PATRICIA MARIE WILSON

***** ** *****

Farmington Hills, Michigan 48336

248-***-**** // adv56s@r.postjobfree.com

Efficient, organized and detail oriented with proven success in problem solving and relationship building skills. Demonstrated success in developing target solutions that save time and money on projects and programs. Proven ability to coordinate projects in an ever-changing environment. Versatile and creative leader who possesses a strong work ethic and passion for achieving win/win scenarios for both customer / patient and organization.

Professional Experience

Brookdale Senior Living, Inc. Farmington Hills, MI

Director, Resident Programs & Transportation Services January 2022 – Current

Oversee the quality of life for resident engagement

Hires, Trains and Manages Associates

Leadership decision making to have a positive impact on community business operations including management of department budget and staff

Negotiates and manages community contracts in significant matters such as staffing, contract labor, vendors and entertainers

Participates in review of individual residents service plans and regulary documents progress. Participate in discharge planning with other members of the management team

Responds appropriately to resident emergencies, using independent judgment for in the moment decisions, calling or contacting appropriate internal and external parties according to protocol.

Ensures daily, weekly and monthly calendar of events requirements are met

Coordinates the transportation of residents to and from events outside of the community, which may include driving a community motor vehicle

Directly supervises Resident Program Assistants/Coordinators and Transportation driver as needed. May act in supervisory capacity as manager on duty or in the absence of the Execvutive Director, if assigned

NovaCare / Select Medical Livonia, MI / Pontiac, MI

Patient Service Specialist / Clinic Manger

August 2016 – January 2022

Hiring and training administrative staff

Evaluating staff performance

Scheduling staff for their work

Establishing office policies and procedures

Working with vendors to get needed equipment for the practice

supervising office staff, monitoring budgets and billings, ordering supplies, maintaining records, and ensuring that the day-to-day operations of our office run smoothly.

Patient appointment / schedulingObtain patient, billing and insurance information in order to maintain current and accurate information in patient files,TherapySource and RT Billing system. Also, prepare and work forms or reports and conduct billing or collection activities.

Insurance coverage and benefit levels with various third party payers and analyzes authorization and referrals, calculate patient liability.

Reporting Key center statistics to market management for sales, revenues, cash and patient flow.

Obtain and collect referrals and authorizations.

Verifies insurance coverage and benefits.

Reviews, monitors and reconciles patient accounts to ensure accurate bill productions along with third payer requirements.

Run and complete all front desk duties.

Ensure timely billing and coding of patients charts.

Dorsey schools Waterford, MI

Teaching Instructor for Medial Billing Feburary 2016 – March 2020

Teaching students – Supervisor for classes

Best practices in medical billing and practice managementIndustry-current electronic health records (EHR) software programs used in today’s physician’s practices, hospitals, and other medical facilities

Medical coding systems using CPT, ICD-9-CM, ICD-10-CM, and HCFA terminology, as well as hospital and institutional medical billing and coding. Coverage of medical terminology, anatomy, and physiology

The principles of accounting and business communication. Drafting reports, scheduling appointments, mangaging databases, filing insurance claims, and more.

Advantage First Aid August 2016 – August 2017

Customer Service Representative Manager / CPR trainer

Manage large amounts of incoming calls

Generate sales leads

Identify and assess customers’ needs to achieve satisfaction

Build sustainable relationships and trust with customer accounts through open and interactive communication

Provide accurate, valid and complete information by using the right methods/tools

Meet personal/customer service team sales targets and call handling quotads

Handle customer complaints, provide appropriate solutions and alternatives within the time limits; follow up to ensure resolutionKeep records of customer interactions, process customer accounts and file documents

Follow communication procedures, guidelines and policies

Customer Service, Product Knowledge, Quality Focus, Problem Solving, Market Knowledge, Documentation Skills, Listening, Phone Skills, Resolving Conflict, Analyzing Information,

Multi-tasking

Huron Valley-Sinai Hospital Commerce Twp, MI

Patient Access Rep II Coordnator

September 2010 – September 2016

Supervise Billing/intake operations, charge entry, payment posting, reimbursement mangament, referral intake and insureance verification, claim submissions, and accounts receivable follow up

Carry out audits

Train, allocate work and resolve probles amoug billing office personel

Provide motivation to employees to achieve their best performance and high degree of productivity

Register and schedule patients for health services

Explain appropriate forms to patient and family and ensures that necessary consent regulatory forms and MSP questionnaire are completed and that patient signatures are obtained.

Insurance coverage and benefit levels with various third party payers and analyzes authorization and referrals, calculates estimated patient liability.

Determines patient co-pay/deductibles and collects payment as outlined in hospital policies.

Assists patients in completing necessary forms and obtains patient signature as needed.

Collects referrals and authorizations as appropriate.

Attempts to secure telephone referral if necessary.

Resolves bill holds in a timely manner to ensure completion with 5 day bill hold reconciles and corrects any rejected transactions on user specific transmission.

Verifies insurance coverage and benefits.

Reviews, monitors and reconciles patient accounts to ensure accurate bill productions along with third payer requirements

COMPUTER AND TECHNICAL SKILLS

Microsoft Word, Excel, Power Point, Outlook, SharePoint, Microsoft Access and various proprietary software. Passport, Vision Share, Citrix, Impoc/Mosiaq,

First Net, Link, All insurance websites, Idoc, Workforce now, Apd, Portal Office,

Skill Port, Evolve, Engrade, Stericycle, SuperSaas, RT medical billing, Therapy Source, BCE reporting, DCRR and DPRL medical billing. Phreesia, AthenaNet, Powerchart, BSLNET, P.E.A.R, Coupa, UKG(Kronos).

Sound Solutions Farmington Hills, MI

Project/Office Manager 2001 – 2010

Prepared reports, summaries, and replies to inquiries by collecting, interpreting/calculating relevant information for various sources such as documentation, files and direct contact.

Responsible for daily operations of the office

Oversee patient care

Facilitate,evaluate and revise educational programming for all levels of nursing personnel as requestied

Support needs assigned units/clinics as needed

Implements Tenet programs for the nursing staff, with specific focus for units/clinics

Delivers/coordinates other programs as directed to support competence and professional growth of nursing staff

Organized materials for conferences, correspondence, appointments, meetings and interviews.

Worked closely with senior officers on scheduling as well as arranging appointments, interviews and business trips. Maintained schedule of commitments to avoid conflicts.

Facilitated a smooth-running, customer orientated operation which ensured staff worked together as a team.

Recruited, trained and monitored staff. Prepared work schedules. Assigns and reviews work performed by employees.

Maintains fiscal records by entering expenditures and income to unit accounts and prepares factual statements or reports

Creates, updates, revises, and retrieves files and records involving indexing and cross-filing requirements with responsibility for maintaining adequate, accurate, and accessible information, which may include confidential materials.

January 2012 Completed and passed the Certified Medical Assistant program with the American Red Cross

March 21 2011 Completed and passed the Nurse Assistant program with the American Red Cross -

Received Registry Document number in April 2011

BLS INSTRUCTOR CERTIFIED / AMERICAN HEART AND MEDIC FIRST AID

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