32 bed assisted living community, my

responsibilities include maintaining an accurate A/R with a DSO below 50; 100% collections of

monthly Medicare/Medicaid/ private pay collections, and management of a staff of 6 employees. The

departments that are directly under my superviion are Accounts Payable, Accounts Receivable,

Payroll, and reception.

03/2009-09/2010 Business Office Manager; Homewood Residence at Richmond Heights

As Business Office Manager of a new skilled nursing home that opened on 7/15/2009, my

responsibilities included initiating policies and procedures for the Business Office. Preparation for

Medicare/Manged Care and private pay billing, including contracts and electronic databases. I am

currently responsible for all Business office functions including accounts payable, accounts

receivable,budgeting/projections, and backup to the admissions process.

5/2006-10/2008 Project Coordinator/Physician Follow-Up Manager; Kellison &Co

As Project Coordinator for the Physician Follow-Up Department, my responsibilities included

supervision of eleven employee (3 customer service representatives, 1 special client representative,

and 7 Insurance Follow-Up representatives) I am responsible for the delegation of daily work flow,

auditing of each employees productivity and accuracy, and disciplinary action(when necessary). My

department does the Insurance follow-up for 38 clients and 9 different specialties. I am trained on the

AS400.

2005-2006 Business office Manager; Aristocrat Berea

As the Business Office Manager, my responsibilities included the supervision of the Accounts

payable and Accounts receivable clerks. I am responsible for the month end closing process, cash

collections, resident trust reconciliation, Medicaid direct billing, New/re-determination of Medicaid

applications, cash posting, and charge entry. I am trained in the Add-On System, MAS 90, MAS 200,

and the RFMS resident trust banking.

2002-2005 Business Office Manager; University Manor

As the Business Office Manager, my responsibilities include the month-end

close procedures, cash posting, census entry, charge entry, completion of 9400’s, on-line Medicare

billing, manual billing of Medicaid, overseeing the resident trust and reconciliation, and collection of

resident resources. I supervise a staff of 7, and am

able to functionally complete payroll, Medicaid applications, 9401’s, withdraws/deposits, and obtain

levels of care. I am trained on the MDI system and am able to function in all Microsoft products.

2001-2002 Business office Manager; Cedarwood Plaza N.H.

As Business Office manager, my responsibilities included the supervision of the Medicaid Liason

and Assistant Bookkeeper, A/R justification, month-end close procedures, operations of the entire

business office, managing of the resident trust accounts, private pay and patient liability collections,

cash posting, census entry, completion of 9400’s and 9401’s, UB92 generation, and Medicare and

Managed Care follow-up. As a team player, I am able to submit for levels of care and assist with the

admissions process. I am trained on the Keene system( RAM) am able to function in all Microsoft

products.

1998-2001 Team Lead Specialist; PHS Deaconess Hospital/Mt. Sinai Hospital

As Team Lead Specialist, my position and responsibilities include problem solving, appeals, pre-

certification /preauthorization issues, referrals, provider negotiated adjustments/corrections, follow-

up with managed care, Commercial, Worker’s Compensation, Medicaid, and HMO Insurance

Companies. I am successful and capable of maintaining per diem and negotiated rates within the

individual contracts. I have additional experience with MSP claims and HCAP eligibility

applications and approvals.

1995-1998 Biller; Drs. Smith, Rome, Michael (UPCP)

As one of three billers, my position and responsibilities included refiling insurance claims, problem

solving, posting fees and payments, adjustments/corrections, and changing procedure and diagnosis

codes. My skills also include ICD-9 coding, CPT coding, injection coding and batching of codes. I

am trained and knowledgeable for reviewing electronic claims for BC/BS and monitoring payments.

After five months of employment, I was responsible for the initiation and structure of the collection

department. I faced various types of financial situations where my collections knowledge was

beneficial. The structure was designed through our PBS system and manually followed-up using an

aged trial balance. I initiated and constructed three collection letters in 10,14, and 30 day increments.

1994-1995 Collector; Med Center

As one of ten collectors, I faced various types of financial situations where accredibility judgements

are needed. I pursued delinquent accounts with determination of 100 or more telephone calls per day

and $13,000.00 per month quota. Following-up with an account that is delinquent was imperative to

a ten day cycle. An alternative to an outside collection agency was based on a three strike rule.

1991-1995 Collection Manager; Drs. Sass, Friedman, and Associates

As operating Collection Manager, the structure and implementation of collection policies and

procedures was my role. I instructed four office employees to pursue delinquent accounts, using

strong, tactful, persuasive, and pleasant phone conversation to achieve full payment or compromise.

Following-up with an account that is delinquent is imperative to a 30 day limitation. Decisions to

send an account to an outside collection agency was solely the determination of the physicians of the

practice.

1988-1991 Secondary Insurance Biller; Edgepark Surgical, Inc

In the Billing Department, I calculated billing of customer accounts, communicating by telephone

with customers and Insurance Companies, mailing of monthly bills, keeping accurate records and

filing payments. After two months, I advanced to the Collection Department. I was responsible for

delinquent accounts in Ohio and other states. The decision as to whether repossession was deemed

necessary of medical equipment or billing for lost items became accredibility decisions.



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