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JANIS CAGLE
402 North Center
Gladewater, TX 75647
903-399-3835 cell
Janis_cagle@yahoo.com
CAREER OBJECTIVE
Seeking an employer who would like to add a self motivated, reliable employee whose proven skills will be of mutual
benefit.
SKILLS
I bring 29 years of LTC billing experience with me. Knowledgeable in all aspects of Medicare, Medicare
Advantage/Replacement, Medicaid, MCO, Hospice and HMO requirements for skilled nursing facilities. Certified DDE
operator, certified Train the Trainer for Quickcare (MDI Achieve) software. Proficient with MatrixCare, AHT and Add On
software programs. Proficient with TMHP, ESoultions, DDE, Simple LTC, Cigna, UHC, Superior and Amerigroup.
EMPLOYMENT HISTORY
May 2013- present
QRM-AR Manager
Duties include: all state and federal billing and collections for 4 LTC facilities and 1 AL facility. I oversee all functions of the
business office for each facility as well as train them on correct business office procedures.
May 2008-2013
LD Enterprises-Regional Financial Director
Duties include: overseeing Medicare billing and collections for 10 skilled nursing facilities, Medicaid, private, insurance
billing, trust fund audits, and MESAV audits for 10 facilities. Instruct BOMs on identifying problem accounts in all payer
classes. As well as how to solve an issue within the payer. Training all new BOMs on Quickcare
November 2007-May 2008
Sun Healthcare, Inc-Billing Specialist
Traveled to several states to fill in as business office manager, processed and worked old accounts. Responsible for all
activities of each office in each state, sometimes working two states at the same time.
June 2000-November 2007
Clairmont Longview –Business Office Manager
Responsible for all Medicare, Medicaid, Hospice, HMO, Private, Private Coinsurance billing and collections. Managed
resident trust fund and prepared for state audits. Balancing all month end reports. AR/AP coding. Tracked all Medicaid
tile assessment dates, 3618/3619’s processing, and all cash functions.
October 1999-June 2000
Gilmer Care Center-Business Office Manager
Responsible for all Medicare, Medicaid, Hospice, HMO, Private, Private Coinsurance billing and collections. Managed
resident trust fund and prepared for state audits. Balancing all month end reports. AR/AP coding. Tracked all Medicaid
tile assessment dates, 3618/3619’s processing, and all cash functions.
March 1996-October 1999
SunBridge for Gladewater-Business Office Manager
Responsible for all Medicare, Medicaid, Hospice, HMO, Private, Private Coinsurance billing and collections. Managed
resident trust fund and prepared for state audits. Balancing all month end reports. AR/AP coding. Tracked all Medicaid
tile assessment dates, 3618/3619’s processing, and all cash functions.
September 1993-March 1996
Diagnostic Clinic of Longview
Started as customer service representative and was promoted to business office manager of Kilgore office. Preformed all
manager duties for three physicians.
September 1992-September1993
Southview Nursing Center-Business Office Manager Responsible for all Medicaid, Hospice, HMO, Private, Private
Coinsurance billing and collections. Managed resident trust fund and prepared for state audits. Balancing all month end
reports. AR/AP coding. Tracked all Medicaid tile assessment dates, 3618 processing, and all cash functions.
August 1987-October 1989
SunBridge for Gladewater-CNA, Med Aide
Started as CNA then returned to school to become a med aide.
EDUCATION
June 2012-Certified Assisted Living Manager
March 2010-Recertified in DDE with Trailblazer Health
June 2009-Certified with MDI Achieve as Train the Trainer for Quickcare
September 1992- Certified in computer accounting by Avalon Vo-Tech
January 1988-Certified in Medication Administration from Kilgore Jr College
May 1983-Graduated Gladewater High School
References available upon request

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Janis cagle resume 2017

  • 1. JANIS CAGLE 402 North Center Gladewater, TX 75647 903-399-3835 cell Janis_cagle@yahoo.com CAREER OBJECTIVE Seeking an employer who would like to add a self motivated, reliable employee whose proven skills will be of mutual benefit. SKILLS I bring 29 years of LTC billing experience with me. Knowledgeable in all aspects of Medicare, Medicare Advantage/Replacement, Medicaid, MCO, Hospice and HMO requirements for skilled nursing facilities. Certified DDE operator, certified Train the Trainer for Quickcare (MDI Achieve) software. Proficient with MatrixCare, AHT and Add On software programs. Proficient with TMHP, ESoultions, DDE, Simple LTC, Cigna, UHC, Superior and Amerigroup. EMPLOYMENT HISTORY May 2013- present QRM-AR Manager Duties include: all state and federal billing and collections for 4 LTC facilities and 1 AL facility. I oversee all functions of the business office for each facility as well as train them on correct business office procedures. May 2008-2013 LD Enterprises-Regional Financial Director Duties include: overseeing Medicare billing and collections for 10 skilled nursing facilities, Medicaid, private, insurance billing, trust fund audits, and MESAV audits for 10 facilities. Instruct BOMs on identifying problem accounts in all payer classes. As well as how to solve an issue within the payer. Training all new BOMs on Quickcare November 2007-May 2008 Sun Healthcare, Inc-Billing Specialist Traveled to several states to fill in as business office manager, processed and worked old accounts. Responsible for all activities of each office in each state, sometimes working two states at the same time. June 2000-November 2007 Clairmont Longview –Business Office Manager Responsible for all Medicare, Medicaid, Hospice, HMO, Private, Private Coinsurance billing and collections. Managed resident trust fund and prepared for state audits. Balancing all month end reports. AR/AP coding. Tracked all Medicaid tile assessment dates, 3618/3619’s processing, and all cash functions. October 1999-June 2000 Gilmer Care Center-Business Office Manager Responsible for all Medicare, Medicaid, Hospice, HMO, Private, Private Coinsurance billing and collections. Managed resident trust fund and prepared for state audits. Balancing all month end reports. AR/AP coding. Tracked all Medicaid tile assessment dates, 3618/3619’s processing, and all cash functions. March 1996-October 1999 SunBridge for Gladewater-Business Office Manager Responsible for all Medicare, Medicaid, Hospice, HMO, Private, Private Coinsurance billing and collections. Managed resident trust fund and prepared for state audits. Balancing all month end reports. AR/AP coding. Tracked all Medicaid tile assessment dates, 3618/3619’s processing, and all cash functions. September 1993-March 1996 Diagnostic Clinic of Longview Started as customer service representative and was promoted to business office manager of Kilgore office. Preformed all manager duties for three physicians. September 1992-September1993
  • 2. Southview Nursing Center-Business Office Manager Responsible for all Medicaid, Hospice, HMO, Private, Private Coinsurance billing and collections. Managed resident trust fund and prepared for state audits. Balancing all month end reports. AR/AP coding. Tracked all Medicaid tile assessment dates, 3618 processing, and all cash functions. August 1987-October 1989 SunBridge for Gladewater-CNA, Med Aide Started as CNA then returned to school to become a med aide. EDUCATION June 2012-Certified Assisted Living Manager March 2010-Recertified in DDE with Trailblazer Health June 2009-Certified with MDI Achieve as Train the Trainer for Quickcare September 1992- Certified in computer accounting by Avalon Vo-Tech January 1988-Certified in Medication Administration from Kilgore Jr College May 1983-Graduated Gladewater High School References available upon request