Regional Accounts Receiveable Manager
Resume:
*** ****** ****** ******, ** *****
508-***-**** (cell)
Renee Smith
Objective
An inspiring team member seeking a job that would enable me to use my talent and skills as well as contribute to an organization's goals, which would provide excellent opportunities for career advancement and personal growth.
Experience
July 2021-present
Wachusett Healthcare
Regional Accounts Receivable Specialist
●Manage BOM’s for various facilities
●Cover as BOM in facility when needed
●Review aging and assist in claims processing
●Cash posting
●Census updates
●File and follow up on medicaid applications and conversions
●Medicare meetings
●Billing and claims follow-up
●RFMS/reconciliation
June 2016-June 2021
Nextstep Healthcare
Medicaid Eligibility Specialist 2019-2021
●File and follow medicaid applications until approval is received for 5 facilities
●Attended appeal hearings for residents
●Enter daily tasks in PCC for follow up on cases
●Follow up with workers on active pending cases
●Meet with families and complete medicaid applications
●Determine patient liabilities assessed by Masshealth
●Run asset searches on potential admissions
●Vet potential admissions for 5 facilities
●Gather documents for completion of medicaid applications
June 2016- Sept 2019 Business Office Manager Westborough Healthcare, Westborough,
● Entered daily census into PCC and check for accuracy of days
●Manage and updated Medicare and insurance logs for weekly meeting for accuracy of days used and days available
●Managed collections for Medicaid and Private accts for residents and made collection efforts daily
●Posted daily deposits and balance to patient accounts
●Managed receptionist and business office assistant schedules
●Answered multi-line phone system in business office from families, vendors and staff
●Assisted BOA in Insurance Billing of claims and collection activity
●Invoicing of room and board stay for residents at facility
●Manage Personal Needs account for various residents. Reconcile accounts for accuracy and limitations
●Auditing accts for collection activity on residents with balances over 60 days
●Attend Medicare meeting and determine days.
● Met quarterly management goals for bad debt, cash and DSO
●Collected over 2 millions dollars in cash on a monthly basis allowing us to meet AR management goals
●Worked within budget of 300k for supplies and product
●Completed weekly payroll including entering missed punches and vacation
●Ran background checks and prepared for orientation of new employees
●Maintain employee files and validation of certifications
Sept 2014- June 2016 St George Health Care Center St George, SC
Business Office Manager
●Enter and reconcile daily census in Matrix system balance to census report for accuracy of days
●Checking benefits and eligibility on residents for different insurance companies before they are admitted (i.e Medicare, Humana, Medicaid, BCBS, Aetna, Cigna, Secure Horizons and United Healthcare)
●Manage and updated Medicare and insurance logs for weekly meeting for accuracy of days used and days available
●Manage collections for Medicaid, Medicare, Insurance and Private accts for residents and made collection efforts daily
●Posted daily deposits and balance to patients account
●Manage Personal Needs account for various residents. Reconcile accounts for accuracy and limitations
●Auditing accts for collection activity on residents with balances over 60 days
●Met quarterly management goals for bad debt, cash and DSO
●Process month end close
Sept 2013-Sept 2014 Hampton Regional Medical Center Hampton,SC
Registration Clerk/Biller
●Checking benefits and eligibility on residents for different insurance companies before they are seen in the ER
●Answer multi-line phone
●Month end close process
●Bill claims to insurance companies for payments
●Auditing accts for collection activity for residents with a balance over 60 days
2010-April 2013 Harbour Pointe Norfolk, VA
Assistant Business Office Manager
●Checking benefits and eligibility on residents for different insurance companies before they are admitted (i.e Medicare, Humana, Medicaid, BCBS, Aetna, Cigna, Secure Horizons and United Healthcare)
●Billed and managed the collections for Medicare residents
●Billed and Managed the collections for Insurance residents (i.e. Humana, BCBS, Aetna, Cigna, Secure Horizons, United Healthcare)
●Billed and managed the collections for Medicare co-ins residents(i.e Humana, BCBS, Aetna, Cigna, Secure Horizons, United Healthcare)
●Billed and managed the collections for Medicaid and Managed Medicaid residents
●Collection Letters for all private accounts with balances over 30 days
●Invoicing of private room and board for residents stay in facility
●Auditing accts for collection activity for residents with a balance over 60 days
●Met quarterly management goals for bad debt, cash and DSO
●Collected over 1 millions dollars on a monthly basis allowing building to meet AR management goals set by corporate
●Enter and reconcile daily census in HPAS system balance to census report for accuracy of days
●Posting of payments from insurance companies to resident accounts
2009–Dec 2010 Country Estates of Agawam Agawam, MA
Business Office Assistant/ PBC
●Checking benefits and eligibility on residents for different insurance companies before they are admitted (i.e Medicare, Humana, Medicaid, BCBS, Aetna, Cigna, Secure Horizons and United Healthcare)
●Billed and managed the collections for Medicare residents
●Billed and Managed the collections for Insurance residents (i.e. Humana, BCBS, Aetna, Cigna, Secure Horizons, United Healthcare)
●Billed and managed the collections for Medicare co-ins residents(i.e Humana, BCBS, Aetna, Cigna, Secure Horizons, United Healthcare)
●Billed and managed the collections for Medicaid and Managed Medicaid residents
●Collection Letters for all private accounts with balances over 30 days
●Invoicing of private room and board for residents stay in facility
●Auditing accts for collection activity for residents with a balance over 60 days
●Met quarterly management goals for bad debt, cash and DSO
●Collected over 1 million dollars on a monthly basis allowing building to meet AR management goals set by corporate
●Enter and reconcile daily census in HPAS system balance to census report for accuracy of days
●Process payroll for 200+ employees on Kronos system. Editing and adjusting punches when needed. Balance payroll weekly to payroll reports.
●Human resources for 200+employes regarding benefits and insurance. Assisted in leave of absence paperwork and open enrollment. Conducted meetings to keep staff updated on new benefits and any payroll changes
2004–2009 Country Estates of Agawam Agawam, MA
Business Office Manager
●Reported daily census to Central business Office and check for accuracy of days
●Manage and updated Medicare and insurance logs for weekly meeting for accuracy of days used and days available
●Manage collections for Medicaid and Private accts for residents and made collection efforts daily
●Posted daily deposits and balance to patient accounts
●Manage 4 receptionist schedules and a payroll benefits coordinator
●Answered multi-line phone system in business office from families, vendors and staff
●Assisted CBO in Insurance Billing of claims and collection activity
●Invoicing of room and board stay for residents at facility
●Manage Personal Needs account for various residents. Reconcile accounts for accuracy and limitations
●Auditing accts for collection activity on residents with balances over 60 days
●Attend Medicare meeting and determine days Met quarterly management goals for bad debt, cash and DSO
●Collected over 1 millions dollars in cash on a monthly basis allowing us to meet AR management goals
●Worked within budget of 200k for supplies and products
2001–2004 East Longmeadow Healthcare E Long, MA
A/R Bookkeeper
●Billed Medicaid for residents stay at LTC facility
●Posting of all cash received to various accounts
●Answered multi-line phone system in business office from families, vendors and staff
●Invoiced residents for room and board stay at facility
●Posted vendor invoices to various accounts, managed the payment processing time for invoices. Also accrued for invoices expected in the month
●Co-managed business office when needed
●Managed resident trust accounts for accuracy of billing and maintaining daily balance in accordance with Medicaid guidelines
1998–2001 Sunscript Pharmacy Springfield, MA
A/R Billing
●Posting checks on account for various nursing homes
●Process bills for nursing homes for medications that were delivered
●Assisted BOM in collections and receivables of accounts
●Answer multi-line phone system for staff from vendors
●Customer Service for various nursing homes
●Transmitted pharmacy charges via internet to various insurance companies
1996–1998 Mt. View Landscapes Chicopee, MA
A/R Billing
Posting checks on accounts for vendors service received
Billed for all landscape, lawn care and sprinkler services to commercial and business accounts
Handled Accounts Payable invoices for vendors that company received products from
Answer multi-line phone system in office for three managers
Handled Customer Service issues from vendors for services rendered
Printed refund checks for vendors for overpayment of service rendered
Education
1993–1994 Johnson & Wales University Rhode Island
Business
1990–1993 Commerce High School Springfield, MA
Business
Skills
Kronos payroll system
RFMS
Accounts payable
Accounts Receivable
Customer Service
Microsoft Word
Microsoft Excel
Multi line phone system
Matrix
PCC
References available on request
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