Responsible for supervised training and developing the Business Office Manager and Business Office Assistant in their roles in order to maintain accurate billing of all accounts receivable, including Private, Medicaid, Medicare, Hospice, and Managed Care. Trained on all aspects of billing, eligibility, claims, banking, and accounting, and EMR software. Reported to Accounts Receivable Manager for four skilled nursing facilities in the greater western WA area. Responsibilities also include various projects assigned by Accounts Receivable Manager, such as Medicaid - Medicare- HMO - Private claims and billing follow up as needed. Patient trust account bank reconciliation, review and follow up on resident's ledger accounts. Aging review and follow up on all outstanding accounts as needed

Responsibilities include billing and follow up for 12 skilled nursing facilities located in WA and OR, aging review and account reconciliation, for all open balances including credit balances, payers include commercial insurances, Medicaid and Hospice. Insured that all claims for payers, Medicaid, HMO/Coins and Hospice are billed, followed up on a timely basis and that cash flow was current. Posting of insurance and Medicaid payments, insure payer information is correct and update as necessary, completion of month end reports and close process for four skilled nursing facilities

Key role is to assist regional area account manager as needed for support of 5 skilled nursing and sub-acute facilities within greater Seattle WA and surrounding areas. Which Includes but is not limited to: training and support of business office staff. Insure accounts receivable for facilities are followed up in a timely manner and assist when needed with various assignments. Assist with business office audits to insure that facilities are following state and federal accounting practices and guidelines. Cover business office manager as needed as well as when position is vacant.

Responsibilities include management of 99 bed skilled nursing facility business office that contributed over $850,000 in monthly revenues. Key purpose is to insure day to day accounting function of business office was met in accordance with acceptable accounting principles. Supervise four employees; office assistant, central supply, A/P - H/R, and receptionist. Insured all claims for payers Medicare, Medicaid, Coinsurance and Private are billed, followed up on a timely basis and cash flow was current. Insure DSO met company goals. Follow up on patient credit balances and process refunds. Review Aging Reports as well as follow up of all AR payers. Daily responsibilities include, but are not limited to: Balance and update census, posting and balancing cash. Insure resident payer set up is accurate; Attend meetings as required; Maintain patient trust account. Customer Service includes assisting patients /families with concerns about patient billing matters, also including Medicaid application assistance and /or SSA rep. payee applications Improved accounts receivable and reduced credit balances / write offs by 90%.

Responsibilities include, follow up and collections from primary and secondary insurances which included Medicare Part A and B, Medicaid room and board as well as coinsurance for 7-8 skilled nursing facilities ranging in size from 59 beds to over 144 beds. Correct and edited Medicaid and Medicare claims to insure proper billing. Also handled billing for sub-acute portion of facility. Prepared patient adjustments and refunds for facilities as well as provide detailed explanation of Medicare credit balances to AR director for completion of Medicare credit report. Key functions also included updating notes for all Medicaid and Medicare accounts 60 days and older for AR Director. Improved accounts receivable for facilities. Was able to prioritize and handle all accounts which reduced write offs and improved cash flow.