Emelie M. Tallada-Alvea
Lakewood, CA 90713
Cell 714-***-****
E-mail: ********@***.***
Objective: To obtain a career position in a quality organization offering responsibility, creativity and the opportunity for advancement.
Qualifications:
Experience with Private, HMO, Medicare, and Medical insurance Billing & verification, eligibility certification, admission and billing procedures.
Proficiency with a variety of nursing homes business office software’s packages including Point Click Care
Ability to review record and balance nursing home accounts for financial close.
Experience with census balancing and Month End Closing
Experience with the Policy and Procedure of Caloptima and (ARF) Authorization Request Form
Experience working with faculty, administrators and other nursing home clients to determine and meet their business and personal requirements.
Experience with the admission, medical applications process and procedures.
25 years of Experience in Skilled Nursing Facility
Experience:
August 2015 - Present Pacific Haven – SNF & Sub Acute Garden Grove – Business Office Manager
Lead the financial Transition of PCC Software from NTT
Managing Business Office operations Triple Check, Medicare A & B Billing & Month End Closing
Oversee the Billing for HMO, Private, Medical and Medicare
Educate Resident, patient and family member regarding their Insurance Benefits and HMO Transition benefits
Cost Report- Accounting-Balancing sheets - yearly
Sept.2014 - December 2015 Paksn Inc. Long Beach Facility –SNF- & Corinthians Gardens Sub Acute- SNF- Accounts Receivable Supervisor
End of the month for billing preparation
Oversea Business Coordinators with Medicare Part A, Part B, Medical, HMO Billing and Private
Review aging and Collections for follow up
May 2014 – September 2014 Laguna Hills Health and Rehabilitation – SNF – Business Office Manager Assistant
End of the month for billing preparation
Medicare Part A & B Triple Check and Billing
Hospice, Private and Medicare Co-Insurance Billing
Review aging and Collections follow up
Electronic deposit processing and cash receipt posting
Feb.2014 – May 2014 Montebello Care Center - SNF - Business Office Manager and Biller
Entering Census AR residents information in the software and balance Census
Cash receipts posting
Medicare A & B Billing and Medical billing
TAR’s – Treatment Authorization Request
End of the Month for Billing Preparation
Aug. 2003 – November 2013 Garden Park Care Center - SNF-Sub-Acute Orange County - Business Office Manager
ARF- Authorization Request Form presentation - Caloptima
Mid and End of the month Census and charges balancing and closing
Private and HMO Billing and Collections
Review Medicare, Medical billing and submission for processing
Manage Trust and General Account
Education:
Trinity College, Manila-Philippines Associate Arts Degree – Mass Communication-
Saint Joseph College, Manila-Philippines Associate Arts Degree – Computer Secretary
Los Angeles City College - LACC Computer Certification
Certified Nursing Assistant – LA Certification
Skills: Proficient in Microsoft Word, Excel and some other computers programs References: Available upon request