Hailey Davies

Prepared and submitted bills electronically or by paper, managing the entire billing process including accurate and timely bill creation, follow-up, and correspondence with providers and insurance inquiries. Utilized technology to manage clearinghouse or payor accept/reject submissions and reports, ensuring reimbursement through efficient, accurate, and timely billing for effective accounts receiv

Managed insurance verification and authorization for Skilled Nursing Facility Inpatient Stays, Outpatient, and Inpatient Therapy Services, ensuring monthly, quarterly, and annual cash goals were met. Maintained accurate demographics, insurance information, and payer tree setup in PointClick Care, processing and posting daily deposits and ancillary/adjustment batches.

Oversaw accurate processing of all AP, Payroll, AR, and business office functions for multiple entities including Skilled Nursing, Assisted Living, and thrift stores. Managed cash flow, worked with department heads for accurate monthly financials, and maintained the general ledger and chart of accounts.

Ensured appropriate and timely billing and collections of monthly claims for Medicare A & B, Managed Care, Medicaid, Hospice, and Private Collections. Supervised and assisted the Business Office Assistant with Medicaid Application and Resident Trust Fund processes, working closely with peers to ensure compliance with state and federal regulations.

Prepared daily census and cash postings, conducted weekly Medicare meetings, and managed trust account procedures. Handled monthly triple checks for Medicare, Medicaid, Managed Medicaid, HMO, and Coinsurance billing and follow-up, including Medicaid and private account reimbursable bad debt processing.

Performed all regular business office functions and duties, including P&L reporting, financial forecasting, and planning. Supervised business office staff, handled hiring and training, and created/implemented employee action plans.

Directly responsible for business office operations and billing for 8 Skilled Nursing Facilities, 2 Home Health Agencies, 3 Hospice Providers, and 2 Outpatient Rehabilitation Facilities. Also managed bookkeeping and accounting functions for 3 area businesses and tax preparation during tax season.

Completed a Bachelor of Science in Business Administration. Focused on core business principles and management strategies.

Obtained a High School Diploma from Port Charlotte High School. Completed general studies.