Imonia Mcghee
Southaven,MS
Summary
With over twenty years in administration, I have strong experience managing & leading along with coaching and onboarding,
I led a team with many direct reports, including fourteen locations and a financial coordination team, ensuring accurate data and smooth enrollment processes.
Overview
21
21
years of professional experience
Work History
Financial/Insurance Director
FRESENIUS MEDICAL/KIDNEY CARE
Tupelo, Ms
01.2013 - Current
- Management and Supervisory Experience of all Self Insurance Coordinator Patient Files and Accounts
- Accountable for outstanding customer service to all external and internal customers.
- Maintains current knowledge regarding community and regional healthcare market and industry issues which may impact business. Utilizes current knowledge of FMCNA products, services and strategies to market the company and grow the business.
- Collaborates with the Participates in all pertinent training and development opportunities to grow and develop business knowledge, and skills and leadership competencies.
- Serves as the liaison between physician and the facility staff regarding the provision of information and options concerning the pharmaceutical reimbursement of free medications to patients utilizing medication assistance programs for the uninsured, under-insured, indigent, or those patients who have exceeded their maximum allowable level of insurance (donut hole).
- Collaborates with pertinent FMS Financial Coordinators and Social Workers to ensure effective provision of pharmacy benefits; Collects and analyzes patient information to determine financial assistance options available.
- Collects financial information to determine if premium or state funded assistance is needed. Serves as the primary resource regarding eligibility criteria, enrolling requirements, and contracts for pharmaceutical manufacture’s medication assistance programs Contract Negations
- Collaborates with Fresenius Rx Insurance Specialists to ensure all patient information is updated and accurate for the Accounts Receivable Department.
- Maintains database of local pharmaceutical medication assistance programs.
- Prepares monthly Financial Coordinator reports to track work progress on a monthly basis; submits to Manager and any other pertinent personnel.
- Analyzes patient reports from billing systems as an audit check to ensure the correct insurance information is entered into the billing system and that other changes are not overlooked.
- Provides team members with monthly information regarding the details of the patients’ primary and secondary insurance status as well as documentation regarding the plans of action currently in place as required.
- Works on preparing waivers as applicable according to pharmacy policies; Maintains patient confidentiality at all times.
- Other duties as assigned
Senior Medical Research Analyst
PROMATURA
Oxford, MS
01.2006 - 01.2013
- Conducted detailed literature searches and support proposal development activities and marketing strategies
- Developed human subject IRB protocol submissions
- Planned, implemented, and maintained data collection systems in support of specific research projects
- Assisted in the implementation and maintenance of data quality control processes
- Created overall plan for projects including the development of milestones, forecasting, and study initiation
- Conducted statistical analyses of research data
- Compiled information for summary reports for various stakeholders
- Developed manuscripts and presentations for peer reviewed journals and conferences
- Developed, manage and archive project files and online databases
- Performed other job-related duties as assigned
Unit Secretary
PRN/TRI LAKES MEDICAL CENTER
Batesville, MS
01.2005 - 01.2007
- Acted as the primary liaison between the company and the Medical Directors, Medical Advisory Board members, and referring physicians, ensuring appropriate communication of company initiatives. Responsible for developing and maintaining strong Medical Director and physician relationships and facilitating HT Program Manager and staff relationships with physicians.
- Worked under the directions of the Charge Nurse to assist with unit administrative functions/processes.
- Resident Liaison; Greeter
- Responded to inquiries made at the nurses station by residents, visitors, vendors and staff directing them to the proper sources for information as appropriate.
- Maintained the confidential medical records of residents presently living on the unit.
- Monitored the information gathering process for compliance of HIPAA regulations.
Education
Certificate - Women's Entrepreneurship
Cornell University
Ithaca, NY09.2021
Master of Business Administration - Health Care Mgmt.
Walden University
Minneapolis, MN04.2016
Bachelor of Arts - Health Care Administration
Ashford University
Clinton, IA05.2012
Associate of Applied Science - Medical Office
Northwest Community College
Oxford, MS05.2007
Skills
- Experienced and compassionate healthcare administrator with over twelve years working with diverse populations in private practice, healthcare, social service agencies, and outpatient/inpatient treatment settings Proven leader, change agent, strategist, implementation catalyst, business and interpersonal savvy, tremendous work ethic, excellent communication, analytical and organizational skills
- Skilled in case/operations management, CPT coding and medical research, care planning, patinet accounts, salesforce, electronic patient files and patient services
- Received Tri Lakes Facility Clinical Team of Year 2007
- Advocate for clients by providing excellent customer service, confidentiality and follow up
- Created/Facilitated market research studies
- Develop and maintain successful relationships; Accepts accountability; Motivates team to reach goals
- Support Compliance, Regulatory and other medical standards
- CEO Managing daily Operations
- Clinic Administrative leadership
- Commercial Billing & Reimbursement
- Healthcare Administration
- Insurance Verification
- Managed Care Knowledge
- Billing
Timeline
Financial/Insurance Director
FRESENIUS MEDICAL/KIDNEY CARE
01.2013 - Current
Senior Medical Research Analyst
PROMATURA
01.2006 - 01.2013
Unit Secretary
PRN/TRI LAKES MEDICAL CENTER
01.2005 - 01.2007
Certificate - Women's Entrepreneurship
Cornell University
Master of Business Administration - Health Care Mgmt.
Walden University
Bachelor of Arts - Health Care Administration
Ashford University
Associate of Applied Science - Medical Office
Northwest Community College