With over 30 years of healthcare expertise and a unique combination of clinical and financial education, Glenda brings unparalleled experience in MDS coordination, reimbursement optimization, and clinical operations to SMK Medical. Her leadership of 50+ skilled nursing facilities and proven track record of recovering millions through strategic revenue optimization makes her an invaluable asset to our healthcare partners.
Core Expertise:
- Revenue Recovery & Optimization - Successfully recovered millions in revenue through strategic process improvements and expert handling of IDR/IDDR audits. Specializes in identifying and correcting revenue gaps while ensuring regulatory compliance.
- Medicare Claims Excellence - Spearheads Medicare five-star claims reviews and appeals processes. Expert at navigating complex Medicaid requirements to optimize reimbursement and reduce claim denials.
- PDPM & MDS Mastery - Nationally recognized expert in MDS procedures and PDPM optimization. Travels across the United States training nurses and healthcare professionals in complex regulatory requirements and best practices.
- Quality Measures Enhancement - Specializes in elevating facilities' five-star quality measures through precise chart audits and strategic improvements. Combines clinical expertise with regulatory knowledge to exceed industry standards.
- Multi-State Revenue Operations - Proven track record managing 50+ skilled nursing facilities across multiple states, implementing standardized processes that have consistently increased revenue capture and operational efficiency.
Education & Credentials:
- Bachelor's Degree in Accounting
- Registered Nurse (RN)
- Resident Assessment Coordinator - Certified Training and Assessment (RAC-CTA)
- Former Vice President of Reimbursement Services
- Former Regional MDS Coordinator
- Former Regional Director of Reimbursement