Looking for a job

Stanley Baptiste

@stanleybaptiste

Message

I manage Medicaid claims, compliance, reimbursements, and billing teams across healthcare organizations.

United States

Message

What I'm looking for

I'm looking to lead claims, billing, compliance, or financial operations where I can improve reimbursement accuracy, reduce denials, train teams, and strengthen Medicaid program compliance.

At New Horizons Community Mental Health Center, I manage more than $5 million in annual Medicaid claims, improve verification and authorization workflows, and reduce denials through accurate documentation and compliance oversight.

I've led billing teams and managed Medicaid, Medicare, and commercial insurance claims across long-term care and healthcare organizations, recovering unpaid claims, improving reimbursement, training staff, and strengthening billing accuracy.

Experience

Work history, roles, and key accomplishments

Current

Financial Analyst Manager

Current

New Horizons Community Mental Health Center, Inc.

Aug 2021 - Present (5 years 1 month)

Manage Medicaid claims, documentation, and billing, ensuring compliance with Medicaid’s Administrative Claiming and Fee-for-Service Claiming Programs. Oversee the Medicaid billing system and manage patient financial responsibility and documentation.

Medicaid Claims Billing Compliance Training Claims Processing Documentation Audit Reimbursement Crisis Intervention

Business Manager

Life Care Center at Inverrary

Aug 2018 - Aug 2021 (3 years)

Managed billing and collections for Medicaid, Medicare, and private insurance in a long-term care setting. Led a team of billing specialists, improving billing cycle efficiency and reducing accounts receivable aging.

Medicaid Medicare Billing Collections Claims Submission Compliance Team Leadership Training Financial Data Management Reconciliations Audit

Medical Biller/Collector

MEDNAX

May 2016 - Aug 2018 (2 years 3 months)

Processed Medicaid claims and appeals, ensuring compliance with payer requirements and Medicaid regulations. Collaborated with internal teams and insurance payers to resolve unpaid or denied Medicaid claims.

Medicaid Claims Appeals Compliance Claims Processing Communication Skills Verification Documentation

Medical Insurance Collector

Sunshine Health

Jan 2016 - May 2016 (4 months)

Processed Medicaid claims and appeals while ensuring adherence to state and federal Medicaid guidelines. Monitored and documented payer communications and claim follow-ups.

Medicaid Claims Appeals Compliance Claims Processing Documentation Communication Skills

Biller/Collector Manager

Univita Healthcare

Jun 2011 - Nov 2015 (4 years 5 months)

Managed Medicaid billing processes, including claims review, submission, and reconciliation. Led a team of billers in reducing the overall claims rejection rate through enhanced training and audit processes.