MISTIE Hager
Choctaw,OK
Summary
I have 20 years of Office Management and Revenue Cycle Management experience.
Overview
16
16
years of professional experience
Work History
Director of Billing Services
CareSource
Oklahoma City, Oklahoma
03.2020 - Current
- Manage three departments (Hospice, CPAP, and SleepSource), duties including employee relations and overseeing support of ~5,000 Hospice patients
- Expertise in Medicare, Medicaid, Commercial Insurance Billing/Collections and insurance verification for all referrals
- Manage daily deposits for private patient pay accounts and posting commercial insurance and other payments in the Brightree system
- Responsible for daily submission of charges for Medicaid Concentrator program billing
- Weekly submission for Medicare, Medicaid, and Commercial Insurance claims and monthly submission of Private Pay Patient statements
- Successful reduction of Accounts Receivable (AR) by 55% within the first 90 days of service
- Oversight of Medicare and Medicaid license renewal and addition of new insurance payers to the system
- Review and submission of DME hospice billing accounts for all Hospice contracts
- Developed and implemented a write-off process and timely billing process
- Communication with Medical Director regarding Home Sleep Study submissions and results
- Enhanced team collaboration through regular communication, goal setting, and performance evaluations.
- Improved project efficiency with strategic planning, resource allocation, and time management practices.
- Optimized staff performance by designing comprehensive training programs tailored to individual needs.
- Increased company revenue by streamlining processes and implementing cost-saving measures.
- Recruited, hired, and trained initial personnel, working to establish key internal functions and outline scope of positions for new organization.
- Monitored daily cash discrepancies, inventory shrinkage and drive-off.
- Updated and resolved incidents and managed accessorial charges objectively while maximizing profit.
Business Office Manager
Fountains at Canterbury
Oklahoma City, Oklahoma
07.2019 - 03.2020
- Manage daily deposits and billing for Medicare, Medicaid, Commercial Insurance
- Oversee payroll, supervise a team of 6 employees
- Create private pay statements for four business units: IL/AL/MC/SN
- Handle accounts payable, spend down, and accruals
- Responsible for executing chart creation, contract review, and month-end close process
Office Manager
Valir Hospice
Oklahoma City, Oklahoma
08.2009 - 06.2019
- Gained expertise in Medicare, Medicaid Advantage, and Insurance Verification and Billing/Collections
- Oversight of all office processes, procedures, and personnel, including communication with marketing staff
- Preparation and generation of daily, weekly, and monthly financial reports
- Management of Accounts Receivable and Accounts Payable
- Annual nursing home contract updates and entry of all levels of care changes
- Daily entry of inpatient charges and accurate calculation of revenue within 5% of actual
- Negotiation and execution of contract updates and new agreements with insurance companies
- CAP reporting and timely completion of HIS submissions to CMS
- Managed Entry of Notice of Election (NOE) for admissions, live discharges, and state license renewal
- Payroll entry, timesheet verification for billing, and payroll submission and reporting
- Regular Medicare updates for each department and maintenance of State and Federal regulation updates
- Utilization of Pepper reports, Casper Reports, and Intake for tracking referrals, admissions, and legal compliance
- Achieved a 92% intake conversation rate from referral to admit in 2018
- Established billing for the Valir Medical Home Team Nurse Practitioners at home program through Novitas
- Completed reassignment of benefits to the Medical Home team program and updated CAQH profiles
- Achieved accreditation for Hospice Medicaid/Advantage Waiver license for billing purposes
- Managed ADR (Additional Documentation Request) processing and follow-up
Education
High School Diploma -
Southwest
Fort Worth, TX06.1999
Skills
- Payroll Processing
- Employee Benefits
- Extremely Organized
- Detailed Oriented
- Multi-tasking Oriented
- Problem Solving
- Employee Relations
- Epic Software Proficiency
- Conflict Resolution
- Brightree
- Dragonfly
Accomplishments
2024 President’s Award
Timeline
Director of Billing Services
CareSource
03.2020 - Current
Business Office Manager
Fountains at Canterbury
07.2019 - 03.2020
Office Manager
Valir Hospice
08.2009 - 06.2019
High School Diploma -
Southwest