Provides quarterly, semi-annual, and annual budget projections for various cost centers in BGE and prepares the 5 year financial planning process, as well as the annual merit and budgeting process as it affects those in BGE central.
November 30, 2022
Monitors, reviews and reports progress on departmental budgets and forecasts during the budget cycle for completeness, accuracy in accounting allocations and highlighting departments deviating from agreed targets.
December 10, 2022
Reviewing all correspondences received in response to initial claims billing/appeal submissions and taking appropriate action with the insurance carriers.
January 12, 2023
Communicates final case determinations in writing and by telephone providing complete and accurate information using appropriate templates per department and regulatory guidelines.
February 28, 2023
Manages all ongoing credentialing monitoring activities and fulfills all reporting responsibilities required for maintaining strong health plan relationships and successful credentialing delegation agreements.
March 08, 2023
Works closely with program directors (faculty), administrators, grants managers, program coordinators, and BGE central staff in performing monthly analysis of account spending activities according to the BAR reports.
April 03, 2023
Supports plan-level, and departmental strategies and goals by effectively applying both business knowledge and technical expertise to support business initiatives and solve business problems.
April 22, 2023
Maintains compliance with established policies and procedures of the Department of Health, JCAHO, OSHA, CDC, AAMI, AORN standards, and Original Equipment Manufacturer (OEM) Instructions for Use (IFUs).
April 23, 2023
Assists with the reconciliation and billing of resident accounts, Medicare, Medicaid, Hospice, and Managed Care Organizations as a centralized billing office supporting 11 skilled nursing facilities in multiple states.
May 18, 2023
Participates as needed in various UM or QI committees and work groups convened to improve process and/or health outcomes, and contributes meaningful detail, based on functional knowledge.
May 20, 2023