Summary
Dynamic result-driven business office manager with over 30 years of professional experience. Demonstrated succesl driving multimillion-dollar revenue growth while providing visionary management leadership in a high diverse industry that is governed by State and Federal regulations. Tenacious in building new contacts, securing both personnel and client loyalty, and forging strong relationships with internal business partners and provider services. Process innovative leadership ability to recruit, build, and maintain top performing business office teams. Willing to relocate: Anywhere
Authorized to work in the US for any employer
Work experience
Activity Director
Golfview Nursing Center • Saint Petersburg, FL
July 2025 to November 2025
• Planned, coordinated, and executed recreational, social, and therapeutic programs for the elderly.
• Program Development: Design and implement a diverse calendar of events—including arts and crafts, music, exercise, and games—tailored to the abilities and interests of the group.
• Event Execution: Lead group activities, arrange guest entertainment, and organize off-site outings or travel.
• Participant Assessments: Evaluate individual needs, track participation, and coordinate with care teams (especially in healthcare and memory care settings)
• Team & Resource Management: Manage the department budget, purchase supplies, and supervise assistants and volunteers. [1, 2]
Business Office Manager
Gulfport Nursing Center • South Pasadena, FL
June 2024 to October 2024
• Audited and corrected all AR functions to include billing rates, missed billing Medicaid., and Trust accounts
• Maintained all AR billing from beginning of month to end keeping aged billing to 99%
• Converted 80% of Resident Billings to ACH to ensure timely monthly payments
• Set up A/R system to reflect Medicaid portion to be tied to resident private billing that was not billed out.
• All HR functions to include running ads initiating interviews background checks and payroll set up
• Monitored overtime missed punches and call outs on a daily basis. Met with department heads to stabilize payroll
• Balanced and processed final payroll
• Set up paperless system to accurately monitor compliance certifications
• Handled all Insurance programs, updated employee portion and payroll, cutting previous company losses
• Kept RFMS balanced and updated. Mailing out quarterly statements. Working with therapy, nursing and family members to deal with over limit issues.
• Oversaw all financial operations, including budgeting, forecasting, and financial reporting
• Managed a team of 32 finance professionals, providing guidance and support to ensure accurate and timely financial analysis
• Implemented internal controls to ensure compliance with regulatory requirements and mitigate risks
• Prepared monthly financial statements for executive review, highlighting key performance indicators (KPIs) and variances from budget
• Managed relationships with external auditors during annual audits
• Identified areas for process improvement within the finance department resulting in streamlined workflows
• Closely monitored accounts receivable aging reports leading to a decrease in overdue payments by 90%
• Developed and implemented financial policies and procedures to ensure compliance with regulatory requirements Donna Billings
+1-727-***-**** / ***************@*****.*** / Pinellas Park, FL 33781 Business Office Manager
Osprey Health Care Center • Saint Petersburg, FL
May 2016 to June 2024
• Audited and corrected all AR functions to include billing rates, missed billing Medicaid., and Trust accounts
• Maintained all AR billing from beginning of month to end keeping aged billing to 99%
• Initiated a facility census to comply with state regulations for Medicaid and VA billing
• Converted 80% of Resident Billings to ACH to ensure timely monthly payments
• Set up A/R system to reflect Medicaid portion to be tied to resident private billing that was not billed out. Used QuickBooks.
• Collections brought to $0 with only two write-offs for deceased residents with no funds from 2014
• All HR functions to include running ads initiating interviews background checks and payroll set up
• Monitored overtime missed punches and call outs on a daily basis. Met with department heads to stabilize payroll fund. Used ADP.
• Balanced and processed final payroll
• Set up paperless system to accurately monitor compliance certifications
• Initiated employee orientation employee of the month / year and Rising Star program
• Handled all Insurance programs, updated employee portion and payroll, cutting previous company losses Regional Business Office Manager
Westminster Service • Orlando, FL
June 1986 to October 2015
• Oversee and supervise all aspects for 10 business offices. Each containing two or more employees
• Work directly for CFO to ensure all HIPAA protocols were enforced through the policies and procedures
• Collaborated with CFO and comptroller to make company state-wide standards with my encouragement
• Reviewed month-end reports for accuracy, meeting compliance for billing of Medicare, Medicaid, managed care and secondary insurances
• Work directly with Executive Directors and Director of Nursing to file inquiries, reconsiderations and appeals with regulatory bodies including State and Federal agencies
• Handled AP, AR, payroll, resident trust accounts, petty cash, data entry, maintaining records of daily census
• Prepared and maintained needed data for all billing
• Work directly with CEO to obtain the AR Billing System. Maintaining all changes made into the system becoming number one person for company Personnel to turn to for assistance. Updated all yearly rate changes
• Filled in for all employees on vacation in business offices Education
Upper secondary education
Accounting (High school or equivalent)
Keiller McKay C.I. • Toronto, OH
Skills
Account analysis Sales tax Account management Clerical experience Patient interaction Recruiting Supervising experience Microsoft Outlook Spreadsheet conditional formatting Guest relations Analytics HR communication Invoice reconciliation Windows Strategic thinking Guest services Office supply management Financial analysis Continuous improvement Office Manager Experience Healthcare practice team management Client invoicing Oracle Invoice payment processing Spreadsheets Practice management Microsoft Powerpoint Medical explanation of benefits reviews Financial Report Writing Debt collection phone call Debt collection legal action Medicare Inventory management Travel scheduling Skilled nursing facility experience Point-Click Care Revenue cycle management Skilled nursing facility Technical accounting Long-term care facility experience Organizational skills Mac OS 10 key typing Merchandising Travel operations coordinator experience Math Data visualization Positive interaction facilitation Journal entry management in accounting Customer payment analysis report Collection effectiveness report Maintenance task scheduling Budget preparation Writing skills Human resources Microsoft Excel Operating systems Account reconciliation report Payment reconciliation Google Workspace Team management Accounts payable experience within manufacturing industry Accounting systems Accounts receivable Google Suite Order entry Leadership Incident Investigation Computer literacy QuickBooks Office management Travel planning Financial data reconciliation Order processing Task prioritization Electronic health records (EHR) management HRIS Bank Reconciliation Accounting Availity Vendor onboarding Front Desk Trial balance verification Improving operational efficiency Financial concepts Management General Ledger Reconciliation Wire transfer payment processing Check payment processing Payroll tax Client relationship development Medical claims processing Bookkeeping Emergency scheduling Insurance prior authorization eClinicalWorks Patient billing Performance management Technical Proficiency CRM system proficiency Accounting error correction Microsoft Word Expense reports Proofreading Phone communication Time management Google Docs Medical administrative support Outlook Teamwork Payroll Project coordination Data entry in Excel General Ledger Accounting ICD-10 Mentoring Working with people with disabilities Accurate transaction records management Billing Data validation Budgeting Medicaid Insurance verification Medical insurance coverage verification Analysis skills Grammar Experience Medical receptionist Microsoft Access Accounting software Project Scheduling Client services Forecasting FMLA Business travel arrangements Adobe Acrobat Data analysis skills Financial analyst experience Auditing GAAP Accounts payable and receivable management Document management DocuSign Patient collections management Financial software Data entry Research Customer inquiry handling Home visits (communication methods) Productivity software Medical records Debt collection payment plan Office experience EMR/EHR Client interaction via phone calls Primary care Debt collection letter Care plans Employee orientation Employee evaluation Payment performance report Phone call management Accounting and finance experience Interpersonal skills Basic math Aged receivables report Concierge experience Managed Care Journal Entries ACH Invoice dispute resolution Managing teams as a healthcare practice manager Receptionist Microsoft, Excel, Lotus, LTC, ADP Run, Availity, PCC, Quick books,Medicaid sites, Medicare billing. Excellent organization and coordinating skills. Ability to analyze and solve problems. Ability to communicate effectively both orally and in writing. Excellent interpersonal skills, phone manner, and office etiquette. Multi-line phone systems Handling account queries Financial reporting Credit card payment processing Maintaining an organized workspace ADP Excel formulas Bad debt management Administrative experience Accounting data entry Cash management Google Pay payment processing Microsoft Office Customer payment reminders EMR systems Pivot tables Financial statement preparation Training & development Credit memo process Medical collection Project management Construction Door-to-door QuickBooks Online Aging report preparation Microsoft Outlook Calendar Medical scheduling Scheduling Word processing Medical office experience Medical billing Record keeping Computer operation Debt collection email Invoice data entry Collections agent experience Healthcare practice operations management Decision making Excel data analysis Multitasking Payroll processing Debt collection negotiation Cash flow statement Profit and loss analysis Executive administrative support Profit & Loss statement Personal assistant experience Team development Word Wage calculation Accounts payable Medical terminology Confidential information handling Cash application Friendly demeanor Health insurance authorizations Account reconciliation Cross-location scheduling Accounts aging analysis GPS Healthcare benefits management Policy & process development Process improvement Typing Computer skills Appointment scheduling Invoice processing Employee relations Problem-solving Insurance medical billing Customer relationship building Customer complaint resolution Customer service Debit card payment processing PointClickCare Payroll management Debt collection Attention to detail Cash handling Ledger account classification Apple Pay payment processing General ledger management Languages
English
Certifications
Driver's License
Microsoft Office Specialist (MOS), Microsoft Corporation Additional information
Key Strengths:
• High impact collections
• Billing: Medicare, Medicaid, Managed Care and Insurance
• Maintaining records per state & federal regulations
• Resident Trust accounts
• Essential communications with providers, family members, and management
• A/R, A/P, Payroll
• New software launches
• Strategic policy implementation
• Team leadership, coaching & mentoring
• Recruiting & staffing
• Staff development