Office Manager Business

LINETTE RODRIGUEZ

**** ********* ***, **** *****, FL 33467 407-***-**** **********@*****.***

PROFESSIONAL SUMMARY

Meticulous Business Office Manager, excellent at juggling multiple tasks and working under pressure. Experienced with a demonstrated history of working in the Healthcare industry. Skilled in U.S. Health Insurance Portability and Accountability Act (HIPAA), Team building, Management, Medicare/Medicaid Reimbursement, and Teamwork. Reliable administrative professional with an Associate Degree in Business Administration from Daytona Beach Community College

SKILLS

Point Click Care (PCC)

Conflict resolution

Clerical Support

Team Liaison

Team Leadership

Interpersonal and Written Communication

Florida Notary

Staff Development

Extremely Organized

Self-motivated

Strong Verbal Communication

Microsoft Office

Bilingual

ICD 10 Certified

WORK HISTORY

Business Office Manager, 2017 to 09/2019

Pompano Health & Rehab, Pompano, Fl -127-bed Skilled Nursing Facility

Responsibilities include but are not limited to the following

Oversee staff of four and all billing aspects in regard to Medicare, Medicaid and HMO Billing

Monitor Billing and Collection, Monitor the daily and monthly cash receipt journal and related activity

Reviews billings generated by the BOM vs CBO

Responsible for the direct billing of specific payers (such as Medicaid, Medicare and HMO’s)

Collection of all accounts receivable, including face to face, phone calls, credit cards payments, and collection letters

Complies with AHCA laws and regulations applicable to position and comply with Company Compliance Policy and Procedures

Other duties as assigned

Business Office Manager, 2004 to 2015

Avante Group, Hollywood, Fl

Lead and coordinate all aspects of the business office, including supervision of the billing, collecting, resident trust accounting, payroll, and account payable functions

Responsible for the supervisions, hiring, and training of the business office staff

Responsible for coordinating and directing the day to day responsibilities of the business office staff.

Process refunds and made claims adjustments

Ensures payroll records are processed accurately and timely

Ensures accounts payable invoices are processed accurately and timely

Coordinates and attends daily meetings (Triple check, morning meeting, Medicare & Medicaid Pending

Other duties assigned

Business Office Manager/Admission Director, 1996 to 2004 Sunbelt Apopka, Apopka Fl

Daily Census, Insurance Verifications, Obtain Authorizations

Liaison thru all local hospitals, evaluation of prospect residents, marketing to local doctors’ offices, local Alf’s and provide educational information to the community

Oversea Account Receivable, Account Payables & Resident Trust accounts

Post cash receipts from all payer sources

Admit and readmit residents an input all the information into the database

Appeal denial claims.

Other duties as assigned.

EDUCATION

Associates: Business Administration, 1994 – 1996

Daytona Community College – Daytona, Fl

ACCOMPLISHMENTS

Collected 120% revenue on Medicaid Pending cases

Established a workflow system that was non-existent in order to create an effective, systematic and organized pattern of paperwork tracking

Received zero tags during all ACHA surveys

Restructured Triple Check Process to decrease claims processing time by 50% Accomplished

Accounts Payable policy reinforcement

Established a stabilized team

Accounts Receivable for Medicare, Insurance, and Medicaid

Established executive Medicaid-pending program

Increased Home Health Services for the facilities

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