Becky Billington Email and Phone Number
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I have 33+ years of Professional Billing Revenue Cycle management and customer service experience, with more than 33+ years of experience in the healthcare field to include Practice Management, Financial Analysis, Charge Master, EMR & PM Implementation, Project Management, Billing & Collections, Charge Capture, ICD10 Remediation, Coding and Compliance. I am Epic certified in Revenue Cycle applications; Resolute Professional Billing Fundamentals, Resolute Professional Billing (RPB) Administration, Claims & Electronic Remittance Administration. I have experience implementing various practice management systems to include IDX, Intergy (Emdeon/Sage/Vitera), Practice Plus (McKesson), GPMS and Epic's Ambulatory Product Suite. Revenue Cycle & Practice Management leader for major organizational projects. Successfully implemented new PM system with no interruption in cashflow.
Spectrum Health
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Senior Consultant, Epic Professional Billing Revenue CycleSpectrum Health Oct 2016 - PresentGrand Rapids, Mi, Us* PB Charging Lead for OEE Implementation Sep 2022 - CurrentBREAK TO WORK FOR CHS JULY 2019 - DEC 2022*. PB Lead for Nexus Ambulatory and Inpatient Implementation Oct 2016 - July 2019* PB, Claims and Remittance lead support for Central Business Office* Work with operational leaders to develop workflows and implement associated system changes* PB Lead for multiple projects to impacting HB Implementation to include; Epic Release Note* Optimization Project, Claim External Value (CEV) UB and CMS Claim Implementation Project, Client Billing Implementation Project, Guarantor Account Type Consolidation Project, Payor Plan Consolidation Project, Research Implementation Project, Rural Health Optimization Project, AR Code Consolidation Project, Compliance and Risk Project, Cosmetic Billing Project, Remittance Code Optimization Project, Blue Cross PWK Claim Format Project* Created and maintain BIL, BWR, HCO, HFP, CDQ, CDR, CDW, CEQ, CGR, CLR, CMI, CEV, FUP, ABF,FDF,CDF, EPP, EPM, AII, AIT, MOD, CER, LPP, CMG, CMP, CVG, CWP, ECP, ECL, E1C, E1D, EDG, FSC, FSG, LPL, LPG, LRP, WQF, GPN, KCA, FSH, EAF, RMO, RMC, RMQ, VCM, VCS, VCT records* Build extensive Claims 5010 formats and Remittance RMO/RMC for PB* Developed research workflows to support work-queues for charges, claims, remittance, credit, account self-payment, retro review and follow up in system.* Build Charge Router, Charge Review, Follow-up, Credit, and Account Workqueues and Profiles* Build Claims, as well as Remittance and Interface charge setup and Maintenance* Provide Epic support to Professional Billing Office and Community Connect Clients* Mentor fulltime employees in Epic build and functionality as it applies to Revenue Cycle workflows. -
Senior Consultant Epic Professional Billing Revenue CycleCatholic Health Jul 2019 - Dec 2022Buffalo, Ny, Us*. PB Lead for Ambulatory and Inpatient Implementation* PB, Claims and Remittance lead support for Central Business Office* Work with operational leaders to develop workflows and implement associated system changes* PB Lead for multiple projects to impacting HB Implementation to include; Epic Release Note* Optimization Project, Claim External Value (CEV) UB and CMS Claim Implementation Project, Client Billing Implementation Project, Guarantor Account Type Consolidation Project, Payor Plan Consolidation Project, Research Implementation Project, Rural Health Optimization Project, AR Code Consolidation Project, Compliance and Risk Project, Cosmetic Billing Project, Remittance Code Optimization Project, Blue Cross PWK Claim Format Project* Created and maintain BIL, BWR, HCO, HFP, CDQ, CDR, CDW, CEQ, CGR, CLR, CMI, CEV, FUP, ABF,FDF,CDF, EPP, EPM, AII, AIT, MOD, CER, LPP, CMG, CMP, CVG, CWP, ECP, ECL, E1C, E1D, EDG, FSC, FSG, LPL, LPG, LRP, WQF, GPN, KCA, FSH, EAF, RMO, RMC, RMQ, VCM, VCS, VCT records* Build extensive Claims 5010 formats and Remittance RMO/RMC for PB* Build Charge Router, Charge Review, Follow-up, Credit, and Account Workqueues and Profiles* Build Claims, as well as Remittance and Interface charge setup and Maintenance*. Build Self-Pay and GL Extracts to include EAP AR Code built and Maintenance to support third party GL and Collection Agency support.* PB and HB Estimates build and maintenance* Provide Epic support to Professional Billing Office and Community Connect Clients* Mentor fulltime employees in Epic build and functionality as it applies to Revenue Cycle workflows. -
Senior Consultant, Epic Revenue Cycle ImplementationLifespan Feb 2016 - Sep 2016Providence, Ri, Us* PB, Claims and Remittance lead for Physician Financial Services* Work with operational leaders to develop workflows and implement associated system changes* Developed workflows/policies/procedure & lead organizational change* Created and maintain BIL, CDQ, CDR, CDW, CEQ, CGR, CLR, CMI, CEV, FUP, ABF,FDF, CDF, EPP, EPM, AII, AIT, MOD, CER, LPP, CMG, CMP, CVG, CWP, E1C, E1D, EDG, FSC, FSG, LPL, WQF, GPN, KCA, FSH, EAF, RMO, RMC, RMQ, VCM, VCS, VCT records* Build extensive Claims 5010 formats and Remittance RMO/RMC for PB/HB* Build research workflows and work-queues for charges, claims, remittance, credit, account self-payment, retro review and follow up in system* Remediated General Ledger build to include reviewing EAP, GL Profile, and Reporting build.* Build and assist with Claims, as well as Remittance and Interface charge setup and Maintenance -
Project Manager, Epic Professional BilingCleveland Clinic Jun 2015 - Jan 2016Cleveland, Ohio, Us* Currently in initial implementation Discovery, Validation, and Design Project phase.* Professional Billing, Claims and Remittance Project Manager for Medical Group* Performed Discovery Sessions to determine current state, gap analysis, and future state.* Work with operational leaders to develop workflows and implement associated system changes* Developed workflows/policies/procedure & lead organizational change* Served as Practice Management Group Facility Organization owner.* Mentored FTE's who were obtaining Epic Certifications.* Managed and performed Validation Sessions project phase.* Managed and assisted in Design project phase. -
Senior Consultant, Epic Revenue Cycle ImplementationBaylor Scott & White Health Dec 2014 - Jun 2015Dallas, Texas, Us• Responsible for the successful implementation of Epic Resolute (RPB) applications.• Provides Epic RPB, Claims, and Remittance application design, build and testing.• Provides Claims and Remittance processing guidance.• Determines root cause of problems, make recommendations for improvement, and develops remediation plan.• Assist Central Business Office team in resolving open issues with the build, workflow analysis, claims processing and denials.• Generate reports on denials and claims rejections to analyze claims that are not being processed by Payers.• Conduct regular communication with Epic’s installation team, and serve as a bridge between end users and vendor implementation staff to tailor the system to the organization.• Coordinates with Epic and technical personnel to troubleshoot, maintain, and implement complex and enterprise-wide infrastructure technologies and application based installations.• Develops and document internal procedures to use in conjunction with the Epic applications.• Identifies issues and work to bring to resolution.• Troubleshoot questions and problems from end users and project team.• Reviews new software releases and updates to determine which features will be utilized and implemented.• Prioritizes enhancement and system change requests.• Maintains knowledge of system security and data integrity.• Manages resolution of project issues, escalating them to appropriate decision making staff and change control management team.• Experienced with Go-Live support and ticket resolution during activation. -
Epic Professional Billing Claims AnalystVidant Health Oct 2014 - Dec 2014Greenville, Nc, Us* PB Claims Analyst – ABF/FDF Claims Conversion Project* Worked with business partners to develop, test, and implement associated system changes* Converted CMS and ANSI 837 Electronic format to the new Epic CEV formats* Created and maintained FDF, CDF, EPP, EPM, AII, CER, LPP, CMG, CMP, and EAF records* Remediated all PB, Claims 5010 formats master files ensuring CEV compliance -
Sr. Business System Specialist, Epic Resolute Professional Billing, Claims And Remittance CertifiedUniversity Of California, San Diego Feb 2014 - Oct 2014La Jolla, Ca, Us* Claims and Remittance lead for Epic Resolute Professional Billing* Responsible for assessments, build, troubleshooting, problem-solving, creating system solutions to operational needs, etc.* Liaison among other Epic applications, operational leaders, EpicCare and PB* Conduct unit testing and participate in integrated testing* Work with Epic counter parts to execute project goals and initiatives* Build rule logic and interface mapping tables for third party vendor systems, to include Claims Manager (OptumnInsight), MUSE, SOFT, TAMTRON, ARIA, AGFA, etc.* Create and maintain EAP master files* Data Courier, Chronicles import & export files experience.* Epic master files experience includes EPM, EPP, RMO, RMC, SER, EAF, UCP, WQF, CMG, CMP, CER, LPP, CFR, VCS, VCT, CDF, AII, ABF, FDF, EAP, MOD, and RC.* Strong TEXT/Darkside build and troubleshooting skills.* Developed workflow to decrease denials by automating 837 claims submissions process and developed claim review edits, based on payor and coding rules* Claims and Remittance build and testing resource; created custom CEV overrides, specific to invalid claims indicator; CLIA and FDA missing cert numbers, SER Name and Tittle truncating, anesthesia build. * Primary contact for all claims and remittance* Implement and install EMR & PM Systems. * Results driven Revenue Cycle leader. Specializing in Epic implementations. * Build, install, analyze and test system build and functionality. * Streamline system build with operational workflows.* ICD-10 Project Lead for PB Resolute Claims, Coding/Charging & Remittance* PB, Claims and Remittance WQF build and maintenance * Specialized in Charge Router UCP and system automation* Hospital & Physician practice integration* PB & Clinical Charging* Interface integration * Graph Package analysis expertise -
Sr. Business System Specialist, Epic Resolute Professional Billing, Claims And Remittance CertifiedMemorial Health University Dec 2011 - Aug 2014• Responsible for the successful implementation of Epic Resolute (RPB) applications.• Provides Epic RPB, Claims, and Remittance application design, build and testing.• Provides Claims and Remittance processing guidance.• Determines root cause of problems, make recommendations for improvement, and develops remediation plan.• Assist Central Business Office team in resolving open issues with the build, workflow analysis, claims processing and denials.• Generate reports on denials and claims rejections to analyze claims that are not being processed by Payers.• Conduct regular communication with Epic’s installation team, and serve as a bridge between end users and vendor implementation staff to tailor the system to the organization.• Coordinates with Epic and technical personnel to troubleshoot, maintain, and implement complex and enterprise-wide infrastructure technologies and application based installations.• Develops and document internal procedures to use in conjunction with the Epic applications.• Identifies issues and work to bring to resolution.• Troubleshoot questions and problems from end users and project team.• Reviews new software releases and updates to determine which features will be utilized and implemented.• Prioritizes enhancement and system change requests.• Maintains knowledge of system security and data integrity.• Manages resolution of project issues, escalating them to appropriate decision making staff and change control management team.• Experienced with Go-Live support and ticket resolution during activation.
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Epic Senior Lead Icd10 RemediationTeksystems Jul 2013 - Feb 2014Hanover, Md, Us• Supported the transitional changes being made across the Epic Resolute Professional Billing modules due to ICD-10 compliance mandate.• Maintained a strong understanding of how ICD-10 implementation impacts Epic master files to include UCP, WQF, CMG, CMP, CER, CFR, VCS, VCT, CDF, AII, ABF, FDF, EAP Charge master, IMO import, Financial Classifications and Billing Categories.• Provided an assessment/analysis of current state modules and the work effort to remediate modules for ICD-10.• Strong understanding of how modules are comprised and the processing elements within my certified modules.• Maintained a high comfort level and provided guidance on modules that the client were not certified.• Demonstrated solid application design, modifications, validation and advanced design sessions within the RPB area that included Charge Router, Workqueues Design, Rules, Component Groups, Components, Claim Definition Files, Paper and Electronic Claims Formats, Extracts, Clearing House, Charge Review Profile, and Workqueues.• Iinteracted with department representative to analyze needs and translate these into system design to ensure proper system configuration for ICD-10.• Developed, support and maintain documentation and procedures as required.• Built master files and system records in accordance with established ICD-10 changes following standards for naming and numbering conventions and security classifications.• Contributed to testing, script development, performs unit, system, and integrated testing tasks; writing and testing phases for Clinical and Compliance Go-Live.• Provided expertise and experience to the development of activation plans, application activation tasks and production environment readiness.• Built logs, tracks, analyzes and coordinates system changes including any software code implementations. -
Clinical System Specialist - Horizon Physician PortalMemorial University Medical Center Oct 2006 - Dec 2011• Implementation of the Mobile Handheld Solution Thompson Reuters Clinical Xpert and InGenious Med Computer Software System for 350 network providers.• Responsible for all system set up, data conversions, special forms and formatting, help desk support, Clinical Xpert Mobile, Clinical Xpert Desktop, Clinical Xpert CareFocus and InGeniousMed IMBills hospital billing system. • User training and application of system upgrades. • Provide support of Horizon Physician Portal Automated Medical Record to physicians and their staff.• Served as Project Manager for the implementation of Physician Portal 12.0 and Vingette Platform Upgrade.• Served as Security Account Manager, Training and Support of Horizon Portal for all Hospital Nursing Staff.• Responsible for management of Citrix Access to all providers and their staff• Provided training to all new providers on Physician Portal to include Esignature of Medical Record Dictated Reports and Deficiency Esignature.• Proficient in setup and maintenance of physician hardware; Personal Computer, Mac and Windows devices; Smart phones and PDA’s to include TREO650/700, Dell Axim, TungstenC, Audiovox, IPhone, IPads, and Blackberry devices.
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Physician Support AnalystSt. Joseph'S/Candler Feb 2000 - Oct 2006Savannah, Georgia, Us• Promoted from Security Administrator to Physician Support Analyst in September 2004.• Implementation of the Thompson Reuters Clinical Xpert Computer Software System for 600 network providers.• Responsible for all system set up, data conversions, special forms and formatting, help desk support, Clinical Xpert Mobile, Clinical Xpert Desktop and Clinical Xpert CareFocus User training, and application of system upgrades.• Provided support of Meditech Patient Care Inquiry (PCI) Automated Medical Record to physicians and their staff. Assisted Electronic Medical Record Analyst with implementation of EMR System to Emergency Room Physicians in two facilities.• Responsible for management of Citrix Access to all providers and their staff.• Provided training to all new providers on Meditech PCI to include Esignature of Medical Record Dictated Reports and Deficiency Esignature. -
Manager Information SystemSt. Joseph'S / Candler Health System 1995 - 2000• Promoted from Central Business Office Supervisor to Manager, MGM IS Manager in November 1995. • Implementation of the IDX Computer Software System for 74 network providers. • Responsible for installation, setup and support of all network hardware. • Maintains a current knowledge of all billing regulations and issues in order to ensure that the IDX system is updated properly.• Served as Interim Director of CBO.• Served as support to Operations Directors, supporting physicians and staff in the operations of daily practice functions.• Assisted in receiving Joint Commission Accreditation for all physician practice location insuring that all regulatory requirements were met.• Daily management and oversight of all aspects of revenue cycle for a multi-specialty physician group encompassing over 74 providers in 2 states and 26 practice locations.• Perform workflow analysis and coordinate policy and procedure changes to increase efficiency and improve metrics for all aspects of a central business office including reduction of unbilled accounts, increase cash collections, and increase cash posting quality and timelines.• Daily management of 31 CBO employees for all human resource related items including orientation, performance evaluation, implement performance improvement plans and disciplinary actions when needed.• Generate, distribute, and present financial reports to executive leadership including unbilled reports, A/R Reports, and Cash Posting reports.• Establish and manage departmental budgets.• Improved revenue cycle efficiency and cash flow including increasing billed charges by $3 Million and increase cash collections by more than $2 Million annually.• Educate physicians, practice managers, and staff on revenue cycle opportunities including coding and third party payer requirements.• Review third-party payer payments to identify and resolve variances in payment versus what is contractually expected.
Becky Billington Skills
Becky Billington Education Details
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EpicComputer And Information Sciences And Support Services -
EpicPhysician Practice Management Software -
University Of PhoenixInformation Technology
Frequently Asked Questions about Becky Billington
What company does Becky Billington work for?
Becky Billington works for Spectrum Health
What is Becky Billington's role at the current company?
Becky Billington's current role is Consultant, Epic Professional Billing, Claims and Remittance Revenue Cycle Analyst.
What is Becky Billington's email address?
Becky Billington's email address is be****@****hoo.com
What is Becky Billington's direct phone number?
Becky Billington's direct phone number is +191265*****
What schools did Becky Billington attend?
Becky Billington attended Epic, Epic, University Of Phoenix.
What skills is Becky Billington known for?
Becky Billington has skills like Emr, Medical Billing, Project Management, Practice Management, Integration, Healthcare Information Technology, Documentation, Consulting, Hospitals, Golive, Healthcare, Epic Systems.
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