Katherine Vidal-Ledesman Email and Phone Number

Participating in the day to day running of an adult daycare center. Maintaining client files and personnel records. Using interpersonal skills to ensure client goals are met with the highest level of care and compassion. Coordinating transportation to and from the center, maintaining transportation records, and billing.

Provided administrative support by maintaining various files and confidential data; produce confidential reports and correspondence for the Manager Answered all incoming calls, identifying customer concerns and providing resolution while making sure customers receive prompt, efficient and courteous attention. Facilitate acceptance to the Waiver program by providing information and submitting application to the program Explained managed care programs and benefits provided to new clients. Created client files per AHCA guidelines, validating correct patient and insurance demographic. Provide coordinated care through teamwork, with the patient care plan in mind, and updating the care plan as necessary. Facilitate social/educational activities for participants. Organized Accounts receivable and payable to optimize profits by analyzing patient balances. Complying with HIPAA regulations for all on-line billing and collection of claims. Maintained various files and confidential data; produced confidential reports and correspondence for the Manager. Created and online footprint for the business with accounts on Goggle, Facebook, and other national daycare associations, maintaining a connection with other adult daycares in the community.

. Provided administrative support by maintaining various files and confidential data; produce confidential reports and correspondence for the Manager Answered all incoming calls, identifying customer concerns and providing resolution while making sure customers receive prompt, efficient and courteous attention. Facilitate acceptance to the Waiver program by providing information and submitting application to the program Explained managed care programs and benefits provided to new clients. Created client files per AHCA guidelines, validating correct patient and insurance demographic. Provide coordinated care through teamwork, with the patient care plan in mind, and updating the care plan as necessary. Facilitate social/educational activities for participants. Organized Accounts receivable and payable to optimize profits by analyzing patient balances. Complying with HIPAA regulations for all on-line billing and collection of claims. Maintained various files and confidential data; produced confidential reports and correspondence for the Manager. Created and online footprint for the business with accounts on Goggle, Facebook, and other national daycare associations, maintaining a connection with other adult daycares in the community.

Supervised billing and medical records staff. Prepared job evaluations, provided training and support. Prepared Excel spreadsheets with claims data to be billed. Verified patient coverage, obtained authorization, and prepared billing files. Familiar with medical terminology, ICD-9, HCPCS, CPT codes and HIPPA regulations. Prepared manual claims using 1500 forms and UB forms, electronic claims filing and direct data entry to Medicare and Magellan. Increased collections by 30%, by analyzing patient balances and instituting a system where no income was lost due to untimely filing. Proficient in Microsoft Word, Excel, and PowerPoint.

• Prepared Pharmacy claims in HHS system data base, Abacus system billing Medicare Part B, Medicaid, and private insurance.• Prepared billing reports for management.