Data Entry Office Manager

Holly Pleasants

************@*******.*** 804-***-**** · Crozet, VA 22932

Analytical, meticulous Business Professional with expertise in operations management, billing systems, business analysis, accounting functions, and patient advocacy within healthcare facilities. Analytical professional skilled in the facilitation of training on healthcare-related technologies. Collaborative manager focused on forging relationships with patients, agencies, and healthcare professionals to deliver business solutions. Areas of Expertise include:

Process improvements

Staff Management

Patient Billing Systems – HCHB

Teamwork

Patient Advocacy

Effective Communication

Assist with Budget Governance

Attention to Detail - ATD

Database Management

Payroll

Prep for Accreditation Inspections - CHAP

Diagnosis Coding - ICD-10

Regulatory Compliance - HIPPA

Eligibility Requirements

Accounts Receivable/Payable

Staff Training & Development

Problem Resolution

Professional Experience

AseraCare/Amedisys Hospice of Charlottesville – 8/2018 – Present

Business Office Manager/Supervisor/Interim Director of Operations

Oversee the day-to-day function of a busy office by maintaining continuity and workflow. Worked with the Director of Operations to support staff including geographic coverage scheduling. Managed social workers, volunteer coordinator, chaplain, and bereavement coordinator. Worked with Area and Regional team members to adhere to best practices and comply with all policies and procedures in alignment with corporate standards.

Key Accomplishments:

Census increase by supporting marketing team and helping to develop marketing plan and events such as “Flash Mobs” and baby goat outings to various facilities.

Helped to develop staff for better retention and employee satisfaction by doing hands on training, assisting with career development plans, and certification tracking.

Assisted in the pursuit of contracts with UVA, Martha Jefferson Hospital and various SNF and ALF facilities to grow our census which resulted in an increase of our census by 30% within the first year.

Managed an accounts receivable audit which revealed a previous bad debt error we were able to investigate and collect over $28k from Medicaid that originally was considered a bad debt write-off. I was recognized as employee for the Quarter for finding this error.

Created spreadsheets for multiple functions such as contract expiration dates, employee certification tracking, patient birthdays.

Worked with other state BOMs on patient intake procedures and best practices.

Collaborated with Area and Regional team members on budget management, staff attrition management, and survey prep and readiness. Prepped for accreditation survey.

Supported our Medical Director thru the following activities: IDG(inter-discipline group) meetings regarding patients and eligibility for hospice services. Managed orders and upkeep of patient records.

Developed and provided reports for the following business activities: Weekly prebill, biweekly payroll, daily cadence, weekly BOM update, and quarterly employee file audits. Assisted Director with monthly employee compliance reporting.

Developed inter-office COVID protocol in order to protect staff and patients. Managed supply inventory, marketing, office and medical.

Worked with outside agencies/vendors such as DME to manage inventory in patient homes and facilities.

Worked with Corp Contracts team to establish contracts with local vendors and nursing homes.

AUGUSTA NURSING AND REHAB · Fishersville, VA · 9/2017 to 8/2018

RALEIGH REHAB AND HEALTHCARE ·Raleigh, NC · 6/1999 to 10/2005

Performed month-end closing of the billing system in accordance with company policy and timelines as well as timely processing of charges, adjustments, refunds, payment posting, and write offs.

Business Office Manager/Supervisor

Optimize best practices for the facility through the generation of reports in collaboration with PCC. Spearhead the daily operations of the business office including billing, collections, resident trust accounting, payroll, and accounts payable (A/P). Achieve excellent results through the improvement of systems and processes. Ensure accuracy of patient account billing information through the maintenance of the patient billing system. Collaborate with other departments when necessary.

Key Accomplishments:

Apply expertise and relevant industry-related knowledge to successfully execute speech writing, presentation creation, complex problem solving, electronic mail, recordkeeping, database maintenance, word processing, and spreadsheet applications.

Maintain proficiency in SSI, DMAS portal, RFMS, Availity, PCC, HCPC codes, ICD-9, and ICD-10.

Improve tracking and authorizations for services pertaining to Medicaid through the creation and implementation of spreadsheets.

Hand-selected as the Subject Matter Expert (SME) to conduct training on the Medicaid tracking portal and direct the selection, training, development, and appraisal of personnel.

Scrutinize balances, billing, and collections for accuracy through the execution of accounts receivable (A/R) functions for Medicare, Medicaid, insurance, private, and other payers.

ADVANCED PATIENT ADVOCACY · Richmond, VA 8/2012 to 8/2014

CHAMBERLIN EDMONDS/CHANGE HEALTHCARE · Charlottesville, VA 3/2015 to 9/2017

Utilized knowledge of federal, state, and local regulatory standards to make decisions regarding the acceptance of program applications.

Patient Eligibility Advocate

Performed data entry of all referrals and account documentation, assisted in the appeal process of denied applications, submitted verified billing numbers to facilities, and expeditiously provided hospitals with additional information as requested. Ensured submitted applications were processed correctly through follow-up conversations with federal, state, and local agencies. Updated notes in both hospital and APA systems and complied with all state and federal regulations and company policies to include patient privacy (PHI).

Key Accomplishments:

Achieved an error rate of less than 2% in reporting of all uninsured patients entering thru ER and admittance to the hospital.

Kept lines of communication open with patients and the agency throughout the application process and documented all information in related systems.

Screened patients for eligibility through the completion of in-person or over-the-phone interviews and processed T2, T16, and ABD applications.

Scrutinized applications for accuracy and compliance with eligibility requirements to achieve a 98% approval rate of disability applications.

NETCRUISERS CAFE · Lancaster, VA · 6/2006 to 5/2012

Coordinated and facilitated training on the use of equipment, daily transactions, deposits, and health and safety requirements for the successful self-owned coffee shop.

Owner/Operator/Supervisor

Spearheaded all functions pertinent to the successful startup of a coffeehouse including vendor relations, equipment requisition, location, licenses, insurance, accounting functions, and acquisition of a point of sale system (POS). Directed day-to-day operations including deposits, sales reporting, basic accounting, and inventory management. Maximized product quality and budget adherence through the maintenance of new and existing vendor relationships. Developed strategies to reach business goals. Maintained daily, monthly, quarterly, and yearly accounting operations and regulatory reporting.

Key Accomplishments:

Established fruitful relationships within the community through the sponsorship and organization of “Open Mic” nights and participation in YMCA Festival of Trees.

Augmented business relationships through the giving of charitable contributions to the Northern Neck Maternity Center and Boys and Girls Club.

Created brand awareness through the use of coffee coins, giveaways, and customer appreciation days essential to driving marketing for the new coffee business.

Amassed additional education through the attendance and participation in annual industry-related tradeshows.

Certified as an International Barista.

Education & Training

Bachelor of Science in Business Operations and Management

DEVRY INSTITUTE OF TECHNOLOGY Atlanta, GA

HIPAA Regulations

Women in Leadership

The Assertive Advantage

Communication, Negotiation, and Salesmanship

How to Reach Your Personal Best

Thinking Outside the Lines

The Innovative Woman: Creative Ways to Reach Your Potential in Business and Beyond

Technical Proficiencies

MS Office Suite (Outlook, Word, PowerPoint, Excel, Visio, and Access) ~ Resident Funds Management System (RFMS) ~ Consolidated Billing for Medicare Outside Billing Claims (CBDSS) ~ MECCA ~ QuickBooks ~ CoffeeShop Manager ~ PC Manager ~ Healthland ~ Advocate 2020 ~ Emdeon ~ PACE ~ EPIC ~ A2k3 ~ DMAS ~ Navi ~ Availity~HCHB~Cognos~People Portal~Forcura~

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