Theresa Mere

Abilene, TX *****

adt6m3@r.postjobfree.com

+1-325-***-****

To use my 26 years' experience as an Accounts Receivable/Manager Specialist to improve and maintain your company's receivables from all payer sources. Authorized to work in the US for any employer

Work Experience

Sr Revenue Cycle Lead

ER Senior Management,LLC - Abilene, TX

March 2015 to June 2022

• I am responsible for managing collecting all past due third party accounts and claims for multiple communities.

• I am responsible for keeping Pecos updated for multiple communities.

• run aging reports in excel and update with notes on a weekly basis.

• I do Level 1 and Level 2 Disputes with Medicare Advantage companies.

• I have sent in full appeals and they have been overturned for 150K.

• I am responsible for collecting over 1million outstanding insurance claims and 300K more that I have assistance with.

• I review consolidated billing questions on what to pay or if we owe anything on the Invoice.

• I report directly to the VP Controller and the CFO.

• I am often asked by VP Controller or CFO to work on special projects.

• I send out past due statements and letters on private pay accounts.

• I am a backup to Accounts Payables and follow up health plan benefits

• I was responsible for all of the billing for all payers for a CCRC campus. Payers include private pay, Medicare, Medicaid, insurance, and Managed Care.

Accounts Receivable Manager

Sears Methodist System, Inc. (SMRS) - Abilene, TX

June 2010 to 2015

* Supervised seven Accounts Receivable staff

* Maintenance of Billing Master and Rate Master Codes in the accounting system.

* Completed Medicare bad debt listing for Medicare cost reports

* Weekly review of Medicare claims for all nine SMRS skilled campuses, budgeted Medicare Part A daily census of 122 system wide

* Weekly review of Medicaid claims for all SMRS campuses, budgeted Medicaid daily census of 249 system wide

* Track and Maintain the Medicaid pending log and claims reimbursements and health plan coordination.

* Reconciled accounts receivable general ledger and accounts receivable trial balance reports

* Maintenance and organization of billing records and resident files for all nine SMRS campuses, 1600 residents

* Trained Billing Specialists, campus Business Office Managers, and Admissions Coordinators in collecting accounts receivables and recording skilled nursing transactions

* Traveled to different SMRS campuses with the Clinical Applications RN to train the MDS Coordinators and admissions staff on how clinical and admission input relates to the financial accounting., such as RUG scores, COT's, EOT's, Assessment Reference Dates, admission criteria, CPT codes Senior Billing Specialist/ Manager

Sears Methodist System, Inc - Abilene, TX May 1998 to June 2015

Entry of cash receipts, charges, and adjustments to residents' accounts into the accounting system for three SMRS campuses

* Entry and maintenance of census status changes into the accounting system for all residents for three SMRS campuses

* Explanation of account balances to residents and family members as needed

* Completed Medicare bad debt listing for Medicare cost reports and following up claim benefits

* Generate private billing statements and Medicare A and B UB04's

* Billed Medicaid once a week through Texas Medicaid and Healthcare and health plan Partnership

* Was instrumental in the accounting and billing set up for seven of SMRS' new and acquired campuses.

* Responsible for all Medicare and Medicaid provider and EFT forms needed for seven new SMRS campuses

* Kept all resident information confidential in accordance with SMRS policies and H.I.P.P.A regulations Billing Specialist

Evergreen Senior Management, LLC - Abilene, TX

December 1996 to April 1998

* Entry of cash receipts, charges, and adjustments to residents' accounts into the accounting system

* Posted Medicare and Medicaid remittances to accounts

* Maintained all resident files

* Assisted with the Medicare and Medicaid billings

* Assisted the Payroll Specialist with all payrolls for SMRS

* Responsible for correcting of the missed punches in the payroll system for all SMRS campuses Education

Wichita Falls High School

1977

High School Diploma

Skills

• Quickbooks

• Billing (10+ years)

• Accounts Payable (4 years)

• Scheduling (7 years)

• Revenue Cycle (10+ years)

• Revenue Management (10+ years)

• Time management (10+ years)

• Microsoft Excel (10+ years)

• Data entry (10+ years)

• Office experience (10+ years)

• English

• Accounts Receivable (10+ years)

• Balance Sheet Reconciliation

• Bank Reconciliation

• Account Reconciliation

• General Ledger Accounting

• General Ledger Reconciliation

• Medicare (10+ years)

• Accounting (10+ years)

• Medical collection (10+ years)

• Financial Report Writing (10+ years)

• Medical Billing

Contact this candidate