Initial contact with referring agency and/or client to screen new clients for program appropriateness.Verify client insurance information and coordinates scheduling client appointments and evaluations.Collect client copays as well as posting all payments into the billing system.Run daily EVS (PA State Eligibility Verification System) on all current and prospective clients.Obtain all client funding authorizations.Maintain counselor productivity charts for Outpatient and… Show more Initial contact with referring agency and/or client to screen new clients for program appropriateness.Verify client insurance information and coordinates scheduling client appointments and evaluations.Collect client copays as well as posting all payments into the billing system.Run daily EVS (PA State Eligibility Verification System) on all current and prospective clients.Obtain all client funding authorizations.Maintain counselor productivity charts for Outpatient and Intensive Outpatient Treatment.Maintain an inventory of client charts.Provide administrative support for clinical staff.Special event planner Show less

Responsible for preparing and processing of Medicare, HMO and third party insurance claims for a 60 bed skilled nursing facility.Responsible for preparing and processing Private Pay invoices for 65 personal care residents.Responsible for reviewing, maintaining and entering the daily census into billing system.Verify MCR, HMO and third party payer insurance benefits and maintain accurate insurance records in billing system.Billing of all Medicare co-payments on behalf of residents… Show more Responsible for preparing and processing of Medicare, HMO and third party insurance claims for a 60 bed skilled nursing facility.Responsible for preparing and processing Private Pay invoices for 65 personal care residents.Responsible for reviewing, maintaining and entering the daily census into billing system.Verify MCR, HMO and third party payer insurance benefits and maintain accurate insurance records in billing system.Billing of all Medicare co-payments on behalf of residents to supplemental insurance policiesMaintain and update monthly A/R reports for Private Pay, Medicare, HMO and other third party insurance plans.Enter monthly charges for billing. Show less

Responsible for preparing and processing of Medicare Part A insurance claims for skilled nursing facility.Responsible for reviewing, maintaining and entering the daily census into billing system.Verify MCR insurance benefits and maintain accurate insurance records in billing system.Billing of all Medicare co-payments on behalf of residents to supplemental insurance policiesMaintain and update monthly A/R reports for Medicare Part A and Outpatient Therapy department.Enter… Show more Responsible for preparing and processing of Medicare Part A insurance claims for skilled nursing facility.Responsible for reviewing, maintaining and entering the daily census into billing system.Verify MCR insurance benefits and maintain accurate insurance records in billing system.Billing of all Medicare co-payments on behalf of residents to supplemental insurance policiesMaintain and update monthly A/R reports for Medicare Part A and Outpatient Therapy department.Enter monthly charges for billing.Post all accounts receivables for skilled nursing and outpatient therapy department.Responsible for all billing aspects of Concordia Outpatient Therapy. This includes reviewing charges, billing weekly and monthly claims to insurances, monitoring cash flow, cash posting, and collections.Compile and distribute month end reports and close the A/R accounting periods for Outpatient Therapy department.Assist therapists with obtaining diagnosis codes, HCPC codes and other therapy documentation. Show less

Responsible for reviewing and maintaining daily census for 10 nursing facilities and personal care homes, total of 734 beds. Updating and maintaining resident insurance information including verification of eligibility with insurance company. Communicate effectively with resident families regarding inquires and complaints in a professional manner. Complete cost out reports of medication for prospective residents for facilities.Monthly billing for six nursing and personal care homes, total… Show more Responsible for reviewing and maintaining daily census for 10 nursing facilities and personal care homes, total of 734 beds. Updating and maintaining resident insurance information including verification of eligibility with insurance company. Communicate effectively with resident families regarding inquires and complaints in a professional manner. Complete cost out reports of medication for prospective residents for facilities.Monthly billing for six nursing and personal care homes, total of 505 beds.Resolve billing discrepancies and submit paper claims to insurance companies to ensure timely filing.Responsible for completing adjudicator’s duties when needed. This includes processing drug returns, calling facilities for admission information, instituting prior authorizations and resolving adjudication errors. Process payroll for pharmacy staff of 25 employees through Workforce software program. Show less

Responsible for preparing and processing of Medicare and HMO insurance claims for three nursing home facilities.Coordination of monthly billing information to facilities regarding insurance verification. Monitor all Medicare residents online to ensure eligibility of continuing benefits.Compile and distribute month end reports and close the A/R accounting periods for three nursing homes..Billing of all Medicare co-payments on behalf of residents to supplemental insurance policies… Show more Responsible for preparing and processing of Medicare and HMO insurance claims for three nursing home facilities.Coordination of monthly billing information to facilities regarding insurance verification. Monitor all Medicare residents online to ensure eligibility of continuing benefits.Compile and distribute month end reports and close the A/R accounting periods for three nursing homes..Billing of all Medicare co-payments on behalf of residents to supplemental insurance policies. Maintain and update monthly A/R reports for Medicare, HMO and Third Party payers. Show less

Supervised report writing department for an alternative school for court adjudicated youth. Responsibilities included proofreading reports, maintaining a tracking log of monthly and quarterly progress reports, and interviewing candidates for open positions in the department.Obtain and maintain medical insurance information on student database. Obtain preauthorization prior to medical treatment for out of state students. Expedite payment of all medical bills for students after… Show more Supervised report writing department for an alternative school for court adjudicated youth. Responsibilities included proofreading reports, maintaining a tracking log of monthly and quarterly progress reports, and interviewing candidates for open positions in the department.Obtain and maintain medical insurance information on student database. Obtain preauthorization prior to medical treatment for out of state students. Expedite payment of all medical bills for students after insurance verification. Show less

Responsibilities included accounts receivable/accounts payable and light bookkeeping for two parishes, maintaining parish budget reports for financial committee and bank deposit for all parish accounts. Process monthly payroll for 6 employees and performed human resource functions when applicable.