Megan Walker

ac8hki@r.postjobfree.com • 614-***-****

Summary

Professional healthcare worker skilled in operational efficiency, continuous improvement, patient relations, and insurance verification. Seeking a challenging position within the healthcare industry; to apply my critical thinking skills, advanced education, and leadership skills. Highlights

Project Management • Ohio Medicaid • Medicare (Traditional & Supplemental)

Continuous Improvement • Advanced Microsoft Skills •Rumba • ICD 9 and 10 Education

Master of Business Administration, Ashland University, Ashland OH 8/2018 Specialization: Project Management

Bachelor of Science, Cleveland State University, Cleveland, OH 12/2014 Minor: Psychology

Experience

Medicare Claims Processor 11/2018- present

Aetna, New Albany, OH

Verify patients insurance plans

Process medical claims from healthcare facilities, providers, and patients

Utilize ICD 10 to verify patients diagnosis to ensure it relates to the claim a provider or facility billed for

Patient Service Specialist 10/2016 – 10/2018

Cleveland Clinic Foundation, Cleveland, OH

Created monthly scheduling report

Assisted patients with scheduling urology, nephrology, and external department appointments

Assisted clinical staff in adjusting, updating, and editing their clinic and procedure schedules

Active member on continuous improvement team for 15 months Patient Service Representative 8/2016-10/2016

MedAssist Solutions, Westlake, OH

Assisted patients (50-60 daily) in applying for Ohio Medicaid

Communicated with various counties around Northeast Ohio to complete and register patients with Medicaid

Worked with major hospitals around the Northeast Ohio area to determine which patients needed Medicaid

Determined patient need and qualification for Medicaid Support Specialist 1/2015-7/2016

Mt. Carmel West Hospital, Columbus, OH

Explained Medicare appeals rights to patients

Created, managed, and gave monthly presentation to case management team on monthly Important Medicare Message results

Assisted case management team in arranging patients discharge paperwork, transportation, charity clothing (if applicable), and follow up appointments

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