LBrown

5/11/2011
Columbia, SC

Position Desired

Healthcare Management
Columbia, SC
Yes

Resume

LAUREN D. BROWN
1151 DAIRY ROAD
RIDGE SPRING, SC 29129
(803)-617-9881

01/09-PRESENT Wildewood Downs Nursing & Rehabilitation Center, Columbia, SC (803)-788-5115

TITLE: Reimbursement and Accounts Manager

DUTIES: Responsible for managing the daily operations of billing and collections, including resolution of billing issues.
Reconciling monthly billing, payment and collections. Assist with yearly Medicare cost report. Comply with
Federal and State agency regulations. Execute all monthly billing to include SNF, Assisted Living, Life Scenes,
and Long Term Care units. Attend daily department head meeting. Verify insurance and funds for all potential admissions. Posting of monthly revenue. Implemented new billing software, training and set-up. Maintain accurate accounting, coding of all billing including ancillary revenue. Resident funds as well as In house workers compensation claims. Assist with interviewing of new employees and process back-ground reference checks, maintain personnel files. Counsel employees with questions and problems. Notary.

04/07-12/08 Saluda Nursing Center, Saluda, SC (864)-445-2146

TITLE: Accounts Receivable Representative/Part Time

DUTIES: Audit accounts for proper billing practices, review aging reports, implement new A/R Business Office procedures. Medicare, Medicaid, & Private Long Term Care insurance billing. Posting of daily revenue. Reconcile monthly cash receipts. Meet with families to resolve account disputes. Verify insurance coverage for potential admissions. Maintain monthly excel spread sheet for Medicare bad dept logs for past and present fiscal year. Follow up with the Department of Health and Human Services for pending Medicaid applications. Use PC-Pro for Medicare part A & B claims processing.

06/05-03/07 Genesis Health Care, Kennett Square, PA (215) 247-0934

TITLE: Regional Medicaid Eligibility Specialist

DUTIES: Initially hired as bookkeeper to process and maintain all payroll functions, benefits and accounts payables for Mercerville Center. Promoted to Business Office Manager in September of 2005. Responsible for overseeing daily business office operations to include meeting with families, accounts receivable, Medicare electronic billing, private, and third party claims processing, etc. Maintain close contact with the county Board of Social Services for the follow up of and timely process of pending Medicaid applications. Promoted to Regional Medicaid Eligibility Specialist effective January 2006. Responsible to oversee ten of Genesis Health Care nursing facilities located throughout New Jersey and Pennsylvania. Primary duty to ensure that all business office staff understood the process of the Medicaid application process and obtained the grant within a timely manner. Liaison between the county Board of Social Services and the pending Medicaid applicants.

10/02 - 03/05 Hubco Health Care Group, Pennington, NJ (609) 730-1980

TITLE: Billing Consultant/Supervisor

DUTIES: As a billing consultant/supervisor was responsible for but not limited to: Set up weekly schedule for accounts receivable department and oversee employees for various contracted account...

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