Roxanne Garcia-Fear, Lnha Email & Phone Number

Kankakee, IL, US

Responsible for total operations management of Miller Healthcare Center a 160 bed Riverside Healthcare Senior Living Community. Steering Committees:Veteran Affinity Committee Chairman Workforce Violence Recruitment Pipeline Value Asset

Lincolnwood, Illinois, US

Successfully managed total operations for a 99 bed skilled nursing facility including total Human Resources management. Successful staffing growth Successful census growth Successful financial growth Successful star rating growth

• Successful leadership in limited time as an interim executive director. Successfully navigated COVID outbreak with zero death or hospitalization.
• Responsible for total operations management for 95 bed facility
• Managed staff restructuring to accommodate customer service and minimum staffing for budget
• Gained respect and loyalty from staff and residents within first weeks of presence

• Successfully staffed during staffing crisis. Successfully navigated COVID outbreak with minimal spread, zero deaths or hospitalization. Successfully navigated three annual surveys and one life safety survey with zero.
• Responsible for total operations of 5 group homes
• Operated below budget
• Maintained employee retention

Lincolnwood, IL, US

• Integral part of facility transition from facility of focus to regular licensure. Successfully navigated COVID outbreak with minimal spread and hospitalization and zero death.
• Assist administrator with day-to-day operations
• Oversight of non-clinical departments
• Planning, developing, organizing, implementing, evaluating, and directing of human resources department
• Union relations

• Integral part of facility transition of licensure from long term intermediate care facility to specialized mental health rehabilitation facility. Transformed the relationship between management and union staff.
• Assist administrator in overall operation
• Human resource duties end-to-end
• Development of policy and procedure
• Oversite of non-clinical management
• Responsible for financials

US

• Successfully aided two large senior home corporation to establish internal human resource departments. Responsible for all financial allocations of benefit funds.
• Serve as single point of contact for benefits administration for a 2500 employee, 20 location senior living facility franchise.
• Devise benefits guides, forms and communications for each facility
• Prepare invoices for bills paid by the senior living corporate location
• Aid client in the development of internal benefits department

Towson, Maryland, US

• Successful execution of total operations management including building clientele, retaining staff, and financial oversight.
• Serve as interim management during owner leave of absence
• Responsible for operations management for home health agency including financial integrity
• Manage 25 employees

• Integral part of opening new facility including developing processes and systems for operation of nursing department. Lead project management team to successfully complete integration of new processes.
• Management of 45 caregivers
• Management of department purchasing and inventory
• Management of department budgeting
• Management of charts and documentation
• Development and training

Kankakee, IL, US

• Integral part of opening new geriatric/psychiatric unit including developing processes and systems for business.
• Management of office functions and creating filing and documentation systems of the unit
• Serve as liaison between unit and physicians, hospitals, labs and other units
• Equally worked in Behavioral Health unit
• Management of charts, admission/discharge arrangements and paperwork
• Monitoring of milieu

• Specialized in Medicare reimbursement. Successfully decreased aging from 365+ to less than 30 days.
• Responsible for billing Medicare for lab services
• Calculate mileage to bill Medicare for phlebotomists drawing at facility site
• Code claims in preparation for submission
• Examine denials to determine situation
• Customer service to Medicare patients that have billing questions

• Specialized in Medicare reimbursement. Successfully collected information needed to increase reimbursement on aging claims.
• Responsible for post-service/pre-billing documentation
• Research medical records, lab reports, and sleep studies
• Communicate with providers

Toledo, Ohio, US

• Responsible for receptionist duties
• Provide support for all departments

Bloomfield, CT, US

• Specialized in Medicare reimbursement processes. Developed and executed a Medicare Secondary Payor program to recover lost funds incorrectly paid, including training materials and training of new department.
• Responsible for reviewing and determining the outcome of medical appeals
• Adhere to state/federal laws, benefits booklets, corporate guidelinesCorrespondence Specialist – Senior Associate
• Responsible for reviewing documentation submitted by membersHospital Claim Specialist – Senior Associate
• Responsible for hospital claim processingClaim Specialist Tier 2 – Associate
• Responsible for non-facility higher level claim processingClaim Specialist Tier 1 _ Associate

Bachelor Of Business Administration - Bba, Business Administration And Management, General

Associate'S Degree, Business Administration And Management, General

Certificate, Medical Insurance Specialist/Medical Biller

High School Diploma, General Studies