Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
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Alex McGlasson

DuBois,IL

Summary

Highly trained RCM Specialist with 7+ years background in the insurance verification industry. An established Insurance Verification Specialist known for handling various office tasks with undeniable ease. Responsible and diligent to complete all duties associated with medical verification eligibility.

Overview

8
8
years of professional experience

Work History

RCM Verification, Team Lead

Medline Industries
10.2021 - Current
  • Maintained knowledge of insurance coverage benefit levels, eligibility systems and verification processes.
  • Trained new team members in policies and procedures and offered insight into best ways to manage job tasks and duties.
  • Collaborated with contract specialist to develop and maintain up-to-date benefits manual.
  • Managed uploading of calls through mPulse system.
  • Reviewed incoming escalated concerns from customers.
  • Acted as a team leader in group projects, delegating tasks and providing feedback.
  • Demonstrated leadership skills in managing projects from concept to completion.
  • Managed spreadsheets of portal information for entire team.
  • Used critical thinking to break down problems, evaluate solutions and make decisions.
  • Identified areas of weakness and recommended or implemented process improvements.
  • Implemented user acceptance testing with focus on documenting defects, identifying bottlenecks and executing test cases.
  • Monitored resolution of bugs, tested fixes and helped developers tackle ongoing problems by providing QA perspective.

RCM Verification, Senior

Medline Industries
08.2017 - 10.2021
  • Demonstrated a high level of initiative and creativity while tackling difficult tasks.
  • Managed high-volume tasks by completing eligibility verification for over 150 orders daily within pressured timeframes for productive medical operations.
  • Complied with HIPAA guidelines and regulations for confidential patient data.
  • Managed time efficiently in order to complete all tasks within deadlines.
  • Used strong analytical and problem-solving skills to develop effective solutions for challenging situations.
  • Trained new staff on current, correct insurance verification procedures.
  • Created work - lists for employees to follow.
  • Mapped insurance plan descriptions to appropriate payer to culminate automated eligibility verification.
  • Identified root cause of denials to provide plans for denial resolution by using Waystar.
  • Learned and adapted quickly to new technology and software applications.
  • Implemented user acceptance testing with focus on documenting defects, identifying bottlenecks and executing test cases.
  • Monitored resolution of bugs, tested fixes and helped developers tackle ongoing problems by providing QA perspective.

RCM Verification Specialist

Medline Industries
05.2016 - 08.2017
  • Skilled at working independently and collaboratively in a team environment.
  • Complied with HIPAA guidelines and regulations for confidential patient data.
  • Worked flexible hours across night, weekend and holiday shifts.
  • Participated in team projects, demonstrating an ability to work collaboratively and effectively.
  • Self-motivated, with a strong sense of personal responsibility.
  • Managed time efficiently in order to complete all tasks within deadlines.
  • Demonstrated strong organizational and time management skills while managing multiple projects.

Education

Bachelor of Arts -

Southern Illinois University Carbondale
Carbondale, IL
12.2016

Associate of Arts -

Kaskaskia College
Centralia, IL
05.2013

High School Diploma -

Nashville Community High School
Nashville, IL
05.2011

Skills

  • Health Insurance Verification
  • File Manager
  • New Hire Training
  • Quality Assurance
  • Team Leadership
  • Performance Tracking
  • Project Delegation
  • Proficient in Microsoft Office
  • Excellent Communication
  • Determined Problem Solver

Accomplishments

  • Continued promotions within company because of demonstrated leadership skills
  • Used Microsoft Excel to develop productivity tracking spreadsheets.
  • Assisted in supervising team of 30 staff members.
  • Documented and resolved verification discrepancies to decrease the rate of denials received.

Timeline

RCM Verification, Team Lead

Medline Industries
10.2021 - Current

RCM Verification, Senior

Medline Industries
08.2017 - 10.2021

RCM Verification Specialist

Medline Industries
05.2016 - 08.2017

Bachelor of Arts -

Southern Illinois University Carbondale

Associate of Arts -

Kaskaskia College

High School Diploma -

Nashville Community High School

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Alex McGlasson