Summary
Overview
Work History
Education
Skills
Timeline
Generic

Margaret Moynihan

Eustis,FL

Summary

Goal-oriented individual versed in handling a high-volume of customers and claims based on carrier. Gifted at working with all types of personalities. Knowledgeable with claims processing and referrals. Dedicated and dependable relationship-builder with excellent organizational strengths and superior work ethic.

Overview

16
16
years of professional experience

Work History

Intake Representative

CarepathRX
05.2023 - Current
  • I provide ongoing support and assistance to the RN Intake Coordinators
  • Primary responsibilities include: Intake and data entry of complete and accurate referral information and providing clerical support to the Intake Department
  • Others duties include:
  • Obtains patient referral data from referral sources via phone or fax;
  • Perform clerical duties as requested;
  • Documents initial referral information;
  • Identifies and documents patient team assignment;
  • Notifies intake coordinator of pending referrals;
  • Enters new patient information into computer system as needed;
  • Acts as liaison between Intake and referral sources with initial referral information;
  • Assists Intake nurses with faxing and copying and distribution as needed;
  • Assists Intake with phone communication as needed;
  • Assures accurate transfer of patient insurance information to IVC;
  • Performs in accordance with system-wide competencies and behaviors;
  • Performs other duties as assigned.

Customer Service Representative

Turning Point Healthcare Solutions
07.2020 - 05.2023
  • I assist in daily activities providing exceptional customer service to doctor's offices and patients
  • I process Prior Authorization requests received via telephone, fax, and e-mail
  • I provide and/or validate request information
  • I work under a Utilization Review Nurse with the creation of all medical cases
  • Daily job duties include but are not limited to:
  • Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner
  • Thoroughly documents inquiry outcomes for accurate tracking and analysis
  • Responsible for meeting or exceeding quality and productivity expectations to ensure customer satisfaction
  • Review and maintain service requests and call center database for completeness of information
  • Handles most complex calls with minimal assistance
  • Aids in and/or refers high-level, complex questions, problems or client complaints to appropriate resources to ensure customer satisfaction
  • Enters updates to pertinent insurance data
  • Experience in a high-volume call center
  • Respects and maintains HIPAA confidentiality guidelines
  • Other duties as directed

Patient Representative Surgical Coordinator

Hudson Valley Eye Surgeons
10.2018 - 06.2020
  • As a meticulous and detail-oriented Surgical Coordinator I am responsible for a variety of administrative and clerical tasks
  • My primary responsibilities include scheduling appointments for the Eye Surgeon, calling patients to remind them about their appointment and scheduling patients’ surgeries
  • I also take care of all the paperwork, prepare bills and work with insurance companies for preauthorization and subsequent billing
  • Daily job duties include but are not limited to:
  • Giving new patients paperwork to fill out, putting together their medical charts, and verifying their insurance information
  • Answering telephones and emails as well as common questions about surgical times, appointments, and instructions
  • Preparing patients' bills and sending them to the specific insurance company
  • Scheduling patients' appointments and surgeries, sending reminders to patients, and scheduling emergency and add-on surgeries
  • Ensuring adequate preparation for surgeries by scheduling the necessary equipment and procedure rooms and maintaining the surgical inventory
  • Understanding surgical procedures, such as the necessary time a surgery takes and the medical staff necessary, in order to properly maintain a surgical schedule
  • Providing patients with pre- and post-operative instructions
  • Managing surgical documents, gathering and inputting patients' information, and entering post-surgery data into patients' records
  • Ensuring all surgical cases are scheduled in a timely manner in accordance with the Surgeon's directions
  • Utilizes NextGen software; along with all Microsoft Office applications
  • Excellent customer service, communication skills, telephone and people skills
  • Strong team player, aiding other office staff as necessary.

Collections Clerk

Medical Client Services, Collection Bureau Hudson Valley
08.2015 - 09.2018
  • Responsible for gathering information related to client needs by researching, calming and rapidly resolving customer conflict to prevent loss of key accounts
  • Handle client requests, medical billing inquiries and posting payments
  • Achieved high performance evaluations for call handling ability and quality of services provided to patients in a fast paced, high volume call center
  • Assisted customers with all aspects of insurance billing resolution or payments and documented any information or conversations in the computer regarding the customer’s accounts
  • Understand the importance of dealing with confidential information
  • Resolved problems or escalated to managers as needed – able to diffuse intense situations and frustrated callers
  • Maintain Excel spreadsheets with customer financial information
  • Perform medical billing with knowledge of insurance claims including HCFA, CPT codes and diagnosis codes., for a third-party collection’s bureau, I am accountable for collecting the maximum amount of overdue funds from customers, which may include a variety of collection techniques & legal claims
  • On a daily basis I am responsible to:
  • Contact customers to collect on past due accounts
  • Develop relationships with customers and serve as a point-of-contact for account management/payments
  • Review and establish payment plan with customers
  • Maintain accounts in billing/collections system
  • Make changes to existing accounts
  • Process invoices and payments
  • Performs other duties as assigned by the supervisor
  • I have received multiple awards for having the highest rate of collections amongst the staff and have always made my monthly quota
  • I hold a PCS certification from ACA International which aligns to the FDCPA guidelines for Collection Professionals.

Billing Clerk

M&M Packaging Inc
06.2014 - 07.2015
  • For a private farm and packaging company, I am responsible for performing a variety of clerical tasks with a focus on billing activities
  • My work includes verification of invoice information and maintenance of billing records, follow-up of submission of claims and resolutions
  • I have an exceptional ability to prioritize tasks to meet goals and objectives and a strong ability to interact and communicate with people of all levels and status
  • On a daily basis I am responsible to:
  • Interact with drivers regarding purchase orders, paperwork, time of arrival and destination
  • Maintain a log of all driver trips on a daily basis
  • Processed billings, invoices and processed reimbursement claims requested by clients
  • Followed-up customers regarding past-due invoices and billings and worked out a plan to help them avoid incur arrears and penalties
  • Responded to client inquiries regarding billing issues and statement problems
  • Reconciled bank statements and check for inconsistencies and errors
  • Kept accounting records and compiled information on customer's account
  • Compiled and kept records of financial transactions made by the client, for reference.

Collection Clerk

Bureau Hudson Valley
03.2012 - 06.2014

Home Health Aide

HHA – Mid, Managed Home Care
10.2011 - 03.2012
  • Responsible for providing direct patient care within a home setting throughout Orange County, NY.

CNA

Woodland Ponds in New Paltz
04.2011 - 10.2011
  • As a CNA I provide direct patient care, both medical and non-medical
  • I work under the direction of a registered nurse and assist the LPN nurses during my shift.

Associate

Tommy Hilfiger
02.2008 - 12.2010

Seasonal sales

  • Associate while attending High School.

Education

High School Diploma -

Newburgh Free Academy
Newburgh, NY

Skills

  • Computer Skills:
  • Microsoft Software: Word, Excel, NextGen, Multiple healthcare manage sites
  • Skills: Empathy, Communication, active listening, Reliable, Positive demeanor, Phone queue experience, High volume call center, Maintaining metrics and KPI
  • Excellent People Skills
  • Dispute Mediation

Timeline

Intake Representative

CarepathRX
05.2023 - Current

Customer Service Representative

Turning Point Healthcare Solutions
07.2020 - 05.2023

Patient Representative Surgical Coordinator

Hudson Valley Eye Surgeons
10.2018 - 06.2020

Collections Clerk

Medical Client Services, Collection Bureau Hudson Valley
08.2015 - 09.2018

Billing Clerk

M&M Packaging Inc
06.2014 - 07.2015

Collection Clerk

Bureau Hudson Valley
03.2012 - 06.2014

Home Health Aide

HHA – Mid, Managed Home Care
10.2011 - 03.2012

CNA

Woodland Ponds in New Paltz
04.2011 - 10.2011

Associate

Tommy Hilfiger
02.2008 - 12.2010

Seasonal sales

High School Diploma -

Newburgh Free Academy

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Margaret Moynihan