Natalie Lorenzin
Geneva
Summary
Passionate Specialized Needs Housing Advocate | Yogi | Empathetic Leader I Data-Driven Leader I Senior Living and Housing Management | Culture and Engagement Champion | Non-Profit and For-Profit Leader
Overview
10
10
years of professional experience
Work History
Reimbursement and Payroll Specialist
Silver Birch Living
09.2023 - 03.2024
- Reviewed Medicaid benefits eligibility for new and existing residents looking to obtain services through the Aged and Disabled Waiver program for 8 assisted living communities throughout the State of Indiana and 1 SLP in Illinois
- Facilitated AR meetings to ensure timely account audits, collections and reconciliation
- Assisted with the pending Medicaid Application process and follow-up on pending Admits, discharges and liability adjustment
- Monitored pending FSSA medical applications, redeterminations, MCO changes and spend down periods
- Maintained and reconciled resident ledgers, collections, charges, adjustments and write off balances
- Trained and educated team members and as it relates to Medicaid regulations, pre-approval process and general billing
- Processed corporate payroll and reconciliation
- Completed month-end close and tie-out
Specialized Reimbursement Manager
Pathway to Living
10.2018 - 08.2023
- Maintained strong knowledge of the Illinois, Wisconsin and Minnesota Medicaid programs for a multi-family senior living facilities corporation
- Worked with the Controller, property accountants, operations, community-based sales team and CFO to address and understand Medicaid admission requirements to help make census improvements and address billing requirements to resolve billing concerns
- Assisted Sales Director with gathering required documentation for resident assessments and move-ins to ensure seamless transition for residents
- Maintained professional relationships with Managed Care Organization liaisons, DHS and OIG case managers and analysts to make accurate determination of of medical benefits
- Created and implemented system reports on the details of the Medicaid portfolio
- Developed comprehensive training materials for new hires, resulting in a more efficient onboarding process
- Identified AR backlog of over $3 million and created solutions to resolve significant roadblocks
- Hired and trained an Accounts Receivable manager and led a team of two billing specialists and two AR clerks to construct a corrective action plan that included focused education
- Worked with 8 insurance companies on claims follow-up to identify reimbursement issues and delays and created ACH payment processes for Medicaid payments which increased deposits by $5 million
- Worked with banks on consolidating accounts to improve deposit posting
- Conducted regular audits of reimbursement activities, identifying areas for improvement and implementing corrective actions as needed
- Coordinate and request CCU screenings for new and existing residents to access determination of needs score
- Develop improved controls for monitoring and supervision of documentation upload into systems
Medicaid Manager
Pathway Senior Living
05.2014 - 09.2018
- Assist staff with difficult admission decisions at 13 SLP communities which was crucial for Medicaid pending with unclear approval outcomes.
- Motivated employees to be productive and engaged in work.
- Maintained professional relationships with Managed Care Organization liaisons, DHS and OIG case managers and analysts to make accurate determination of of medical benefits
- Worked closely with families, guardians, elder law attorneys and local Ombudsmen prior to and upon move-in to apply for financial assistance and to navigate through the arduous application process and thereafter
- Provided guidance and ongoing support to resident's and families on Medicaid benefits, coverage limits and renewal process
- Investigate and resolve discrepancies and issues related to Medicaid eligibility, benefits, claims and appeals
Education
AA General Studies -
Wilbur Wright College
Chicago11-2022
Skills
- Exceptionally organized
- Analytical skills
- Financial reports
- Internal controls
- Forecasting
- Research support
- Policy adherence
- Customer service
- Decision-making
Timeline
Reimbursement and Payroll Specialist
Silver Birch Living
09.2023 - 03.2024
Specialized Reimbursement Manager
Pathway to Living
10.2018 - 08.2023
Medicaid Manager
Pathway Senior Living
05.2014 - 09.2018
AA General Studies -
Wilbur Wright College
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