Financial Coordinator/Medicaid Specialist

EDNA VALE

E-MAIL: *******@*****.***

**** *. ****** ***. *******, IL 60630 • PHONE 773-***-****

WORK EXPERIENCE

The Renaissance at Midway Nursing Facility – Symphony Post Acute Network Chicago, IL

Business Office Financial Coordinator

August 2013 - present

Prepare and submit reports on a timely basis as required and directed by Administrator, company and governmental agencies

Review Medicare/Medicaid eligibility on HIQA and Emdeon systems to determine level of care and proper Long Term Care placement

Submit Medicaid applications, Level of Care changes and Income Changes into REV system to Department of Human Services

Accumulate and maintain, in an organized manner, vital statistics relating to admissions, discharges, deaths, transfers and daily census

Request appeals for denied cases within deadline, collaborate with Department of Human Services and attend appeals as needed

Participate in the resident admission process by providing explanations of the facility’s rates, billing cycle and payment terms

Maintain an accurate accounting of patient trust funds including monthly reconciliation and quarterly statements to responsible parties

Reconcile Patient Trust Fund weekly

Attend department head meetings, seminars, and workshops to assure current knowledge of State and Federal laws and regulations

Pursue past due accounts persistently and maintain proper back-up documentation

Prepare, monitor and maintain Medicare and Medicaid Aging and meet monthly collections goals

Firstsource Solutions USA, LLC. Chicago, IL

Patient Eligibility Representative/Medicaid Liaison

April 2007 – August 2013

Screened patients for eligibility programs on the state, county, and Federal level

Identified all areas of patients’ needs and directed them to the appropriate avenue for assistance

Provided detail instruction to patients in regard to securing all available program benefits

Advised patients of program time limitations and ensured that all deadlines were met

Notified patients of documentation required for assistance by mail, telephone and arranged personal home visits

Recorded thorough and accurate documentation on patient accounts in both hospital and office systems

Filed Medicaid applications and appeals with the Department of Human Services

Met daily productivity goals and objectives as assigned utilizing time-management and organizational skills

Responsible for handling large quantity of patient accounts and maintain and secure all documentation according to HIPPA compliance

Worked independently with various clients at hospital facilities, Provided coverage and assistance for multiples facilities as needed

EDUCATION

Oakton Community College General Education Studies 2004 – 2006

Lane Technical College Preparatory High School High School Diploma 2000 – 2004

SKILLS

Fluent in speaking and writing Spanish

Ability to make quick and effective decisions

Ability to exercise independent judgment and maintain confidentiality

Ability to work under minimal supervision

Excellent customer service and interpersonal skills

Ability to use a computer proficiently, including Microsoft Word/Excel, Power Point, 10 keys, Data Entry, Outlook, Meditech, Ontrac,

STAR, E-Care, MS4, CUBS, REV systems, Ability, IVANS, Emdeon, Matrix Care, Point Click Care

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