LaWanda McKelvey-McGee
Minneapolis,MN
Summary
Results-driven candidate with proven skills and qualifications across professional environments. Seeking a challenging role with opportunities to apply strengths and expand expertise. Committed to consistent high performance and strong work ethic.
Overview
14
14
years of professional experience
Work History
Insurance Liaison Sr
Methodist Hospital Remote
Houston, Texas
08.2024 - 08.2026
- Verified insurance coverage for upcoming patient appointments. for upcoming appointments.
- Prepared referral requests for insurance authorization, facilitating timely access to necessary patient services.
- Collected patient account details to review credit adjustments and reconcile fees and charges, ensuring accurate billing.
- Calculated itemized expenses for pre-certified patients seeking financial assistance across multiple clinics.
- Assigned diagnosis codes for accurate billing records. and processed billing records.
- Entered daily procedure charges for CVICU and ICU departments.
- Supported billing workflows by coordinating tasks for ICU departments, enhancing operational efficiency.
Pharmacy Reimbursement Coordinator
Houston Methodist Hospital
Houston, Texas
07.2020 - 08.2024
- Presented clinical reports on HMO plans to secure authorizations for patient services
- Obtain referrals for out- network providers
- Review clinical reports to present to physicians and to medically accept new patients.
- Provided financial counseling to patients on healthcare options to enhance their understanding of benefits
- Schedule appointments for new/returning patients
- Maintain daily a work list five days before the schedule appointment
- I presorted scans for scheduled appointments
Collections Specialist
Methodist Hospital
Houston, TX
03.2012 - 06.2024
- Perform collection functions utilizing system work queues by prioritizing for maximum efficiency and results
- Communicated effectively with inbound and outbound calls to achieve positive resolutions
- Coorinated with insurance carriers online and by phone to verify status and appeal unpaid/underpaid accounts
- Recouped funds and applied necessary adjustments to accounts
- Utilized multitasking skills to manage multiple tasks efficiently throughout the workday.
- Working with insurance claims clearinghouse (Availaity)
Education
Bachelor's - Healthcare Administration and Business Administration
DeVry University-Chicago
Chicago, IL01-2016
Skills
- Insurance verification
- Insurance coordination (5 years)
- Billing compliance
- Technical charge reconciliation
- Financial analysis skills
- Excel data expertise
- Athena software proficiency
- Healthcare software (2 years)
- Office Suite expertise
- Multi-tasking ability
- Customer management
Personal Information
- Title: Methodist Hospital Billing Specialist - ICU Departments
- Work Permit: Authorized to work in the US for any employer
- Visa Status: Authorized to work in the US for any employer
Timeline
Insurance Liaison Sr
Methodist Hospital Remote
08.2024 - 08.2026
Pharmacy Reimbursement Coordinator
Houston Methodist Hospital
07.2020 - 08.2024
Collections Specialist
Methodist Hospital
03.2012 - 06.2024
Bachelor's - Healthcare Administration and Business Administration
DeVry University-Chicago