Sarah Livingstone
Mason City,Iowa
Summary
Dynamic Billing and Follow-Up Specialist with extensive experience at Trinity Health, excelling in claim resolution and payment follow-up. Proven ability to enhance revenue generation through meticulous insurance verification and effective conflict resolution. Adept at training colleagues and streamlining processes to ensure compliance and accuracy in billing operations.
Overview
16
16
years of professional experience
Work History
Billing and Follow-Up Representative-II
Trinity Health
07.2023 - Current
- Followed up on delayed payments by contacting patients and third-party payers to identify causes of delays and provide necessary data.
- Investigated overpayments, underpayments, credit balances, and payment delays during follow-up functions.
- Resolved billing and follow-up issues.
- Trained Billing and Follow-up Representative I colleagues during onboarding and continued education on new systems, processes, and payers.
- Collaborated with Managed Medicare in New York state to facilitate billing processes.
Billing and Follow Up Specialist
Trinity Health
08.2022 - 07.2023
- Investigated overpayments, underpayments, credit balances, and payment delays, routing tasks to the correct workflows.
- Managed billing processes for commercial insurance and Medicare in Connecticut.
- Clarified billing discrepancies by collaborating with hospital departments to obtain necessary demographic, clinical, financial, and insurance information.
- Investigated claim rejections, made necessary corrections, implemented corrective actions, and directed claims to appropriate colleagues to achieve timely and accurate resolution.
Service Coordinator II
Mercy One Home Care
02.2020 - 07.2022
- Processed referral information for potential home care clients, ensuring timely and accurate assessments.
- Performs insurance verification for home care referrals and requests authorization for Medicaid Managed Care.
- Collaborates with the Mercy Home Care liaison regarding potential referrals and inpatient.
- Contacted providers' offices to obtain missing referral information, facilitating smoother client onboarding.
- Scheduled admissions for home care clients and coordinated with nurses on daily schedules to optimize care delivery.
Billing and Follow Up Specialists
Trinity Health
Mason City, Iowa
01.2015 - 01.2020
- Reviewed, researched, and processed claims to ensure accuracy and compliance.
- Followed up on claims and denials to resolve issues and optimize reimbursement.
- Reviewed claims for completeness to facilitate timely processing.
- Determine the extent of liability and entitlement.
- Corrected and completed forms.
- Collaborated primarily with Iowa Medicaid program and managed care organizations, while also engaging with programs in Nebraska and Illinois.
Lab Lead II Operator
Zoetis
01.2010 - 01.2015
- Executed, led, and troubleshot aseptic techniques and clean room procedures with a strong understanding of GMP standards.
- Execute and lead operation to comply with all written procedures, to include Batch Records and SOPs.
- Reviewed, maintained, and edited appropriate departmental cGMP documentation.
- Ensured compliance with established protocols to maintain operational integrity. with manufacturing, inventory, and quality electronic systems.
- Follow and comply with all site safety procedures. Identify ways to improve the safety culture of the department.
- Operated departmental equipment, including setup and teardown, while providing necessary oversight.
- Follow and comply with all financial procedures.
Education
Bachelor of Science - Business Management with an emphasis in health care management and administration
Kaplan University
Cedar Falls, Iowa05.2010
Associate of Applied Science - Medical assistant
Kaplan University
Cedar Falls, Iowa10.2008
Skills
- Finance
- Accounting
- Operations
- Human Resources
- Critical Thinking
- Conflict Resolution
- Assist in patient examinations
- Operate EKG
- Assist physician with procedures
- Scheduling
- Computer Literate
- Prepare & Manage Patient Records
- Administrative Skills
- Phlebotomy
- Injections
- Laboratory Test Preparations
- CPT
- ICD-9
- Claim resolution
- Billing compliance
- Payment follow-up
- Insurance verification
- Administrative and office support
- Revenue generation
Timeline
Billing and Follow-Up Representative-II
Trinity Health
07.2023 - Current
Billing and Follow Up Specialist
Trinity Health
08.2022 - 07.2023
Service Coordinator II
Mercy One Home Care
02.2020 - 07.2022
Billing and Follow Up Specialists
Trinity Health
01.2015 - 01.2020
Lab Lead II Operator
Zoetis
01.2010 - 01.2015
Bachelor of Science - Business Management with an emphasis in health care management and administration
Kaplan University
Associate of Applied Science - Medical assistant
Kaplan University