Business Office Manager, Patient Service Representative

Summary

Business Office Manger that is seasoned in Revenue Cycle. One who effectively executes process changes to improve operational efficiency, client relations, conflict resolutions, scheduling, and team management. I am a skilled multi-tasker who is focused on attention to detail and customer satisfaction. I have more than 15 years experience in the Revenue Cycle industry that has included supervision of more than 20 employees.

Experience

Business Office Manager Heritage Health Services 6/2018-Current

HR functions: Preparing the facilities payroll. Entering new employee information into Paylocity. Drug screening and running background checks. Making sure the time clock punches in/out are correct. Entering bonus shifts to ensure employees receive proper pay. Keeping records of continuing education for CNA and Nursing licenses.

Tracking the facilities census on a daily basis. Processing the dashboard for our daily morning meeting.

Reviewing the admission packets with each new resident. Entering the new admits into our system and making sure payer information is set up and verified. Going over their insurance and making sure resident understands insurance coverage. Getting insurance authorizations before admission when needed. Accessing numerous insurance portals for authorizations and verification of insurance. Running payor verifications throughout the month to make sure their insurance is still valid and doesn’t lapse. Delivering the information/NOMNEC, when a resident’s insurance decides to cut residents stay.

AR review monthly with Regional rep: Accounting for the facilities aging accounts. Making sure the collections for the facility is at 100% each month.

Collections: Review and collection of owed balances with current and past residents. Noting accounts with each call. Processing and sending out the resident statements. Sending 1st and 2nd collections letters when needed.

Processing/Scanning private insurance and payments. Applying the resident private payments to their accounts.

Keeping track of the Resident Trust Fund accounts. Opening new accounts. Closing accounts when needed. Balancing the RFMS accounts. Processing the new transactions when the residents use their funds. Keeping the residents aware of their balances. Keeping track of the resident funds. Making sure the facility always has resident funds money on hand.

Keeping track of the petty cash till for the facility. Making sure the petty cash is always available. Balancing petty cash and requesting replenishment when the funds run low.

Month End Close. This process is a 5-day process that starts on the 1st business day of the month and runs to the 5th business day of the month. This includes, cash balancing, census balancing, running reports, processing the ancillaries, triple check, AR reconciliation, generating transactions, closing the month.

Team Lead MediRevv 3/2014 – 6/2018

Working in several systems that include; EPIC, Cyber Source, Clear Balance, GECB, Cerner, Meditech, Athena, Global, US Bank, JDA, IDX, Manage Med, Citrix, ECW and Intelligent Negotiator.

Being flexible. Working the shift/hours needed to cover a Team/Client in need of extra help.

Reconciliation of daily, weekly, and monthly reports.

Resolution of supervisor calls on patients accounts/answering team questions.

Review with Team members on their personal production and quality scores.

Coach team members on ways to increase production and improve their quality.

Assist Support Services with an insurance project.

Team Lead/Supervisor Avadyne Health 10/2008-12/2013

Supervision of a Team of 15-20 self-pay patient service representatives & 8 facilities.

Direct contact person for self-pay client.

Conducting monthly Team meetings.

Coaching representatives along with making sure each member met personal collection/production goals.

Annual and 180-day reviews for all the PSR’s team members.

Resolution of Supervisor calls and patient follow up.

Processed and managed all PTO requests, as well as scheduling the team to meet the call volume of the facilities.

Updating all the procedure changes from the client, which included the procedure update formatted, send to the Training department to have the procedure updated in all the appropriate areas.

Reviewing new procedures with the team to ensure everyone understood changes.

Worked payment plan, charity and aged reports monthly.

Patient Service Representative St Luke’s Homecare 11/2005-10/2008

Took calls from doctors, nurses and patients daily.

Took orders, scheduled deliveries, dispatched drivers, and entered information to bill the insurance.

Data entry included coding, verifying the insurance, and processing the order.

Knowledge of criteria related to insurance billing.

Ensuring orders were billed timely to meet insurance filing criteria for maximum payout of equipment.

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