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4502 Denver Court Indianapolis, Indiana 46241PHONE NUMBER AVAILABLE EMAIL AVAILABLEProven AbilitiesCommunicate effectively with customers (patients) and employees.Plan and organize department development.Conceive original solutions to problems.Maintain high concern for professional ethics and integrity with employees.Maximize reimbursement from governmental and third-party payers.Maximize accounts receivable collections.Software: Microsoft Office, Excel, and Word.Billing systems implementation.Professional ExperienceINDEPENDENT CONSULTANT, various states, including Indiana 04/05- presentThe primary purpose of my consulting was to assist in planning, developing, organizing, implementing, evaluating, and directing the administrative office Policies and Procedures in accordance with current federal, state and local standards, guidelines, and regulations and, as directed by the Administrator, to assure that proper administrative procedures are maintained at all times.Recruitment and fulfillment of various private contracts with emphasis on accuracy and collection of Accounts Receivable.Provided expertise and training in healthcare accounting for numerous facilities.Enhanced billing and collection efforts, resulting in favorable reductions in Accounts Receivable.Assisted management with recommendations for billing software for Business Office use.Development and implementation of Policy and Procedures for Business Office.Training of Business Office personnel to ensure the staff is competent in collections, accounts receivable, accounts payable, payroll, resident trust and cash management.Effectively, professionally, and in a timely manner conducted quality assurance audits of all assigned facilities.Knowledge of all pertinent federal, state, and intermediary rules and regulations.To support the Regional Vice President of Operations, Facility Administration, and Regional Controller in identifying and resolving issues related to the Facility Business Office.To communicate with administrators, RVPs and corporate staff on issues identified.HEALTH SERVICES MANAGEMENT GROUP, LLC, Cleveland, Tennessee 08/08-05/09Field Controller: Supervised all business office staff and medical billing department in six facilities. Interviewed and assisted in hiring business office managers.Implemented a business office orientation program consisting of training policies and procedures, as well as specific job duties.Set up a cross-training program for all business office staff.Developed an audit tool consisting of a scorecard system to assist administrators in evaluating business office staff and admissions personnel.Developed a continuing process improvement, initiatives, and Standardized Accounting Best Practices, including work flow, operating procedures, decision rules, and processing tools.Implemented policies and procedures to enhanceProductivity, collections, and accuracy of accounts receivablesEfficiency of reconciling items concerning accounts receivable, resident trust, and other functions of the business office system.Facilitated medical appeals process with Medicare, insurance carriers, and managed care organizations.Managed care reimbursement at maximum rates.Reconciled financial operation of six facilities.Coordinated with VCPI and American Health Tech to successfully establish electronic filing of Medicaid claims for the state of Virginia.Worked in conjunction with American Health Tech project managers to complete system audits (clinical and business office systems / billing), to assist in analyzing and identifying solutions through working knowledge of data management.Developed and implemented interdepartmental process improvements to utilize American Health Tech software to fullest capabilities.Developed and implemented the Ancillary Tracking Module in two facilities.Performed timely audits to eradicate billing errors.Resolved complex claims issues in a timely manner.Liaison between American Health Tech System and all facilities with system concerns.Made all decisions as to what accounts would be sent to collection attorney and action taken to resolve collection issues.HEALTHPRIME / ALTACARE CORPORATION, Alpharetta, Georgia 08/99-04/05Regional Director of Finance: Oversaw business office operations of 12 facilities. Trained and developed staff. Responsible for Medicare and Medicaid reimbursement issues, third-party collection, and credit and collection as well as Business Office operations, including ongoing training and development of all business office staff. Assisted facilities in meeting compliance for both federal and state regulations. Assisted in transition from Achieve to American Health Tech computer system.Reduced outstanding accounts receivables by 42%, and outstanding credit balances by 55%.Successfully completed Medicaid and Medicare audits.Reduced Days Outstanding average from 88 to 42.EducationIHCA Administrator Licensing Course - 200 hours.NHA License (Indiana): 01/99.Bachelor of Business Administration: Highlands University, Las Vegas, Nevada.Continuing EducationAdministrator in Training programBenefits Administration / Wage and Hour trainingMultiple seminars on Medicare, Medicaid ReimbursementOIG Corporate ComplianceHIPAA ComplianceSeminars and workshops on following subjects:CPT Coding HCFA 1500ICD-9 Coding UB-04Management skills HCPCS