Nichole Sullivan

Accounts Receivable Specialist 3 (06/26/2006 – Present)

-Over 10 years experience in the healthcare industry, including clerical and administrative -5 years experience billing Medicaid room and board and coinsurance -Detailed understanding of health insurance plans including eligibility requirements and pre-authorization processes -Excellent understanding of Microsoft programs including Excel, Word, Outlook, and PowerPoint -Broad knowledge regarding utilization of As400 and Mainframe -Strong communication skills and very team-oriented -Self-starter, professional, organized, fast learner

Last Employer: Golden Living

Contact Person: Jennifer Brown

Responsibilities: -Bill Mediciad room and board and coinsurance for six Massachusetts skilled nursing facilities -Post and reconciling remittance adivce payments within 3 days of receipt -Keep abreast of Medicaid pending residents and billing when approved -Work past due accounts to reach AR goals for each facility -Work cooperatively with facility to make sure necessary information is obtained for billing purposes -Update and maintain Deferral file for 16 Massachusetts facilities, inputing updates from the FBOC's and adding deferral dollars when appropriate -Sit in on deferral calls when manager is unable to attend -Act as team leader for Medicaid Department, initiating inservices when required, working projects designated by manager, Executive Director, etc.

Accomplishments: -Since being hired with Golden Living, I have received two promotions in 4 years time -I was instrumental in helping to organize the roll-out of Massachusetts new billing system, MMIS. I informed team member's and manager of upcoming changes, eLearning, etc. -I was given the opportunity to learn the deferral file and maintain notes, dollars, etc. I now am able to sit on the call when needed and make updates when necessary. -I organized an inservice for the Insurance staff teaching them how to use MMIS to check coding and MMQ for a resident.

Establishment: University of Phoenix

Degree: BAS in Health Administration

Speciality: Long-Term Care Concentration

Average Grade: GPA 3.75