Summary
Overview
Work History
Education
Skills
Timeline
Generic

Emily Livingston

Tulsa,OK

Summary

Offering a bachelor's degree and 25 years of medical billing management experience along with specialized knowledge in Medicare, Medicaid, VA, Managed Care, private insurance billing and Revenue Cycle Management

Overview

25
25
years of professional experience

Work History

Billing Account Manager

Seasons Hospice
06.2023 - Current
  • Responsible for all billing associated with 4 hospice agencies throughout Oklahoma, Texas, and Missouri
  • Submitted all billing for Medicare, Medicaid, Managed Care and private insurance monthly
  • Worked with numerous nursing homes in Texas, and Missouri to ensure accurate patient billing, eligibility, patient surplus, and Rug levels
  • Worked closely with nursing managers to ensure accurate Medicare and Medicaid compliance
  • Helped implement a new patient EMR to all agencies
  • Research and resolve all denials timely for all payers
  • Responsible for all aspects related to claims to maximize revenue streams
  • Act as liaison for corporate, and out of a state agencies
  • Provides all monthly reports for executive directors

Medicare Billing Specialist

Care Hospice
05.2020 - 06.2023
  • Responsible for overseeing Revenue Cycles from start to end, for 4 offices
  • Submit over 1300 per month, and following up on those claims thru completion
  • Responsible for conducting meetings with staff to prepare for EOM billing
  • Mediating between Clinical Staff at centers, and Corporate Management to provide the best outcome for EOM billing, and collecting

Account Manager/Medical Billing

New Directions
09.2013 - 04.2020
  • Oversaw medical billing for two accounts including and OB GYN Surgical and NeuroSurgical Center with accountability for revenue cycle management, setting up payment plans, and reviewing all billing documents to ensure the integrity of billing data
  • Identified system issues, monitored credentialing, set up reminders and monitored timelines and integrated solutions
  • OB GYN Surgical Center - Conferred with patients regarding payment plan and billing issues
  • Neurosurgery Center - Managed Revenue Cycle for 150 patients daily addressing Workers Compensation, Medicare, Medicaid, VA and Managed Care billing compliance

Business Office Manager

Avamere Crestview Nursing Center
10.2008 - 08.2013
  • Oversaw financial services with accountability for ensuring the accurate allocation of trust accounts for residents recording private pay, Medicare and Medicaid payments
  • Supervise support team
  • Performed billing and collections of Medicare, Medicaid, Private Insurance, and Private Pay receivables
  • Ensured all payables were entered into system, authorized, and paid on a monthly basis;
  • Posted all deposits, and ancillary charges; assisted family members with any questions, or concerns

Billing Liaison

Trinity Hospice
02.2000 - 09.2008
  • Collaborated with the CEO in processing patient accounts and financial payments for 6 different offices
  • Managed 300+ patient accounts through Medicare, Medicaid and private insurance carriers
  • Provided Misys Healthcare System training for 100+ employees across a 4-state region

Education

Bachelor of Arts - Sociology

Western State College of Colorado
Gunnison, CO
08.1998

Skills

  • Cash flow management
  • Dispute resolution
  • Revenue forecasting
  • Billing system expertise
  • Claims processing
  • Staff training and development
  • Insurance verification
  • HIPAA
  • Invoice processing
  • Accounts receivable management
  • Program improvements
  • Workflow planning
  • Process improvements
  • Revenue cycle management
  • Report preparation
  • Procedure optimization
  • Billing review
  • Time management
  • Attention to detail
  • Multitasking
  • Multitasking Abilities
  • Reliability
  • Excellent communication
  • Critical thinking
  • Organizational skills
  • Effective communication
  • Microsoft office
  • Account monitoring
  • Account reconciliation

Timeline

Billing Account Manager

Seasons Hospice
06.2023 - Current

Medicare Billing Specialist

Care Hospice
05.2020 - 06.2023

Account Manager/Medical Billing

New Directions
09.2013 - 04.2020

Business Office Manager

Avamere Crestview Nursing Center
10.2008 - 08.2013

Billing Liaison

Trinity Hospice
02.2000 - 09.2008

Bachelor of Arts - Sociology

Western State College of Colorado
Emily Livingston