Shirley Livingston
Eastland,TX
Summary
Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
16
16
years of professional experience
Work History
Regional Account Manager
Optimum HealthCare Management
Willow Park, TX
11.2023 - Current
- Manage up to 4 facilities
- Monitor trust fund
- Assist CBO department as needed
- Train new BOMs
- Review patient accounts for accuracy
- Provide guidance and support to the BOMs as needed
- Monitor all functions of the business office managers
- Conduct quarterly audits and monthly AR reviews
- Track and trend DOS, collections
- Assist with Medicare,Insurance, coinsurance, and Medicaid billing projects
- Assist with prepare statistics and procedures,organizational and efficient practices for the BOMs
Manager Care Billing Specialist
Optimum HealthCare Management
Willow Park, TX
04.2019 - Current
- Bill for up to 10 facilities
- Submitted claims to insurance companies.
- Researched and resolved denials and explanations of benefit rejections.
- Maintained accurate records of collections, adjustments and denials in the system.
- Participated in workshops, seminars, and training classes to gain stronger education in industry updates and federal regulations.
- Made adjustments to fee schedules and co pays
- Submitted adjusted claims as needed and according to contract guidelines
- Communicate trends in payments, denials,and plan issues to supervisor
- Identify, prepare and submit write off to supervisor
- Monitor plan websites and portals for changes in claim, authorization, and billing requirements
- Reconcile monthly managed care census to billing
- Work with facilities and insurance companies as necessary to resolve claim/system issues
- Work with the contract company and new contracts, the status of current contract request in credentialing,
Business Office Manager
Villages On Macarthur Irving
Irving, TX
01.2018 - 04.2019
- Perform all duties of a normal business office manager including
- Private and Hospice collections
- Trouble- shooting balances
- Monitoring trust fund accounts
- Preforming daily census data entry
- Insurance verifications
- Claim creations Hospice
- Completing all Medicaid applications with family, counseling on Medicaid eligibility requirements
- Triple check
- Medicare claim preparations
- Auditing accounts
Business Office Manager
Senior Care Centers of Stephenville
Stephenville, TX
07.2011 - 01.2018
- Manage Medical Records and Receptionist
- Perform all duties of a normal business office manager including
- Private and Hospice collections
- Trouble- shooting balances
- Monitoring trust fund accounts
- Preforming daily census data entry
- Insurance verifications and authorizations
- Claim creations Hospice
- Completing all Medicaid applications with family, counseling on Medicaid eligibility requirements
- Triple check
- Medicare claim preparations
- Auditing accounts
- Assisted THR on implementing a process to attain the final DGRs for the bundle payments
- Work with Regional Account Manager to assist in collections for other facilities
- Support Human Resources for applications, criminal history, payroll distribution, and orientation
- Implemented a tracking method for doctor and specialist appointments
- Support Marketing staff as back up for referrals
Trust Fund Bookkeeper
The Company Of Rockhouse
Stephenville, TX
07.2010 - 07.2011
- Review Medicaid applications
- Reconcile client accounts
- Review and reconcile clients monthly budgets and payroll from jobs
- Produced vendor invoices
Business Office Manager
Valley View Health Center
Eastland, TX
10.2007 - 06.2010
- Perform all duties of a normal business office manager including
- Private and Hospice collections
- Trouble- shooting balances
- Monitoring trust fund accounts
- Preforming daily census data entry
- Insurance verifications and authorizations
- Claim creations Hospice
- Completing all Medicaid applications with family, counseling on Medicaid eligibility requirements
- Triple check
- Medicare claim preparations
- Auditing accounts
- Human Resources for applications, criminal history, payroll distribution, and orientation
- Support Marketing staff as back up for referrals
Education
GED -
Ranger College
Ranger, TX01-1991
Skills
- Revenue Growth
- Customer Relationship Development
- Delivery Coordination
- Data-Driven
Software/System Skills
- Microsoft Word
- Microsoft Excel
- SharePoint
- Simple LTC
- MCO Portals
- Insurance Portals
- LG
- Point Click Care
- MicroSoft Outlook
- American Health Tech
- TMHP
- Ability
- Inovalon
References
References available upon request.
Timeline
Regional Account Manager
Optimum HealthCare Management
11.2023 - Current
Manager Care Billing Specialist
Optimum HealthCare Management
04.2019 - Current
Business Office Manager
Villages On Macarthur Irving
01.2018 - 04.2019
Business Office Manager
Senior Care Centers of Stephenville
07.2011 - 01.2018
Trust Fund Bookkeeper
The Company Of Rockhouse
07.2010 - 07.2011
Business Office Manager
Valley View Health Center
10.2007 - 06.2010
GED -
Ranger College
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