Kayla McMurray
Springfield
Summary
Results-driven Senior Coordinator in Revenue Cycle with over 20 years of experience in medical claims and insurance. Proven expertise in process optimization and team development, successfully managing complex payer projects while enhancing productivity through innovative strategies. Committed to advancing claim accuracy and compliance, fostering a culture of continuous improvement, and implementing best practices to elevate operational efficiency. A strategic thinker dedicated to driving results and maximizing organizational success in the healthcare revenue cycle.
Overview
1
1
Certification
21
21
years of professional experience
Work History
Senior Coordinator
Springfield Clinic
Springfield, IL
01.2026 - Current
- Provide daily oversight to revenue cycle staff, ensuring tasks are completed accurately and on time
- Serve as the team’s point of contact for questions, escalations, and workflow troubleshooting across one or more areas of the revenue cycle.
- Monitor daily productivity and quality metrics; report performance trends and concerns to the Revenue Cycle Manager.
- Supervised workflow distribution, optimized time management strategies, and approved payroll submissions to ensure operational efficiency.
- Train and mentor team members on department procedures, software systems, compliance requirements, and best practices.
- Facilitate regular one-on-one sessions with team members to provide personalized support and feedback.
- Collaborate with clinical and administrative teams to ensure complete and accurate documentation and charge capture.
- Gathered, analyzed, and reported information on insurance due balances to support decision-making by management and providers.
- Identify and analyze denial trends to develop and implement strategies for denial prevention.
- Work with Billing, Coding, Clinical and other departments to identify root causes of denials and resolve issues.
- Assisted in process improvement initiatives and system updates to enhance operational efficiency and compliance with new policies.
- Perform quality assurance checks to identify and correct errors.
- Assist with creating and refining written procedures for denial posting and follow up.
- Assist with creation and yearly review of claim rules within the EMR System.
- Track key performance indicators (KPIs), monitor progress towards goals and report on performance to the Revenue Cycle Management Team.
- Collaborate with payers to resolve complex denial issues, strengthening relationships and ensuring timely payment resolution.
- Stay up-to-date on all relevant healthcare regulations, payer policies, and industry standards.
Insurance Reviewer Lead
Springfield Clinic
11.2020 - 01.2026
- Spearhead Insurance Review team, optimizing workflows and implementing process enhancements for AR reduction.
- Developed quality program, improving accuracy and compliance in insurance reviews.
- Analyze denial trends and manage complex payer projects.
- Collaborate with managers to resolve claims, ensuring smooth operations and reduced denials.
- Partner with Office Managers and Coding Unit to resolve claim issues. Collaborate on AR reduction strategies, implementing procedural changes to prevent future claim problems.
- Lead team to enhance AR processes, achieving measurable improvements in claim management.
- Mentored staff through regular meetings, enhancing professional growth and team cohesion.
- Fostered team growth through mentorship and one-on-one meetings, developed Quality Audit process, enhancing accuracy in insurance review.
- Train employees on procedures, enhancing team productivity and adherence to guidelines.
Medicaid Specialist
Memorial Health System
09.2015 - 01.2026
- Managed Medicaid billing, coding, and claims collection to ensure timely reimbursement and compliance with regulations.
- Optimized multi-tasking across various computer programs, managing concurrent calls while maintaining accurate Excel records to support operational efficiency.
- Mentored new hires on Memorial Systems and practices, facilitating effective onboarding and enhancing team integration.
Insurance Reviewer II
Springfield Clinic
06.2018 - 11.2020
- Implemented streamlined processes for insurance review and adjustment, improving workflow efficiency and expediting processing time for complex claims.
- Scrutinized insurance vouchers and processed rebillings and adjustments using digital platforms and telephone communication to ensure accurate and timely claim resolution.
- Managed incoming insurance correspondence and addressed audits and information requests promptly to uphold accuracy in patient invoices and billing records.
- Analyzed front-end and back-end system edits, ensuring correct physician productivity tracking and accurate claim registration for improved billing efficiency.
Claims Examiner
Blue Cross Blue Shield of Illinois
02.2005 - 09.2015
- Collaborated with providers and insurers to resolve claim issues, delivering timely and accurate resolutions.
- Processed claims with accurate coordination of benefits, streamlining claim adjudication.
- Maintained exceptional quality and productivity in claims processing, fostering operational excellence.
- Led training initiatives, mentoring new staff to ensure seamless integration and performance growth.
- Trained new hires and developed training materials to enhance onboarding process.
Education
Diploma -
Southeast High School
Springfield, IL05-2004
Skills
- Healthcare Administration
- Regulatory Compliance
- Health Policy
- Health Policy Managed Care
- Rural Health
- Quality Assurance
- Financial Reporting
- Data Entry
- Information Management
- Workflow Management
- Process Optimization
- Project coordination
- Analysis
- Leadership
- Management
- Team oversight
- Mentoring
- Communication
- Documentation Management
- Relationship building
- Accuracy
- Decision-making
- Problem-solving
- Multitasking and organization
- MS office
Certification
- Communication & Professional Presence - 2023-10
- Fierce Conversations, Leading with Emotional Intelligence - 2023-10
- Intentional Communication - 2023-11
- HIPPA, ePHI and Security awareness training - 2024-11
- Painless Presentations for Big Groups and Small - 2023-12
- Foundations at Lead SC - 2023-09
- Leading with Emotional Intelligence - 2023-08
- Strategic Speed and Visibility and Accessibility at Lead SC - 2023-09
Timeline
Senior Coordinator
Springfield Clinic
01.2026 - Current
Insurance Reviewer Lead
Springfield Clinic
11.2020 - 01.2026
Insurance Reviewer II
Springfield Clinic
06.2018 - 11.2020
Medicaid Specialist
Memorial Health System
09.2015 - 01.2026
Claims Examiner
Blue Cross Blue Shield of Illinois
02.2005 - 09.2015
Diploma -
Southeast High School