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Executive Director Nursing Home

Location:
Jesup, GA
Posted:
August 16, 2024

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Resume:

Stephanie Williams 912-***-****

WORK

EXPERIENCE

Harborview Satilla

Executive Director 3/2023- Current

Oversee the day-to-day operation of the facility and review organizational performance.

Glenwood Healthcare 3/2022-9/2022

Nursing Home Administrator

Oversee the day-to-day operation of the facility and review organizational performance.

Ensure nursing services, social service programs, activity programs, food service programs and medical services are planned, implemented and evaluated to meet resident needs and maximize resident quality of life and care.

Oversee that residents receive care in a manner and in an environment that maintains or enhances their quality of life without abridging the safety and rights of other residents.

Assist in the recruitment and selection of competent department directors, supervisors, consultants and other auxiliary personnel.

Maintain written job descriptions for each staff position in accordance with the Americans With Disabilities Act, OSHA, and other pertinent laws governing job positions.

Ensure resident funds being maintained by the facility are managed in accordance with current federal and state regulations and that appropriate accounting records are maintained

Educate staff/residents/families/responsible parties and other key groups in regards to interpretation of facility policies and procedures and compliance with regulatory requirements.

Ensure adequate facility representation in dealings with outside agencies, including governmental agencies and third-party payers.

Develop leadership skills of management team and key staff.

Make routine inspections of the facility to assure that established policies and procedures are being followed.

Maintain an adequate liaison with families and residents.

Candler Hospital

Assistant Nursing Home Administrator 2021-2022

Responsible for assisting the Director of Post-Acute in the daily operation of the Transitional Care Unit. Utilize resources effectively and efficiently, to attain and maintain the highest level of care for TCU patients, in accordance with regulatory standards. Ensures that nursing services are planned, implemented, and evaluated to maximize patient quality of life and quality of care with the integration of patient rights with all aspects of patient care.

Works closely with Physicians treating patients on TCU and the PPS Coordinator to ensure completion of required documentation to support services provided to patients.

Assists the Director for Post-Acute to ensure that the unit complies with applicable federal, state, and local standards and regulations

Assists in the coordination and the development and evaluation with the health care team for patient care goals and policies to assure that adequate resources, environments, and services are provided

Works with the Director of Post-Acute to ensure that personnel are present in number and ability to attain or maintain the highest practicable level of physical, mental, and psychosocial well-being for each patient that meets the state and federal regulations

Assists in the development, implementation, and evaluation of fire, emergency and disaster plans to protect the safety and welfare of patients, staff, and property

Observes, monitors, and evaluates outcomes of TCU specific programs, policies and procedures to ensure effectiveness and to fulfill administrative and professional responsibility.

Trubridge Billing Company 2020-2021

Billing Specialist

Ensure accurate billing and collections of patient accounts amongst various insurance and state/federal insurance programs in accordance with accreditation standards, federal, state and local regulations, organizational and departmental policies and procedures. Responsible for the billing of Medicare/Medicaid and all other insurances for the nursing home. Posting payments to the proper accounts once insurances pay claims.

Coastal Manor Nursing Home

Resident Accounts / Billing Coordinator 2008-2015

2016-2020

Ensure accurate billing and collections of patient accounts amongst various insurance and state/federal insurance programs in accordance with accreditation standards, federal, state and local regulations, organizational and departmental policies and procedures. Responsible for the billing of Medicare/Medicaid claims, coordinate approval process for all new nursing home Medicaid applicants. Responsible for admissions to the facility and discharges when needed. Responsible for keeping accurate records of resident’s trust and liability accounts, confirming payment source information on residents with insurance and state/federal insurance programs or third-party insurance.

Prepare and patients’ accurate billing statements, adhering to timeliness standards

Assist in evaluating patients’ financial status and devise payment plans

Follow up on delinquent accounts and ensure payments where possible

Maintain payment status and billing records

Perform data entry activities, claim denials, payments, patient daily deposit activities

Prepare and manage reports and perform analysis of billing documents

Track and resolve billing discrepancies, collection actions

Activate and deactivate patients’ accounts upon request

Verify patients’ insurance coverage

Operate and audit medical billing systems and software to post charges

Liberty Regional Medical Center

Financial Counselor/Patient Account Representative 2015-2016

Responsible for collecting copayments from patients seen in the emergency room department. Answering phones, setting up payment plans. Filing the proper paperwork when necessary for third party payments. Assisting the registration department when necessary. Assisting with indigent applications processes. Ensure accurate billing and collections of patient accounts amongst various insurance and state/federal insurance programs in accordance with accreditation standards, federal, state and local regulations, organizational and departmental policies and procedures. Responsible for the billing of Medicare/Medicaid claims, coordinated approval process for all new applicants.

Prepare and patients’ accurate billing statements, adhering to timeliness standards

Assist in evaluating patients’ financial status and devise payment plans

Follow up on delinquent accounts and ensure payments where possible

Maintain payment status and billing records

Perform data entry activities, claim denials, payments, patient daily deposit activities

Prepare and manage reports and perform analysis of billing documents

Track and resolve billing discrepancies, collection actions

Activate and deactivate patients’ accounts upon request

Verify patients’ insurance coverage

Operate and audit medical billing systems and software to post charges

Key skills include:

Office 365 (Microsoft Word, Excel and Power point)

Certification for Microsoft Word Application Professional

Certification for Administrative Support Assistant

Knowledge of HIPAA privacy

Education BA, General Studies with concentration in Human Resources Management 2020

Southern New Hampshire University, Manchester, NH

Georgia Nursing Home Administrator License - NHA006042



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