Michele Escamilla
Reimbursement Management Specialist
Ennis, TX 75119
Facility Manager Treemont Nursing and Retirement Community Dallas, TX
Present
Responsibilities
Responsible for all aspects of the Revenue Cycle including billing and collection for all payers, positing cash receipts, maintained the Unbilled/Rejected log, monitored the ADR/RAC log and oversaw submission, reconciled the Accounts Receivable with the accounting department
Conducted the weekly Revenue Cycle Committee meetings to discuss the Accounts Receivable Aging, Cash Collections, and Medicaid Pending
Conducted the PPS and Reimbursement meetings to obtain the highest, appropriate RUG possible
Maintained the Resident Trust fund including monthly reconciliation with accounting and managing the annual state audit
Maintained petty cash for both the facility and the Resident Trust fund
Worked with the families to complete, submit, and follow up on their Medicaid applications
Customer service liaisons for the facility with the families of our residents
Worked with the Payroll Department to submit the time and attendance information for the facility
Supervised and trained five + employees within the Business Office and while Administrator was out supervised entire facility
Worked with Accounts Payable for 12 years
Assisted HR by being the backup for the department when they were not in the facility
Assisted departments when the Administrator was not in the facility
Assisted the Admission Department with verifying benefits and completing the admission paperwork
Processed Accounts Payable transactions
Facilitated Administrator duties when the Administrator was not at the facility
Reported to the Corporate Controller and the Facility Administrator
Managed the duties of 4 employees
Accomplishments:
? Implemented the Monitoring of Revenue Cycle Indicators and started the Revenue Cycle Committee.
? Created a monitoring process for unbilled and rejected claims
? Reduced the Net AR days from 64 to 23
? 98% collection rate
? Participated as an team member for the patient accounting system in the information system conversion and moving the organization to electronically bill through SSI
Accomplishments
My accomplishments are helping over 43 people get Medicaid at our Facility. Also, helping over 90 renew and keep their benefits. Being able to talk with families and residents and deciding wither or not they will quaifity for benefits to make sure they are well aware of where they stand financially.
Skills Used
Marketing to outside facilities to ensure that census and residents are happy with their time spent at our facilty.
Reimbursement Management Specialist Ashford Hall Irving, TX
2012-07 - 2014-04
Responsible for all aspects of the Revenue Cycle including billing and collection for all payers, positing cash receipts, maintained the Unbilled/Rejected log, monitored the ADR/RAC log and oversaw submission, reconciled the Accounts Receivable with the accounting department
Conducted the weekly Revenue Cycle Committee meetings to discuss the Accounts Receivable Aging, Cash Collections, and Medicaid Pending
Conducted the PPS and Reimbursement meetings to obtain the highest, appropriate RUG possible
Maintained the Resident Trust fund including monthly reconciliation with accounting and managing the annual state audit
Maintained petty cash for both the facility and the Resident Trust fund
Worked with the families to complete, submit, and follow up on their Medicaid applications
Customer service liaisons for the facility with the families of our residents
Worked with the Payroll Department to submit the time and attendance information for the facility
Supervised and trained five + employees within the Business Office and while Administrator was out supervised entire facility
Worked with Accounts Payable for 12 years
Assisted HR by being the backup for the department when they were not in the facility
Assisted departments when the Administrator was not in the facility
Assisted the Admission Department with verifying benefits and completing the admission paperwork
Processed Accounts Payable transactions
Facilitated Administrator duties when the Administrator was not at the facility
Reported to the Corporate Controller and the Facility Administrator
Managed the duties of 4 employees
Accomplishments:
? Implemented the Monitoring of Revenue Cycle Indicators and started the Revenue Cycle Committee.
? Created a monitoring process for unbilled and rejected claims
? Reduced the Net AR days from 64 to 23
? 98% collection rate
? Participated as an team member for the patient accounting system in the information system conversion and moving the organization to electronically bill through SSI
Wound Care Center Specialist Dallas Regional Hospital Dallas, TX
2011-02 - 2012-07
Accomplishments:
? Improved efficiency for the complete accounts receivable cycle
? Supervised registration, coding, billing and collections for the center
Senior Care Lake Point Care Lake Point Rockwall, TX
2009-01 - 2011-02
Facility Controller
Responsible for all aspects of the Revenue Cycle including billing and collection for all payers, positing cash receipts, maintained the Unbilled/Rejected log, monitored the ADR/RAC log and oversaw submission, reconciled the Accounts Receivable with the accounting department
Conducted the weekly Revenue Cycle Committee meetings to discuss the Accounts Receivable Aging, Cash Collections, and Medicaid Pending
Conducted the PPS and Reimbursement meetings to obtain the highest, appropriate RUG possible
Maintained the Resident Trust fund including monthly reconciliation with accounting and managing the annual state audit
Maintained petty cash for both the facility and the Resident Trust fund
Worked with the families to complete, submit, and follow up on their Medicaid applications
Customer service liaisons for the facility with the families of our residents
Worked with the Payroll Department to submit the time and attendance information for the facility
Supervised and trained five + employees within the Business Office and while Administrator was out supervised entire facility
Worked with Accounts Payable for 12 years
Assisted HR by being the backup for the department when they were not in the facility
Assisted departments when the Administrator was not in the facility
Assisted the Admission Department with verifying benefits and completing the admission paperwork
Facilitated Administrator duties when the Administrator was not at the facility
Reported to the Corporate Controller and the Facility Administrator
Managed the duties of 5 employees
Accomplishments:
? Implemented the Monitoring of Revenue Cycle Indicators and started the Revenue Cycle Committee.
? Decreased Net AR days from 45 to 26
? 98% collection rate
Business Office Manager Autumn Leaves Dallas, TX
2006-01 - 2007-05
Responsible for all aspects of the Revenue Cycle including billing and collection for all payers, positing cash receipts, maintained the Unbilled/Rejected log, monitored the ADR/RAC log and oversaw submission, reconciled the Accounts Receivable with the accounting department
Conducted the weekly Revenue Cycle Committee meetings to discuss the Accounts Receivable Aging, Cash Collections, and Medicaid Pending
Conducted the PPS and Reimbursement meetings to obtain the highest, appropriate RUG possible
Maintained the Resident Trust fund including monthly reconciliation with accounting and managing the annual state audit
Maintained petty cash for both the facility and the Resident Trust fund
Worked with the families to complete, submit, and follow up on their Medicaid applications
Customer service liaisons for the facility with the families of our residents
Worked with the Payroll Department to submit the time and attendance information for the facility
Supervised and trained five + employees within the Business Office and while Administrator was out supervised entire facilit
Assisted HR by being the backup for the department when they were not in the facility
Assisted departments when the Administrator was not in the facility
Assisted the Admission Department with verifying benefits and completing the admission paperwork
Processed Accounts Payable transactions
Facilitated Administrator duties when the Administrator was not at the facility
Reported to the Corporate Controller and the Facility Administrator
Managed the duties of 3 employees
Accomplishments:
? Implemented the Monitoring of Revenue Cycle Indicators and started the Revenue Cycle
? 98% collection rate
? Decreased Net AR days from 42 to 25
Business Office Manager Linden Park, Richards
2003-05 - 2006-01
Responsible for all aspects of the Revenue Cycle including billing and collection for all payers, positing cash receipts, maintained the Unbilled/Rejected log, monitored the ADR/RAC log and oversaw submission, reconciled the Accounts Receivable with the accounting department
Conducted the weekly Revenue Cycle Committee meetings to discuss the Accounts Receivable Aging, Cash Collections, and Medicaid Pending
Conducted the PPS and Reimbursement meetings to obtain the highest, appropriate RUG possible
Maintained the Resident Trust fund including monthly reconciliation with accounting and managing the annual state audit
Maintained petty cash for both the facility and the Resident Trust fund
Worked with the families to complete, submit, and follow up on their Medicaid applications
Customer service liaisons for the facility with the families of our residents
Worked with the Payroll Department to submit the time and attendance information for the facility
Supervised and trained five + employees within the Business Office and while Administrator was out supervised entire facilit
Assisted HR by being the backup for the department when they were not in the facility
Assisted departments when the Administrator was not in the facility
Assisted the Admission Department with verifying benefits and completing the admission paperwork
Processed Accounts Payable transactions
Facilitated Administrator duties when the Administrator was not at the facility
Reported to the Corporate Controller and the Facility Administrator
Managed the duties of 3 employees
Accomplishments:
? Decreased Net AR days41 to 27
? Worked with the Admission Department to greatly improve the efficiency of the admissions process
Business East Field College
2002 - 2004
Microsoft Word (10+ years), Outlook (10+ years), Team Building (10+ years), LTC (10+ years)
18 years long term care experience
16 years Business Office Management which includes directing the Revenue Cycle of SNFs
Information Systems: Medicare DDE and CWF, TDH Connect, Simple LTC, Quickcare, Blue Step, NTT Data, SSI, Kronos, Microsoft Products, Darwin/Great Plains, HR, payroll, Admissions