ERLYNN GRACE S. DELA CRUZ

• NewGen Administrative Services had about 49 Facilities upon my hire date to now 60 Facilities and continues to grow in size
• Support Resource/Interim AR Consultant/Ops Support to Business Office Managers, Business Office Assistants, AR Consultants & fellow Business Office Manager Floaters/Regional BOMs/Interim AR Consultants for SNF, TRC, ALF, IMD, MHRC & ODR
• Special Projects (2 to 4 faciities monthly): Analyzed financial data to identify trends and discrepancies in accounts receivable, ensuring timely reimbursements.
• Identify accounts appropriate for Vertex Asset Searches, Collection Agency Referrals &/or Attorney Referrals to resolve Private & Hospice Accounts
• Assisted in submitting & follow up of Medi-Cal TAR Pending, CCI/Managed Medi-Cal Auth Pendings, Managed Care A & B Auth Pendings
• Batching of Claims for approved & denied LTC auth & Managed Care A&B auth
• Prepared monthly & weekly reports summarizing accounts receivable aging & facility business office staff training for executive review.
• Collaborated across departments (from Facility Teams, CBO Team, RCM Support & RCM Management Leaders) to develop strategies for operational efficiency.
• Coordinated activities related to accounts receivable collections, billing coding, and customer service.
• Maintained compliance with federal & state regulations including HIPAA, Medi-Cal, Medicare, LA County & Orange County.
• Proficient in Title XXII
• Managed a team as Interim AR Consultant from July 2025 thru part of December 2025 for seven business office staff in the Orange County, CA regional business offices (with 4 BOMs & 3 BOAs), overseeing hiring, training, and evaluations.

• Managed daily, weekly & monthly operations for skilled nursing facility, ensuring efficiency and compliance.
• Processed patient admissions agreement packets, maintaining accurate records to support seamless transitions & compliance.
• Hands-On billing and follow ups of insurance & hospice claims and private pay accounts optimizing revenue cycle management & ensuring timely reimbursements for facility's financial health & cash flow.
• Liaised interdepartmental communication to enhance workflows and collaboration providing excellent customer service for Residents & their families.
• Trained two admissions directors and one business development director on office protocols.
• Monitored accounts receivable, advising on delinquencies and irregularities for corrective action.
• Handled confidential information according to established protocols, ensuring data integrity.
• Resolved customer complaints promptly while upholding high standards of service.
• Beginning DSO of 88 upon hire to low 40s when I resigned.
• Ranked #9 as Top Performer in September 2023 out of 49 SNFs company-wide and Ranked #5 for April 2024 & May 2024

• Oversaw daily, weekly, and monthly operations of business office at skilled nursing facility.
• Executed billing collections and follow-ups for Medicare A & B HMO/PPO and Medi-Cal accounts.
• Conducted daily Zoom and in-person training sessions on updated company systems and policies.
• Participated in two-month pilot to transition from centralized to decentralized billing processes.
• Managed audits, deposits, withdrawals, and reconciliations of resident trust accounts.
• Trained fellow business office manager at sister facility in operational best practices.
• Issued NOMNC and SNF ABN for Medicare Part A residents.
• Executed semi-monthly eligibility reviews for Medicare and Medi-Cal.
• Finished & Recognized as one of the top performers after our First Month End Close for June 2021

Client: Country Villa Rehabilitation Center in Los Angeles, CA (182-Bed Skilled Nursing Facility with Subacute Unit)

• Billing & Collections for Managed Care & Managed Medi-Cal with beginning DSO at 49 & decreased to low 20s upon resignation
• Completed Special projects for Kaiser Permanente Pharmacy Exclusions with corrected charge code from 0259 to 0636
• Executed special projects for processing credits and refunds

• SNF Billing & Collections for 300-Bed facility for Managed Care, Anthem Blue Cross Medi-Cal & Hospice accounts
• TAR Submissions & Follow Ups
• Insurance Verifications on Part B Services
• Verify Bedhold Consents with Residents/Responsible Parties the morning after Transfer Out to acute hospital
• Processed adjustments, issued refunds, and executed write-offs for billing discrepancies.

• Managed SNF billing and collections for 172-bed building with TCU unit, focusing on Medicare, private, and hospice accounts
• Mentored and supervised 2 business office assistants and 2 receptionists to enhance team capabilities
• Achieved 100%+ monthly collections for 10 out of 12 months while minimizing bad debt
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• CPartial SNF Billing & Collections for 59-Bed Facility with CBO Biller
• Partial Admissions duties but not limited to Insurance Verifications upon receipt of Referrals and Sign In Residents/Responsible Party with completion of Admission Agreement
• TAR Submissions & Follow Ups
• Recorded cash receipts to maintain updated financial records
• Daily Census, Stand Up Meetings, Weekly PPS & Monthly Triple Check
• Semi-Monthly Eligibility run & review of Medicare CWF & Medi-Cal Certs

• SNF Billing & Collections for a 99-Bed building with primary accounts Managed Care & Skilled Managed Medi-Cal
• Conducted daily census and insurance verifications to maintain accurate patient records and streamline billing.
• Weekly PPS & Monthly Triple Check
• Managed claims appeals process to resolve disputes and secure reimbursements.
• Reviewed accounts receivable to ensure timely collections and minimize outstanding balances.