Flor DeMaria Aguirre
Los Angeles
Summary
Twenty-five years of office experience, Including Skilled Nursing, Hospice and Palliative care
Capable of handling a wide range of Administrative functions and responsibilities. Organized, self starter, Work effectively in a fast-paced environment. Maintain professionalism at all times and use discretion when handling confidential data. Competent, People person, dependable, flexible with great verbal and communication skills in English and Spanish.
Overview
25
25
years of professional experience
Work History
Businesss Office Manager
Reliant Management
2024.05 - Current
- Updated reports, managed accounts, and generated reports for company database.
- Managed financial operations
- Billing and collections, ensuring accuracy of charges, claims, statements and invoices.
- Timely invoice processing.
- Resolved financial discrepancies and customer billing issues with timely attention.
- Help residents and family by addressing inquiries promptly and resolving issues professionally.
- Timely processing of Medi-cal applications and Re-determination application as needed.
- Handle financial needs for residents, Rep Payee application, Trust Acct, disbursement of funds as requested by resident.
Reginal Business Office Manager
Reliant Management
2023.10 - Current
- Responsible for overseeing operations for four Skilled Nursing Facilities
- Develop and implement training as needed for new and current Office mangers
- Responsible for oversees the performance and productivity of four SNF and the Business office employees
- Ensure all pending balances for Medical, Medi-cal bed hold, CCI, CCI bed hold Private, SOC, and Hospice on the aging are being worked (collected or justified)
- Ensure that all facilities Resident Trust Reconsolidation are submitted timely
- Ensure all replenishments are done timely (weekly)
- Ensure all Medi-cal applications and Re-determinations are submitted and followed up timely
- Rep. Payee applications submitted to SSA as needed for all facility
- Answer inquiries from doctors, patients and insurance companies
- Ensure all Medi-cal, including submitting TARs, and billing them ones approved
- Ensure All CCI (manage Medi-cal) Including Billing, Follow-ups, obtaining authorization and reauthorization
- Support BOM in facilities with task and Job description as needed
- Ensure that Month End Process is complete and accurate
Hospice Supervisor
All Seasons Hospice & Palliative Care
2018.03 - 2022.09
- Manage a team of billing specialists and provide leadership and support as needed
- Oversee the billing process and ensure accurate and timely billing to Medicare, Medi-cal, HMO companies and Private Vendors
- Review and analyze billing data to identify trends and areas for improvement
- Respond to billing inquiries and resolve billing issues as needed
- Ensure all pending balances for Medical, Medi-cal, Manage Care, Private, SOC on the aging were being worked (collected or justified)
- Answer customer and family billing inquiries.
Business Office Assistant
Skyline Healthcare and Wellness Center
2013.09 - 2018.03
- Responsible for all Medi-cal, including TAR, Billing, Medi-Cal initial Applications, Medi-Cal Redetermination application and follow-up
- Responsible for All CCI (manage Medi-cal) Including Billing, Follow-ups, obtaining authorization and reauthorization
- Ensure all pending balances for Medical, Medi-cal bed hold, CCI, CCI bed hold Private, SOC, and Hospice on the aging are being worked (collected or justified)
- Ensure that RFMS Account (residents funds) is in good standing for Example All SOC are being deducted in a timely manner and posted to cash receipt and All deposits and withdraws done and submitted on time
- Responsible for cashing Petty Cash check, balancing and turning it over to BOM
- Responsible for Rep
- Payee applications and completing the process including completing the Rep Payee annual report
- Responsible for mailing monthly Resident Acct Statements to resp
- Party
- Answer inquiries from doctors, patients and insurance companies
- Answer customer and family billing inquiries
- Assist the BOM with task as requested.
Business Office Assistant
Centinela Healthcare and Wellness Center
2012.04 - 2013.07
- Responsible for Census (Manual Room Census and Grid)
- Ensure all Census changes are made and in AHT System
- Ensure Medicare days are accurate
- Responsible for Medical- including TAR's, collecting all medical records and submitting them to Medi-cal, insure all TARs are approved and billed
- Weekly Medi-cal billing -making sure all claims are appropriately coded to Ensure timely payment
- Answer billing questions for Doctor offices and Health plans
- Assisting in making sure all admission forms were sign in a timely matter
- Ensure that resident with Trust Account receive their monthly allowance, as requested by the resident
- Making daily bank deposits, and withdraws as needed.
Pharmacy Technician/Customer Relations
Mini Pharmacy
2006.02 - 2009.05
- Call Center Agent-answer calls and problem solving for patient ordering medication/medical supplies
- Providing our customers with the extraordinary customer service
- Assist Refill supervisor in clerical duties
- Process all Auto refill request (print, prepare & fax) Follow up on all refill requests; enter all approved refill in fsi system
- Collect payment on all insurance High copay/deductibles Process and Follow-up on Medi-Cal e-TAR's, correct and re submit all defer TAR's.
Pharmacy Tech. Student Externship
Walgreen's Pharmacy
2005.05 - 2005.07
- Input RX in system, Fill RX, Stock and other duties as assign by Pharmacist.
Business Office Assistant
Country Villa Lynwood Nursing Center
2003.12 - 2004.05
- Payroll-input
- Correcting hours in Timekeeper, documenting vacations and sick hours for employees, inputting new employees and making changes as needed in EFM (employee file maintenance), coordinating employee benefits after three months probationary period
- Accounts Payables-Insuring all facility bills are paid in timely manner
- Reviewing all invoices for proper billing
- Daily Census-Inputting new admits, and calculating manual census
- Completing TAR's (treatment Authorization request) Filling Office documents including MediCal LTC Applications and Re-Determinations applications For MediCal
- Making daily bank deposits and inputting in daily collection log.
Business Office Assistant
Country Villa Wilshire Nursing Center
1999.08 - 2003.12
- Receptionist-Answering Phones, greeting patients and visitors, taking messages and other related duties
- Payroll-input
- Correcting hours in Timekeeper, documenting vacations and sick hours for employees, inputting new employees and making changes as needed in EFM (employee file maintenance), coordinating employee benefits after three months probationary period
- Accounts Payables-Insuring all facility bills are paid in timely manner
- Reviewing all invoices for proper billing
- Daily Census-Inputting new admits, and calculating manual census
- Completing TAR's (treatment Authorization request) Filling Office documents including MediCal LTC Applications and Re-Determinations applications For MediCal
- Making daily bank deposits and inputting in daily collection log.
Education
Other - Pharmacy Technician -
East L.A Occupational Center
Los Angeles, CAHIPAA: The Basics -
Skyline Healthcare and Wellness center
Fire Safety: The Basics -
Skyline Healthcare and Wellness center
Associate of Arts - General Studies
LA Trade College
Los Angeles, CASkills
- Microsoft Word and Microsoft Excel
- Insurance Verification (Medicare, Medi-cal, HMO, and Private Insurance)
- Familiar with AS400 (data entry) and Kronos
- Operate databases and medical billing software for Example: AHT, Office Ally, Brightree, PCC and Medi-Cal
- Process insurance claim forms
- Coordinate invoicing for Private, SOC and Hospice Care
References
References Furnished upon request
Timeline
Businesss Office Manager
Reliant Management
2024.05 - Current
Reginal Business Office Manager
Reliant Management
2023.10 - Current
Hospice Supervisor
All Seasons Hospice & Palliative Care
2018.03 - 2022.09
Business Office Assistant
Skyline Healthcare and Wellness Center
2013.09 - 2018.03
Business Office Assistant
Centinela Healthcare and Wellness Center
2012.04 - 2013.07
Pharmacy Technician/Customer Relations
Mini Pharmacy
2006.02 - 2009.05
Pharmacy Tech. Student Externship
Walgreen's Pharmacy
2005.05 - 2005.07
Business Office Assistant
Country Villa Lynwood Nursing Center
2003.12 - 2004.05
Business Office Assistant
Country Villa Wilshire Nursing Center
1999.08 - 2003.12
Other - Pharmacy Technician -
East L.A Occupational Center
HIPAA: The Basics -
Skyline Healthcare and Wellness center
Fire Safety: The Basics -
Skyline Healthcare and Wellness center
Associate of Arts - General Studies
LA Trade College
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