Amber Gallese
Red Bluff,CA
Summary
Organized Business Office Manager with 5 years leading business operations in skilled nursing facilities. Expert in revenue cycle management, Medicare/Medicaid and commercial billing, census and payer mix oversight, and month-end close. Proven track record reducing DSO, improving cash collections, and maintaining audit-ready AR while ensuring regulatory compliance (CMS, HIPAA). Strong people leader who builds high-performing billing and admissions teams, partners closely with DON/Administrator, and drives accurate documentation, prebilling reviews, and clean claims. Adept at contract management, payer authorization workflows, and denial prevention/appeals. Advanced in PointClickCare and Microsoft Excel; data-driven, detail-oriented, and committed to resident-centered service and financial integrity.
Overview
7
7
years of professional experience
Work History
Business Office Manager
Chico Terrace Care Center
Chico, CA
11.2023 - Current
- Coordinated communication between departments, fostering collaboration to streamline workflow and address issues promptly.
- Analyzed financial reports to identify trends, facilitating data-driven decision-making for operational improvements.
- Resolved financial discrepancies and customer billing issues with timely attention.
- Oversaw daily office operations, ensuring compliance with regulatory standards and company policies.
- Run daily census, insurance eligibilities, and authorizations.
- Post ancillary charges monthly, non-covered services.
- Review credits and balances while posting remittance advices.
- Send monthly private statements and manage weekly collections activity.
- Reconcile resident trust petty cash.
- Reconcile bank statement weekly and ensure balances with batches in PCC.
- Attend PPS/UR/PDPM, capacity, Medi-Cal pending, and daily mini packet meetings.
- Run Triple check monthly
- NOMNC and ABN
- Medicare, HMO and Hospice monthly, Medi-cal weekly, collections currently at 101% for the 1st quarter in 2026.
Business Office Assistant
Autumn Creek
Chico, CA
01.2021 - 01.2023
- Supported billing operations, account review, insurance verification, and resident account follow-up.
- Assisted with payment posting, statements, and collections processes.
- Developed and maintained filing systems, improving document retrieval time and organization.
- Responded to inquiries from callers seeking information.
- Developed correspondence letters, memos, and emails.
- Reviewed invoices, payment requests, and expense reimbursements prior to approval.
Receptionist / Accounts Payable
Autumn Creek
03.2019 - 01.2021
- Managed front desk functions and supported accounts payable and administrative operations.
Education
Business Office Management -
Oroville Adult School
OrovilleSkills
- Independent workload management
- Accurate data entry and account review
- Secure handling of protected health information
- Web-based insurance and payer portal navigation
- Cross-functional coordination with clinical and administrative teams
- Strong written and phone communication
- Medicare Billing Medi-Cal Billing Commercial Insurance Billing Hospice Billing Private Pay Billing Eligibility Verification Prior Authorizations Remittance Posting Collections Resident Trust Reconciliation Census Reporting PCC Waystar Availity Noridian DHCS Ranger
Timeline
Business Office Manager
Chico Terrace Care Center
11.2023 - Current
Business Office Assistant
Autumn Creek
01.2021 - 01.2023
Receptionist / Accounts Payable
Autumn Creek
03.2019 - 01.2021
Business Office Management -
Oroville Adult School