Angela Mcghee
Atmore,AL
Summary
Experienced medical billing specialist with 30+ years in claims processing, ICD-10 coding, and insurance verification. Known for denial management, HIPAA compliance, and accurate resolution of billing issues to support timely reimbursement.
Overview
1
1
Certification
35
35
years of professional experience
Work History
Billing Specialist
Poarch Creek Health Clinic
Atmore, AL
11.2016 - Current
- Processed medical claims for healthcare billing office using payer guidelines.
- Reviewed patient accounts for coding accuracy and missing charge details.
- Submitted insurance claims through electronic billing systems and clearinghouses.
- Followed up denied claims with payers and corrected claim errors.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Verified insurance eligibility and benefits before claim submission.
- Maintained HIPAA-compliant records across billing and account files.
- Adhered to HIPAA regulations when handling confidential patient information.
- Posted charges, payments and adjustments.
- Analyzed rejected claims and corrected errors as necessary before resubmitting them for payment.
- Submitted appeals for denied claims when appropriate according to the insurance company's criteria.
- Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
- Submitted refund requests for claims paid in error.
- Ensured HIPAA compliance by maintaining confidentiality of all patient information.
- Monitored aging accounts receivable balances ensuring timely resolution of outstanding balances.
- Initiated collection efforts on unpaid accounts by contacting insurance companies or patients directly via phone or mail.
- Assisted with the reconciliation of accounts receivable ledgers at month-end close process.
- Communicated with insurance representatives to complete claims processing or resolve problem claims.
- Applied HIPAA privacy and security regulations while handling patient information.
- Submitted claims to insurance companies.
- Checked claims coding for accuracy with ICD-10 standards.
- Completed Certified Professional Coder Course
Patient Accounts Clerk
Infirmary Health Systems
Mobile, Alabama
07.1991 - 11.2016
- Resolved billing questions with patients.
- Processed medical claims for healthcare billing office using payer guidelines.
- Reviewed patient accounts for coding accuracy and missing charge details.
- Followed up denied claims with payers and corrected claim errors.
- Submitted insurance claims through electronic billing systems and clearinghouses.
- Posted payments, adjustments, and remittance details to patient accounts.
- Maintained HIPAA-compliant records across billing and account files.
- Contacted patients regarding balances, statements, and billing questions.
- Adhered to HIPAA regulations when handling confidential patient information.
- Applied payments, adjustments, and denials into medical manager system.
- Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
- Submitted refund requests for claims paid in error.
- Resolved discrepancies between insurance companies and patients regarding payment of bills.
Education
Tribe I Leadership
Atmore, AL08-2026
High School Diploma -
Ben C Rain
Mobile05-1989
Skills
- Medical billing
- Claims processing
- ICD-10 coding
- CPT coding
- Claims appeals
- Insurance verification
- Team collaboration
- Customer service
- Payment posting
- HIPAA compliance
- Problem solving
- Effective communication
- Medical billing and collections
- Coding proficiency
- Denial management
Certification
CHAA Certicatification
Timeline
Billing Specialist
Poarch Creek Health Clinic
11.2016 - Current
Patient Accounts Clerk
Infirmary Health Systems
07.1991 - 11.2016
Tribe I Leadership
High School Diploma -
Ben C Rain