Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

KAYLEY MCNEAL

Summary

Motivated Patient Account Representative offering 10 years of healthcare and customer service experience. Highly effective time management, conflict resolution and communication skills. Enjoy working closely with other healthcare professionals and patients to ensure all needs are met. Well organized and a team player. Obtained an Associate degree in Arts and Sciences focused exclusively on the medical field and a BA in Psychology with a focus in Child and Adolescent Development. Currently working on a Master's in Social Work (MSW) degree with an expected graduation date of October 2026. Looking to continue growing professionally in the medical field along with taking on more challenging work through new opportunities and through growing into leadership roles.

Overview

14
14
years of professional experience
1
1
Certification

Work History

PATIENT ACCOUNT SPECIALIST

SEATTLE CHILDREN’S
03.2021 - Current
  • Work 30+ accounts daily for government payers that require follow up on denials
  • Create new processes and procedures
  • Put together reconsideration and appeal packets and submit to payers as needed
  • Contact payers directly to gather additional information on claim denials and push back when necessary, to get claim denials overturned
  • Collaborate with other associates within the department to resolve account issues in a timely matter
  • Identify and escalate denial trends to leads as needed
  • Rapidly change tasks throughout the day depending on the workload assigned

REGISTRATION ASSOCIATE

PEDIATRIX MEDICAL GROUP
02.2019 - 03.2021
  • Register all new newborn, NICU, and hearing screen babies into OBR
  • Utilize computer systems such as CMS 1500, EPIC, OBR/Masterdata Base and more
  • Obtain authorizations for services and work with insurance companies as needed
  • Contact parents and/or facilities to obtain and confirm demographic and insurance
  • Frequently run reports and work accounts to get them released to insurance for payment
  • Keep meticulous records of census from several different facilities
  • Work with other Registration Associates to complete tasks and help train new Associates
  • Support providers from different facilities and correct billing errors as needed

MEDICAL BILLER

ANKLE AND FOOT OF EDMONDS
07.2018 - 02.2019
  • Post incoming charges to patient accounts
  • Post incoming payments from insurances
  • Frequently call out to insurance companies to dispute claims
  • Make outgoing calls to patients to collect on account debt
  • Send out weekly patient statements 2

MEDICAL RECEPTIONIST/TRANSCRIPTIONIST

EDMONDS ORTHOPEDIC CENTER
10.2017 - 02.2019
  • Verify all insurance for all patients scheduled
  • Check in/check out patients
  • Schedule new appointments either in person or over the phone
  • Effectively communicate with all providers in the clinic about their patients
  • Manage and schedule all incoming referrals
  • Scan all patient information into the patient’s electronic chart
  • Collect patient copays and account balance payments
  • Assist team lead when needed and step into her place when she is absent
  • Edit and sign all provider dictations
  • Keep all L&I and self-insured APF’s up to date and faxed out to claims managers

MEDICAL RECEPTIONIST

EVERETT CLINIC
04.2017 - 10.2017
  • Schedule 150-200 patients per day
  • Run insurance verification and resolve any issues on all scheduled patients
  • Triage and direct incoming calls as needed
  • Triage patient appointments with nursing staff to assure accurate patient scheduling

CLINICAL DATA ANALYST

PROVIDENCE HEALTHCARE
05.2016 - 01.2017
  • Abstract trauma patient’s data from EPIC to be submitted to the American College of
  • Surgeons
  • Input abstracted information into V5 Collector to be further analyzed
  • Ran reports from V5 Collector and made data sheets to show any trends in incoming trauma patients
  • Worked closely with community outreach specialist to create events to educate the public on safety
  • Created new training manual for incoming clinical data analyst

DIAGNOSTIC IMAGING SCHEDULER

EVERGREEN HEALTHCARE
05.2015 - 02.2016
  • Scheduled 100+ patients per day
  • Called out on all incoming referrals
  • Verified insurance information with all patients
  • Completed additional projects as assigned by Lead and/or Supervisor

SENIOR BEAUTY ADVISOR/PHARMACY ASSISTANT

WALGREENS CO
04.2011 - 05.2015
  • Manage upwards of 4 people in the beauty department
  • Kept track of weekly statistics and made weekly goals for the department
  • Trained all new staff entering the department
  • Set up and advertised weekly promotions to boost sales
  • Held weekly meetings with staff to hear any concerns and to go over any recommendations
  • Worked closely with all store leadership to maintain a healthy work environment
  • Attended weekly conference calls
  • Filled all incoming prescriptions
  • Collected and verified all patient insurance and called insurance companies with any issues
  • Completed other tasks as assigned by all managers

Education

Master of Science - Social Work

UMass Global
Aliso Viejo, CA
10-2026

Certificate - Nursing Assistant

Nursing Assistant Training Institute
Shoreline, WA
08-2024

Certificate - Human Resources Essentials

Cornell University
Ithaca, NY
07.2024

Bachelor of Arts - Psychology- Child And Adolescent Development

Southern New Hampshire University
Hooksett, NH
04.2023

A.A ARTS & SCIENCES - Medicine (Pre-Medicine)

EVERETT COMMUNITY COLLEGE
Everett, WA
06.2013

HIGH SCHOOL DIPLOMA -

LAKE STEVENS HIGH SCHOOL
Lake Stevens, WA
06.2013

Skills

  • BLS Certified
  • Pediatric Mental Health First Aid Certified
  • Extensive experience with CMS 1500, EPIC, Cerner, OBR/Masterdata Base, NextGen and
  • Extensive experience with insurance verification
  • Experience obtaining complex authorizations
  • Excellent organization skills with ability to multitask
  • Strong background in developing and implementing team training
  • Extensive experience communicating and solving difficult problems with providers
  • Experience dealing with insurance denials and disputes
  • Strong communication and critical thinking skills

Certification

  • CNA - Certified Nursing Assistant
  • BLS - Basic Life Support

Timeline

PATIENT ACCOUNT SPECIALIST

SEATTLE CHILDREN’S
03.2021 - Current

REGISTRATION ASSOCIATE

PEDIATRIX MEDICAL GROUP
02.2019 - 03.2021

MEDICAL BILLER

ANKLE AND FOOT OF EDMONDS
07.2018 - 02.2019

MEDICAL RECEPTIONIST/TRANSCRIPTIONIST

EDMONDS ORTHOPEDIC CENTER
10.2017 - 02.2019

MEDICAL RECEPTIONIST

EVERETT CLINIC
04.2017 - 10.2017

CLINICAL DATA ANALYST

PROVIDENCE HEALTHCARE
05.2016 - 01.2017

DIAGNOSTIC IMAGING SCHEDULER

EVERGREEN HEALTHCARE
05.2015 - 02.2016

SENIOR BEAUTY ADVISOR/PHARMACY ASSISTANT

WALGREENS CO
04.2011 - 05.2015
  • CNA - Certified Nursing Assistant
  • BLS - Basic Life Support

Master of Science - Social Work

UMass Global

Certificate - Nursing Assistant

Nursing Assistant Training Institute

Certificate - Human Resources Essentials

Cornell University

Bachelor of Arts - Psychology- Child And Adolescent Development

Southern New Hampshire University

A.A ARTS & SCIENCES - Medicine (Pre-Medicine)

EVERETT COMMUNITY COLLEGE

HIGH SCHOOL DIPLOMA -

LAKE STEVENS HIGH SCHOOL
KAYLEY MCNEAL