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
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