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Medical Billing Staff

Location:
Oxford, NC
Posted:
February 05, 2024

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Resume:

Megan Humphrey

ad3dy6@r.postjobfree.com 707-***-**** Oxford, NC

SUMMARY

Seasoned administration professional with 9 years of experience in healthcare settings, adept at credentialing processes, meeting coordination, and office management. Skilled in medical billing, maintaining confidential records, and streamlining communication with stakeholders. Seeking an Administration role to leverage meticulous organizational skills and a strong background in supporting executive and medical staff functions. WORK EXPERIENCE

Granville Health System Oxford, NC

Medical Staff Services Coordinator & Credentialing Assistant Feb 2023 - Present

• Manage the credentialing process for healthcare providers, ensuring compliance with Joint Commission standards and conducting thorough background checks using primary source verification.

• Facilitate committee meetings by preparing agendas, assembling packets, distributing materials, and recording minutes, while also maintaining provider credentialing files for departmental approvals.

• Oversee the FPPE and OPPE processes, conducting audits, tracking variances, and reporting findings to Department Chiefs for further review and action.

• Coordinate the onboarding of new hires, including scheduling orientations and completing necessary paperwork, as well as managing provider contracts and maintaining licensure and certification records. ReverGrand Grants Pass, OR

Direct Support Professional Jul 2021 - Dec 2022

• Provided comprehensive care and support tailored to individual client needs, ensuring adherence to their specific Individual Support Plan.

• Maintained detailed documentation of assistance provided, including support with transportation, feeding, and personal hygiene.

• Enhanced client well-being through dedicated daily support, fostering independence and improving quality of life. Pelican Bay State Prison Crescent City, CA

Office Technician Jan 2018 - Nov 2021

• Coordinated executive meetings, including the creation of invitations, document preparation, and accurate recording of minutes; diligently maintained an up-to-date Proof of Practice binder.

• Compiled and reviewed essential data for monthly reports, ensuring timely submission while also managing the supervisor's and staff calendars, as well as overseeing conference room scheduling.

• Conducted thorough audits, liaising with auditors, organizing pertinent information, and meticulously documenting findings to uphold organizational standards and compliance.

• Managed confidential employee records with discretion, facilitated inmate health education, and contributed to the Inmate Advisory Council by recording minutes and addressing concerns. Dr. Meyers Crescent City, CA

Office Assistant Sep 2016 - Dec 2017

• Managed patient appointment scheduling, document handling, and chart preparation, ensuring efficient office operations and patient readiness.

• Facilitated patient referrals and liaised with insurance entities to secure authorizations, submit documentation, and address denied procedure rebuttals.

• Investigated and resolved billing discrepancies by correcting coding errors and resubmitting claims, improving the approval rate for insurance reimbursements.

ASE Billing Temecula, CA

Medical Billing Specialist Oct 2012 - Oct 2013

• Managed the billing cycle, including processing, rebilling, and correcting claims, ensuring accuracy and adherence to insurance guidelines.

• Coordinated with patients to resolve delinquent accounts, facilitating payment arrangements and maintaining account records.

Universal Health Services Murrieta, CA

Foundation Assistant Mar 2011 - Oct 2012

• Accurately audited and rectified discrepancies in patient accounts, ensuring both the integrity of billing processes and the accuracy of charge postings.

• Supported hospital liaisons in resolving account-related issues, including supply pricing and coding errors, enhancing operational efficiency and accuracy.

EDUCATION

University of Phoenix

Bachelor of Science Degree (Health Management)

Phoenix, AZ

In Progress

Riverside Community College

Associate of Art Degree (Psychology)

Riverside, CA

Dec 2004

Palomar Community College

Medical Billing Certification

Palomar, CA

Oct 2008

SKILLS

Computer Skills Including Microsoft Word, Excel, Publisher, Outlook, and PowerPoint • Communication Skills • Attention to Detail • Analytical Skills & Problem Solving • Experience With Zoom, Skype, and Teams to Conduct Meetings • Organized • Strong Clerical Background • Customer Service Skills



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