Beverly K Roy

**** ******* **.

Garland, Texas **040

469-***-**** Cell

acym1t@r.postjobfree.com

Employment History

Bethany Home Health Services

PAS Business Analyst

February 3, 2014 - Current

Responsible for Medicaid billing for SPW and PHC State programs using the

State Database, Vesta and various MCO websites. Validate all billing to

ensure we do not bill anything over authorized hours prior to billing.

Billing is done weekly.

.

Prepare accounts receivable analysis on a monthly basis for reconciliation

purposes to balance banks and financial preparation, including but not

limited to deposit posting, deposit listing, tracking/balancing all

spreadsheets with a separate breakdown by payer, by program and number of

claims paid. Send to owner monthly by 20th of the month.

Run eligibility for 500+ clients, tracked authorizations to ensure all

clients have current authorization on file and request new authorizations

as needed

Keep electronic Chart for all referrals and authorizations, with a separate

listing for referrals and discharges by branch. Weekly report of total

census by program type and the number of referrals received for the current

week and report to owner.

Responsible for collecting money on claims billed, work any rejections and

resubmit via software or paper 1500 claim form. Call on all items over 45

days. Report all write-offs to management on a weekly basis.

Support Field Staff and Director of Provider Service by helping feed

schedules for EVV, help work EVV as needed, set up all new referrals into

software (we use Vesta) provide audit support by auditing all billing

charts for accuracy and negative bill anything prior to audit, to limit

recoups.

Run payroll data using Vesta reports to submit hours to payroll department

on a weekly basis.

Working directly with software vendor to resolve any issues with billing,

payment posting and evv issues.

Pull necessary information for Cost Reporting by the branch and send to CPA

for verification. Help enter cost report information into Fairbanks for

cost report and/or ARM reports. (Certified Cost Report Specialist by the

Texas Department of Health and Human Resource Rate Analysis Group.)

Work with credentialing and contract department as well as compliance on

any issues as needed.

Run OIG and employment checks as needed.

CrystalCare Home Health Agency, Inc

Accounting Officer

August 28, 2011 - February 1, 2014

972-***-****

Responsible for Medicaid billing for CBA and PHC State programs using the

State Database as well as various HMO websites. Prepare monthly

spreadsheet analysis for income statement preparation and recording into

QuickBooks.

Verify each bill against individual notes and process bank vouchers for

payment. Record all accounts payable in QuickBooks for payment

processing. Process checks and mail.

Complete and finalize monthly financial statements for shareholders.

Process payroll thru ADP program for office employees and field staff.

Kohl's Department Stores

Nov 2009 - Sept 2013

972-***-****

Part-time Point of Sales Specialist.

Handle customer inquiries and purchases at check out and assist in payment

processing, account look up and credit application assistance. Resolve

any issues by research via ads and departmental assistance with a "YES WE

CAN" attitude. Work closely with management on each scheduled shift with

any issues that arise with customer interactions that need immediate

attention. Always willing to go above and beyond and do whatever needs to

be done.

CUNA Mutual Group

Billing and Collection Specialist

Sept 6, 2007 - to May 2011

Responsible for daily balancing of Cash, Suspense, Refunds, EFT and Trust

Accounts. Also responsible for money transfers between trust accounts.

Responsible for Collection calls for various products and working with

departments on billing issues that we were still waiting on.

Eagle Express/Adenworks LTD

1/2/1986 - 4/8/2007

Business Manager

All aspects of Business Office; A/R, A/P, Billing & Collections. Journal

Entries, Financials, Reconciling Banks, Payroll and Payroll Tax Reports

plus Tax Deposits.

Computer Knowledge

Microsoft Word, Excel, Power Point, SBT, BPI, Quickbooks, Billit, Oracle

Payment processing, Mainframe 400 AS, CICS, TSO & Vertex experience,

Kinser, Vesta, TMHP State Medicaid/Medicare Programs.

Education

Plano High School General Studies Graduate 1974

Richard Jr. College Accounting Courses 1974-1976

Personal Information

Married to Terry Roy, 32 years

1 Son - James

Outside of work activities include being involved with church ministry.

Pet lover.

Contact this candidate