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Insurance Verification Community Liaison

Location:
Birmingham, AL
Salary:
75000
Posted:
June 03, 2023

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Resume:

ANITA L. THOMAS

404-***-****

**** ******** **, ******, ** 35244 · ***********@*****.***

United States Citizen

PROFESSIONAL SUMMARY

20+ years of management experience in customer focused industries. Driven, highly motivated, results oriented professional with experience building lasting relationships that promote exceptional customer satisfaction. Offer excellent analytical, oral and written communication and interpersonal skills.

PROFESSIONAL EXPERIENCE

2011- Present Ball HealthCare Services, Inc. Mobile, AL

9/2016 - Present Magnolia Haven Health & Rehabilitation Center Tuskegee, AL

Administrator Weekly Hours Worked: 40-50

Coordinate the overall operations of 111 bed Rehab/Long-Term Care facility

Interpret State policy to ensure implementation at a facility level

Analyze facility operations to ensure compliance with State and Federal regulations

Partner with Corporate HR to ensure all facility FMLA, Worker Comp matters are addressed according to State regulations

Plans, manages, coordinates Human Resource functions onsite

Coordinates new employee orientation to foster positive attitude toward company goals

Oversees record of insurance coverage, 401(k) plan

Oversees personnel transactions such as hires, promotions, departmental transfers, performance reviews, and terminations and handled per policy

Approved payrate changes for annual evaluations and any related retro pay

Supervised the facility level transition to new payroll systems of AoD and iSolved for 95 employees

Provides support, encouragement, and corrective discipline as necessary to all facility personnel to ensure

smooth and efficient operation and a positive work environment

Analyze payroll reports semi-monthly for accuracy before submitting to CFO for approval of processing

Diligent focus on exceptional internal and external customer experience

Utilize the quality improvement process in all areas of facility operations

Serve as community liaison to promote a positive relationship

Coordinates safety and health requirements and compliance,

including safety committee, safety training and preparing reports for insurance carrier

Represents organization at personnel related hearings and investigations

Conducts training on company policy issues, and other issues as they arise

Manage daily morning meeting with Department Heads and Interdisciplinary Teams

Ensures facility maintains credentialing status with required vendors

4/2011 – 9/2016 Arlington Rehabilitation & Healthcare Center Birmingham, AL

Assistant Bookkeeper Weekly Hours Worked: 40-50

Responsible for payroll processing

Coordinate the front office operations

Responsible for Resident Trust Accounts

Provided administration and explanation of employee benefits

Calculate payrate for new employees and for retro pay

Facilitate orientation

Ensure accurate completion of 401K forms, insurance applications, State & Federal tax forms

Sign off on purchase orders

Work with vendors

Issue badges to employees

Maintain the data access system for employee at this facility

Maintain completeness of personal files

2010- 2011 Fairfield Nursing & Rehabilitation Center, LLC Fairfield, AL

Human Resources & Payroll 11/2010 – 4/2011 Weekly Hours Worked: 40

· Interprets Human Resources Policies and Procedures

· Composes job offer letters

· Advise managers about proper disciplinary procedures

· Assist with explanation and administration of employee benefits

· Prepares and maintains reports in compliance with State and Federal regulations

· Calculate and record adjustments to pay related

· Verify and process forms for garnishments, direct deposits and payroll deductions

· Review time sheets, work charts, wage computation to detect and reconcile payroll discrepancies

· Prepare daily reports (Daily Labor, Overtime Report, Workers’ Comp, Simplified Hour, etc)

2008- 2010 Target Corporation Birmingham, AL

Senior Team Leader 6/2008 – 4/2010 Weekly Hours Worked: 40-50

Responsible for transition and adjacency of assigned areas

Supervise and motivate staff of 100+ team members

Utilize store reports to identify trends

Write and administer annual reviews

Identify “root cause” of problem to make out an effective solution

Direct sales floor team to ensure sales floor stays full, sized and brand

Manage payroll, ensuring company budgets and forecast are met daily

2007 – 2008 Innovative Practice Solutions Atlanta, GA

A/R & Payroll Supervisor 3/2007 – 3/2008 Weekly Hours Worked: 40

Generated $500K in monthly billing; also oversee monthly collections averaging $120K

Managed 3-5 employees and supervise day-to-day operations of billing team.

Processed payroll for 10 employees

Produced weekly and month end billing/collection reports for clients

Managed 12 client accounts (software training, setup in Medisoft, communicate CPT changes)

Established electronic billing with MD Online

Set up EMR for office to improve efficiency for clients. Track and monitor processes. Streamline as needed

Created protocol manuals for department

2005 - 2007 Horizon Molecular Medicine Atlanta, GA

Patient Account Executive 3/2005 – 3/2007 Weekly Hours Worked: 40

Generated monthly bill outs of $250K

Provided insurance counseling prior to scheduling

Performed online insurance verification, per-certification

Preparation of daily deposits

Posted monthly billing with averages of $300K in charges and reconcile $250K in monthly receivables by working 30/60/90/120 Aging report

Reconciled patient and/or facility account errors and set accounts up for collection activity

Researched refund request and prepare statements

Assisted with updating current policies with facilities

2000 - 2005 XO Communications Atlanta, GA

Executive of Administrative Operations 5/2000 – 1/2005 Weekly Hours Worked: 40

Responsible for $1M monthly revenue, PL of over $3M & expenses $10M

Organized quarterly region meetings for a team of 15+ employees

Worked with escalated customer issues

Liaison between VP to other groups and individuals

Hosted bi-weekly conference calls for the administrative assistants in the region

Coded, prepared, processed and reconciled high profile customer credits averaging $8,000 monthly

Managed compensation spreadsheets averaging $ 650K in commission payouts

EDUCATION

Master of Business Administration, Healthcare Management

University of Phoenix - Atlanta, GA

Bachelor of Science, Human Environmental Sciences

University of Alabama -Tuscaloosa, AL

CERTIFICATIONS

Human Resource Management-HR for People Managers Specialization

University of Minnesota-Online December 2, 2021



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