1. Kathy Kunkle
Human Services Program Specialist Administrator
East Berlin, PA 17316
kmk1026@gmail.com - (717) 309-1051
Authorized to work in the US for any employer
WORK EXPERIENCE
Human Services Program Specialist
Ingenesis, Inc- Contractor for the Commonwealth of Pennsylvania - Harrisburg, PA - January 2015 to
Present
Responsibilities
As a Human Services Program Specialist, for the Nursing Home Transition program, my role is to create,
develop and administer policies and procedures for the statewide Nursing Home Transition (NHT) Program.
Work includes developing, creating, monitoring and applying processes, and policies to enhance and increase
the outcomes and performance of the nursing home transition program. I am part of a team that oversees and
maintains a program, where integrity and safety are at the forefront, in transitioning the aged and/or the disabled
population, from the nursing facility back into community in accordance to Federal and State regulations, along
with Commonwealth objectives for re-balancing the Long Term Living system in Pennsylvania.
Personal Accomplishments: I have evaluated, updated and enhanced the programs PowerPoint presentations
used for training and education of the NHT program. I reviewed and revised the programs funding request
documentation, revised the programs tracking spreadsheet system to make the system more efficient and
easier to pull reports from. I have developed a program process map to capture and explain the NHT program
as it currently exists. I was appointed to create a new Nursing Home Transition process map/ model that would
expand and enhance the NHT program to add more service providers and increase participant transitions. I
collected and compiled data to create charts and graphs for the NHT program that can easily identify what
percentage of consumers have been transitioned since the inception of the program. I developed and created
reports to track transitions at a county level so we can identify which counties have a greater need for providers
to provide this service in their counties. I am part of a project management team to review, analyze, re-develop
and expand our NHT program to better serve the individuals of our state, who wish to move from the nursing
facilities to the community in accordance with the goals and objectives of the re-balancing initiative of the
Commonwealth and the Federal Government.
1. Work involves providing consultative services and technical assistance, training and guidance to NHT
providers in the statewide Nursing Home Transition program. I function as lead manager for complex program
operations. I facilitate with the OLTL staff, DHS staff, Area Agencies on Aging (AAAs) directors/staff, CIL's,
Advocates, nursing homes, administrators, and other involved stakeholders.
2. Collect and analyze information and data required for the development, and application of standards,
policies, and procedures related to the statewide OLTL programs for the aged and/or the disabled community.
Work to insure conformity with Federal and State regulations and Commonwealth of PA objectives for re-
balancing the Long Term Living System.
3. Create and develop operational manuals, program directives, instructions and requirements, program
guidelines, work plans, regulations, and procedures for the statewide NHT providers. Develop process maps
relating to aspects of the organizational structure and functions of the program.
2. 4. Review and analyze programmatic and fiscal nursing home transition data collected from collaborative
partners, to determine overall program effectiveness and to review data outcomes (as they relate to
organizational goals, objectives and benchmarks, and overall program standards).
5. Collect and analyze data on program outcomes, and relate this information to established organizational
goals, objectives/benchmarks, and program standards. Track expenditures for the NHT program and grant
programs. Prepare reports and presentations for the Department, Bureau Director, and Deputy Secretary as
needed.
6. Serve on work groups. Conduct and attend inter office, state office and state wide meetings. Prepare reports
and documentation to provide updates to present on the Nursing Home Transition program in these meetings.
7. Develop, recommend and enforce corrective action and quality plans for NHT Providers. Implement and
review corrective action plans, to ensure program compliance and integrity. Follow up and prepare monitoring
reports for providers.
9. Develop and conduct training and educational sessions for OLTL staff, consumers, associations, and NHT
partners on nursing home transition programs and other OLTL initiatives; provide conference management,
committee work and logistics for the program.
10. Track expenditure patterns for nursing home transition program activities through the use of excel and
access data systems.
11. Access and use a variety of Information Systems such as CIS, HCSIS, Promise, and SAMS (Harmony)
to obtain statistical data, review NHT funding requests and identify problem areas in need of compliance
monitoring and / or technical assistance.
Utilization/Authorization Coordinator/ Billing Specialist/ Case Management
NHS Human Services - York, PA - July 2012 to January 2015
At NHS Human Services, I was an administrator who was assigned a variety of operational and managerial
duties for the BHRS, Foster Care, EAC, and CDR programs.
- Developed, implemented and monitored processes that increased efficiency and reduced errors
- Developed and created a database to track and monitor consumers authorizations for services
- Developed, created and implemented training programs on proper billing procedures
- Developed, created and implemented staff utilization tracking system
- Reviews and provides reports on billing to executive staff
- Requests Authorizations from commercial insurance companies, Medical Assistance, MCO's and DPW, along
with filing MA-97's
- Educate and authorize clients who fall under PA's Act 62 Law
- Liason with insurance companies, patients and staff on a daily basis to insure proper billing for services
- Prepare reports for a monthly AR meeting with upper level management. Prepare and present reports for
monthly MOR meeting with Vice President
- Educates and trains MT's, BSC's and TSS's in billing, tabulating the authorized hours, and other necessary
paper work
- Researches and follows up on billing disputes and billing problems
- Provides team with guidance, motivation, and discipline to consistently achieve goals and consumers
satisfaction
- Advanced proficency in using Excel, Word, Power Point, Outlook Express, and all Windows programs
- Schedules Evaluations with clients
- Creates intake packets
- Monitors treatment plans due dates, ISPT meetings and evaluations
- Performs additional tasks as assigned by Director
Corporate Patient Account Representative
Select Medical Corporation - Mechanicsburg, PA - 2010 to 2012
3. Corporate representative to oversee the billing/ billing issues of four of our day hospitals in St. Louis
• Determined charges for service rendered and verified proper parties paid correct amounts
• Completed contract forms, prepared change of address records, and issued discontinuance ordered, using
computer
• Communicated with insurance companies, patients and staff in our St. Louis facilities daily
• Communicated information clearly and accurately
• Built rapport with insurance representatives and patients
• Assisted patients with inquiries and provided all pertinent information
• Developed credibility and confidence with patients/ insurance representatives
• Researched new and followed up on existing disputes and problems
• Successfully pacified hostile or antagonistic callers and negotiated a mutually agreeable solution by patiently
providing alternatives to reconcile patient'sneeds with the company's objectives
• Provided team with guidance, motivation, and discipline to consistently achieve goals and patients
satisfaction
• Resolved billing questions and disputes, initiated patient calls, and performed data entry
• Answer patient's questions and corrected their accounts regarding their insurance coverage, physical therapy
questions and payment requirements
• Work with Excel, Word, Power Point, Outlook Express, and all Windows programs on a daily basis
Co-owner of Construction Business
Brian Kunkle Construction - East Berlin, PA - 1995 to 2009
Successfully set up and started a construction business. I established all financial, administrative, and
operational aspects of the business, including payroll, financial reports, accounts payable/ accounts receivable,
advertising, insurances, established tax accounts and business ID numbers, set up business lines of credits,
created budgets, estimates, and all business reports as required. Recruited, interviewed and hired employee's.
Accomplishments: Started a grass roots business, using savings and lines of credit with $5000.00 cash on hand
and one employee. Built and grew the business into a successful, profitable operation with four employees
within three years. Profits increased 750% from inception until I sold my portion off 15 years later.
• Prepared estimates, permits,
• Performed full charge bookkeeping and account management
• Accounts Payable/ Accounts receivable
Assistant Manager
Rutter's Farm Stores - East Berlin, PA - 1992 to 1997
Directed and supervised employees engaged in sales, inventory-taking, reconciling cash receipts, and
performing specific service such as getting lottery tickets for customers
• Planned and prepared work schedules and assigned employees to specific duties
• Hired, trained, and evaluated personnel
• Coordinated sales promotion activities and prepared merchandise displays and advertising copy
• Kept records pertaining to purchases, sales, and requisitions
• Inventoried stock and reorders when inventories drop to specified level
• Examined merchandise to ensure that it is correctly priced, displays and functions as advertised
• Listened to and resolved customer complaints regarding service, product, and personnel
• Performed full charge bookkeeping and account management, assembled documentation for year-end audits,
and responded to auditors' inquiries
• Audited daily ledger, and cash and credit card sales
4. EDUCATION
BS in Human Services Administrative
Elizabethtown College
2013
A.A. in Social Science
Harrisburg Area Community College - Gettysburg, PA
2009
SKILLS
Microsoft Office: Word (10+ years), Microsoft Excel (10+ years), Microsoft Outlook (10+ years), Microsoft
Powerpoint (10+ years), Computer Skills (10+ years), Budgeting (10+ years), Business Management (10+
years), Harmony (7 years), HCSIS (2 years), CIS (4 years), ADP Payroll (2 years), Quickbooks (10+ years),
Avatar (3 years), Navinet (6 years)
ADDITIONAL INFORMATION
SKILLS
• Management/Administration
• Teamwork
• Problem Solving
• Planning / Scheduling
• Knowledge of Microsoft Word/Excel/Power Point/Outlook
• Knowledge of Office Equipment (Copier/Fax)
• Payroll Preparation/ Kronos system/ Quickbooks
• Record Keeping
• Accounts Payable/Accounts Receivable