Kelley Magill
Greensburg,PA
Summary
Devoted professional proactively and quickly identifies best course of action for given scenarios. Confident handling tasks independently and in teams with highly organized approach to work. Strong advocate for those in need and committed to providing best possible service.
Overview
10
10
years of professional experience
Work History
National Accounts VA Intake Specialist
ZOLL Services, LLC
07.2013 - Current
- Enhanced client experience by conducting thorough intake assessments and accurately identifying their needs.
- Streamlined the intake process by developing and implementing efficient data collection methods for improved service delivery.
- Increased insurance company satisfaction with timely follow-ups, ensuring all necessary documentation was collected and processed promptly.
- Front end order fulfillment and benefit verification via online or payor portals, reviewing clinical documentation to approve or deny dispensing decisions, maintain relationships with insurance companies, sales field, and other internal departments, creating new accounts with demographic information and providing either ICD-9, ICD-10, HCPCS and CPT codes for claims processing
Clinical Appeals Coordinator
ZOLL Services, LLC
07.2013 - Current
- Enhanced appeal resolution rates by thoroughly reviewing and analyzing case documentation.
- Streamlined appeals process for increased efficiency through consistent tracking and monitoring of cases.
- Collaborated with cross-functional teams, resulting in improved communication and quicker resolutions.
- Maintained comprehensive knowledge of regulatory guidelines to ensure compliance within the appeals department.
- Organized and managed appeals caseloads, prioritizing high-priority cases for timely resolution.
- Participated in regular meetings with management to provide updates on case status and discuss potential improvements in processes.
- Coordinated with medical professionals and subject matter experts for case reviews, obtaining necessary clarification for accurate decisionmaking.
- Contributed to a positive work environment by sharing best practices among colleagues; improving overall team performance.
Medical Collections Representative
ZOLL Services, LLC
07.2013 - Current
- Improved patient satisfaction by effectively managing medical collections processes and promptly addressing concerns.
- Reduced delinquency rates by maintaining consistent communication with patients regarding payment plans and outstanding balances.
- Streamlined medical billing procedures for increased efficiency and accuracy in the collections process.
- Ensured timely reimbursements by diligently researching insurance claims and negotiating settlements on behalf of providers.
- Maintained accurate records of all collection activities, enabling easy retrieval and analysis of data for management reporting purposes.
- Developed strong relationships with insurance companies, facilitating successful negotiations for disputed or denied claims.
- Managed a high volume of accounts, prioritizing those requiring immediate attention while consistently meeting performance targets.
- Provided exceptional customer service by empathetically addressing patient concerns related to billing disputes or financial hardships.
- Trained new team members in company policies, procedures, and best practices related to medical collections operations ensuring consistency across the organization.
Education
Associate of Applied Science - Surgical Technology
Western School of Health And Business Careers
Monroeville, PASkills
- Claims Processing
- Intake Assessment
- Eligibility Review
- Compassionate Communication
- Insurance Knowledge/ICD-9/ICD-10 Codes
- Teamwork and Collaboration
- Confidentiality Maintenance/All HIPAA Laws
- Computer Proficiency/Microsoft 365/Excel
- Customer Service
- Attention to Detail
- Telephone Etiquette
- Medical Terminology/Anatomy
Timeline
National Accounts VA Intake Specialist
ZOLL Services, LLC
07.2013 - Current
Clinical Appeals Coordinator
ZOLL Services, LLC
07.2013 - Current
Medical Collections Representative
ZOLL Services, LLC
07.2013 - Current
Associate of Applied Science - Surgical Technology
Western School of Health And Business Careers
Similar Profiles
Dion KimbleDion Kimble
Reimbursement Specialist at Zoll Services LLCReimbursement Specialist at Zoll Services LLC
Cynthia SchickelCynthia Schickel
Cash Application Specialist at Zoll Services LLCCash Application Specialist at Zoll Services LLC
Marcisha TurnerMarcisha Turner
Income Maintenance Caseworker at Department of Human ServicesIncome Maintenance Caseworker at Department of Human Services
Alexandria ThorntonAlexandria Thornton
Sales Associate at M&M LeatherSales Associate at M&M Leather
Arricka MaxwellArricka Maxwell
Financial Consultant at AIM Financial LLCFinancial Consultant at AIM Financial LLC