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Click here or scroll down to respond to this candidateCandidate's Name PHONE NUMBER AVAILABLEWORKEXPERIENCEHarborview SatillaExecutive Director 3/2023- CurrentOversee the day-to-day operation of the facility and review organizational performance.Glenwood Healthcare 3/2022-9/2022Nursing Home AdministratorOversee the day-to-day operation of the facility and review organizational performance.Ensure nursing services, social service programs, activity programs, food service programs and medical services are planned, implemented and evaluated to meet resident needs and maximize resident quality of life and care.Oversee that residents receive care in a manner and in an environment that maintains or enhances their quality of life without abridging the safety and rights of other residents.Assist in the recruitment and selection of competent department directors, supervisors, consultants and other auxiliary personnel.Maintain written job descriptions for each staff position in accordance with the Americans With Disabilities Act, OSHA, and other pertinent laws governing job positions.Ensure resident funds being maintained by the facility are managed in accordance with current federal and state regulations and that appropriate accounting records are maintainedEducate staff/residents/families/responsible parties and other key groups in regards to interpretation of facility policies and procedures and compliance with regulatory requirements.Ensure adequate facility representation in dealings with outside agencies, including governmental agencies and third-party payers.Develop leadership skills of management team and key staff.Make routine inspections of the facility to assure that established policies and procedures are being followed.Maintain an adequate liaison with families and residents.Candler HospitalAssistant Nursing Home Administrator 2021-2022Responsible for assisting the Director of Post-Acute in the daily operation of the Transitional Care Unit. Utilize resources effectively and efficiently, to attain and maintain the highest level of care for TCU patients, in accordance with regulatory standards. Ensures that nursing services are planned, implemented, and evaluated to maximize patient quality of life and quality of care with the integration of patient rights with all aspects of patient care.Works closely with Physicians treating patients on TCU and the PPS Coordinator to ensure completion of required documentation to support services provided to patients.Assists the Director for Post-Acute to ensure that the unit complies with applicable federal, state, and local standards and regulationsAssists in the coordination and the development and evaluation with the health care team for patient care goals and policies to assure that adequate resources, environments, and services are providedWorks with the Director of Post-Acute to ensure that personnel are present in number and ability to attain or maintain the highest practicable level of physical, mental, and psychosocial well-being for each patient that meets the state and federal regulationsAssists in the development, implementation, and evaluation of fire, emergency and disaster plans to protect the safety and welfare of patients, staff, and propertyObserves, monitors, and evaluates outcomes of TCU specific programs, policies and procedures to ensure effectiveness and to fulfill administrative and professional responsibility.Trubridge Billing Company 2020-2021Billing SpecialistEnsure accurate billing and collections of patient accounts amongst various insurance and state/federal insurance programs in accordance with accreditation standards, federal, state and local regulations, organizational and departmental policies and procedures. Responsible for the billing of Medicare/Medicaid and all other insurances for the nursing home. Posting payments to the proper accounts once insurances pay claims.Coastal Manor Nursing HomeResident Accounts / Billing Coordinator 2008-20152016-2020Ensure accurate billing and collections of patient accounts amongst various insurance and state/federal insurance programs in accordance with accreditation standards, federal, state and local regulations, organizational and departmental policies and procedures. Responsible for the billing of Medicare/Medicaid claims, coordinate approval process for all new nursing home Medicaid applicants. Responsible for admissions to the facility and discharges when needed. Responsible for keeping accurate records of residents trust and liability accounts, confirming payment source information on residents with insurance and state/federal insurance programs or third-party insurance.Prepare and patients accurate billing statements, adhering to timeliness standardsAssist in evaluating patients financial status and devise payment plansFollow up on delinquent accounts and ensure payments where possibleMaintain payment status and billing recordsPerform data entry activities, claim denials, payments, patient daily deposit activitiesPrepare and manage reports and perform analysis of billing documentsTrack and resolve billing discrepancies, collection actionsActivate and deactivate patients accounts upon requestVerify patients insurance coverageOperate and audit medical billing systems and software to post chargesLiberty Regional Medical CenterFinancial Counselor/Patient Account Representative 2015-2016Responsible for collecting copayments from patients seen in the emergency room department. Answering phones, setting up payment plans. Filing the proper paperwork when necessary for third party payments. Assisting the registration department when necessary. Assisting with indigent applications processes. Ensure accurate billing and collections of patient accounts amongst various insurance and state/federal insurance programs in accordance with accreditation standards, federal, state and local regulations, organizational and departmental policies and procedures. Responsible for the billing of Medicare/Medicaid claims, coordinated approval process for all new applicants.Prepare and patients accurate billing statements, adhering to timeliness standardsAssist in evaluating patients financial status and devise payment plansFollow up on delinquent accounts and ensure payments where possibleMaintain payment status and billing recordsPerform data entry activities, claim denials, payments, patient daily deposit activitiesPrepare and manage reports and perform analysis of billing documentsTrack and resolve billing discrepancies, collection actionsActivate and deactivate patients accounts upon requestVerify patients insurance coverageOperate and audit medical billing systems and software to post chargesKey skills include:Office 365 (Microsoft Word, Excel and Power point)Certification for Microsoft Word Application ProfessionalCertification for Administrative Support AssistantKnowledge of HIPAA privacyEducation BA, General Studies with concentration in Human Resources Management 2020Southern New Hampshire University, Manchester, NHGeorgia Nursing Home Administrator License - NHA006042 |
