DEBRA NGUYEN
Old Hickory
Summary
Results-oriented Business Office Manager skilled in financial analysis and regulatory compliance. Developed training initiatives that increased Medicaid application approval rates and implemented process improvements that enhanced operational productivity and revenue collection across multiple facilities.
Overview
19
19
years of professional experience
Work History
Director of Business Services
PH-Consulting
White House
06.2025 - 08.2026
- Managed business services department across facilities in Kentucky, Ohio, and West Virginia, ensuring compliance and operational efficiency.
- Led successful reconsideration appeal for $1.8 million in re-adjudicated Medicaid claims.
- Created corrective action plan for Social Security audit at Kentucky facility, addressing findings and enhancing regulatory adherence.
- Collaborated with consulting team to implement CMS and Medicaid changes for CHOW in Kentucky.
- Contributed to sales process of assisted living facility in Ohio.
Regional Business Office Manager
CareRite Centers, TN Region
Englewood Cliffs
05.2022 - 06.2025
- Collaborated with TennCare Choices team to resolve $750,000 in Medicaid denials due to revalidation issues, and expired PAEs, boosting cash collections.
- Developed and implemented training process for Medicaid pending applications, increasing approval rates and minimizing facility loss.
- Identified process improvement initiatives through review of work design, enhancing workflow and office productivity.
- Attended accounts receivable calls with facility tracker to resolve AR issues and analyze financial trends.
Business Office Manager
CareRite Centers, Nashville Center for Rehab
Nashville
02.2021 - 05.2022
- Transitioned to regional role, leading strategic growth initiatives to enhance operational performance.
- Monitored regulatory compliance, safeguarding resident trust funds and ensuring adherence to industry standards.
- Oversaw annual revalidations ensuring Medicaid eligibility for families and vulnerable populations.
- Collaborated with interdisciplinary teams in utilization reviews, improving average length of stay and enhancing patient outcomes.
Business Office Manager
NHC, Heartland Senior Living
Nashville
08.2018 - 2021
- Managed daily operations of business office, ensuring regulatory compliance and operational efficiency.
- Oversaw human resources functions and accounts payable processes, supporting smooth organizational operations.
- Resolved financial discrepancies and customer billing issues, enhancing customer satisfaction.
- Contributed to successful annual audit through meticulous documentation preparation.
Business Office Manager
Nashville Community Care & Rehabilitation Center at Bordeaux
Nashville
07.2015 - 08.2018
- Led all department functions for 419 bed skilled nursing/intermediate care facility
- Oversaw monthly Medicare, Medicaid, managed care and commercial insurance; timely billing and follow-up with intermediaries on delinquent payments
- Utilized clinical background in daily interdisciplinary meetings to advise case management, clinical reimbursement, and rehabilitation team on appropriate level of care per payer contract
- Contributed technical expertise on financial analysis, including operations reporting, break-even studies, and profit and loss statements
- Identified process improvement initiatives and conducted quarterly reviews of work design to enhance workflow and office productivity
- Assessed clinical information on referrals, ensured profitability, and negotiated single-case agreements with hospitals and non-network insurance companies
- Facilitated special projects with MCO provider relation representatives and performed root cause analysis on contract and payment issues to address discrepancies
- Monitored compliance with regulations for healthcare standards for RTF, achieving three deficiency-free annual surveys
Business Office Manager
Donelson Place Care and Rehab
Nashville
02.2011 - 07.2015
- Led all aspects of department for 124 bed skilled nursing/intermediate care facility
- Mentored Assistant Business Office Manager; developed her existing medical records knowledge into effective office management; promoted to Manager position at another facility; mentee currently trains new Business Office Managers.
- Conducted admission meetings with residents and family members, explaining facility rates, billing cycles, and payment terms while collecting patient liability and copayments.
- Facilitated Medicaid approval process for residents and family members, ensuring understanding and compliance.
- Oversaw accounting of patient trust funds with monthly reconciliations and quarterly statements provided to responsible parties.
Medicare/Managed Care Coordinator
McKendree Village Inc.
Hermitage
10.2007 - 02.2011
- Monitored and administered accounts receivable collection process for Medicare, managed care, and co-insurance billing, ensuring compliance and accuracy.
- Overhauled $3 million in outstanding accounts receivable through collections, effectively resolving denials, appeals, credits, and resident refunds.
- Directed month-end process, balancing daily census records and reconciling revenue, while preparing and reviewing financials for accuracy.
Education
Health Administration -
Salt Lake Community College
Salt Lake City, UTVocational Certificate - Licensed Practical Nursing
Elgin Community College
Elgin, ILSkills
- Medicaid eligibility expertise
- Compliance oversight
- Financial reporting
- Financial forecasting
- Process improvement
- Revenue optimization
- Operational training
Accomplishments
- Won corporate award for 'Most Improved AR in Region'
- Collected 105% of annual revenue for 3 consecutive years
- Reduced Days Sales Outstanding from 108 to 59 in 12 months
- Developed a tracking method for Enhanced Respiratory Care billing to secure authorizations, reduce denials and ensure timely collections
Timeline
Director of Business Services
PH-Consulting
06.2025 - 08.2026
Regional Business Office Manager
CareRite Centers, TN Region
05.2022 - 06.2025
Business Office Manager
CareRite Centers, Nashville Center for Rehab
02.2021 - 05.2022
Business Office Manager
NHC, Heartland Senior Living
08.2018 - 2021
Business Office Manager
Nashville Community Care & Rehabilitation Center at Bordeaux
07.2015 - 08.2018
Business Office Manager
Donelson Place Care and Rehab
02.2011 - 07.2015
Medicare/Managed Care Coordinator
McKendree Village Inc.
10.2007 - 02.2011
Health Administration -
Salt Lake Community College
Vocational Certificate - Licensed Practical Nursing
Elgin Community College