Kathleen McGuigan
Conowingo,MD
Summary
Medical office professional with 18 years of experience in charge entry, insurance referrals, and prior authorizations. Skilled in managing administrative tasks for a team of 4 providers in a fast-paced environment to include front desk operations, patient scheduling, insurance inquiries and medical coding. Proven track record of streamlining processes, improving patient satisfaction, and ensuring accurate record-keeping.
Overview
18
18
years of professional experience
1
1
Certification
Work History
CPC /Referral Coordinator/Medical Receptionist
Stone Run Family Medicine
02.2007 - Current
- Reviewed and analyzed patient medical records to ensure accurate coding for claims processing.
- Verified treatment plans by consulting with medical professionals and identifying any necessary information ensuring accuracy and quality by performing edit checks on entered information.
- Managed the processing of Commercial and Medicaid prior authorization requests and ensured prompt and accurate completion of referral requests for specialty offices using multiple platforms like phone, fax, and web page.
- Scheduled sleep tests and coordinated post-testing care through DME providers.
- Confidentially managed correspondence, filing, and telephone communications. Ensured accurate patient demographic and insurance information by verifying and updating records. Skillfully triaged calls to prioritize appointments for a busy, multi-physician schedule.
- Managed and resolved challenging interactions with displeased patients in high-pressure environments.
- Assisted with office operations throughout the Covid-19 pandemic, performing scribing duties for outdoor sick clinics and overseeing vaccination clinics.
- Received training in Narcan and CPR.
Education
High School Diploma -
Rising Sun High School
North East, MD06.1992
Skills
- Multi-line phone proficiency
- Appointment Scheduling
- Insurance precertification processes
- Insurance Verification
- HIPAA Regulations
- Referral tracking
- Medical Terminology
- Proficient in MS Office
- Verbal and Written Communication
- Electronic Medical Record Software
- Proficient in ICD-10 CM and CPT coding
- Knowledgeable in HCPCS coding
Certification
Certified Professional Coder 11/2015
Timeline
CPC /Referral Coordinator/Medical Receptionist
Stone Run Family Medicine
02.2007 - Current
High School Diploma -
Rising Sun High School
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