Maci Mackiewicz
Merrillville,USA
Summary
Detail-oriented individual with exceptional communication and project management skills. Proven ability to handle multiple tasks effectively and efficiently in fast-paced environments. Recognized for taking proactive approach to identifying and addressing issues, with focus on optimizing processes and supporting team objectives
Overview
27
27
years of professional experience
Work History
Medicare Specialist Supervisor
Franciscan Health
08.2019 - Current
- Effectively lead team of Medicare Specialists, Medicaid Specialists, and ROI Clerks.
- Implemented changes to workflows to improve processes, increase productivity and minimizing errors.
- Collected, analyzed, and comprised manual listings of Medicare Bad Debts for annual submission of the Cost Report. Provided audit support to Finance for Medicare driven audits based upon filings. Provided audit support to Finance for S10 audits. Organized and performed QA on claimable Medicare Bad Debts to ensure accuracy in reporting. Provided education and process improvement based upon changes in CMS regulations.
- Completed compliance audits with FSSA regarding Traditional Indiana Medicaid. Created and implemented action plans based on findings to satisfy requirements and ensure best practices.
- Made recommendations based upon inconsistencies within processes and the Epic system. Maintain teamwork oriented atmosphere with staff by having meetings to encourage trust, collaboration and communication.
Medicaid Specialist
Franciscan Health
12.2014 - 08.2019
- Resolved Indiana and Illinois Medicaid credit balances by completing necessary adjustments or refunds.
- Performed follow up on previously voided accounts to ensure they have processed, recouped and were rebilled accurately.
- Completed self reported Medicaid credit balance audits for eight facilities.
- Organized special project to obtain corrected Medicaid identification numbers during transition of Managed Care Medicaid plans.
- Cross trained to assist other departments by learning Medicare Bad Debt reporting for crossovers, charity, agency, and recoveries. Completed the supplemental report for local Rural Health Clinic. Assisted with attorney requests for hospital billing.
Operations Specialist
Franciscan Health
03.2011 - 12.2014
- Analyzed nongovernmental credit balance accounts to determine proper payment based upon established contracts.
- Resolved credit balance accounts by completing necessary adjustments and preparing refunds to various payers.
- Reviewed voided checks and uncleared transactions from corporate to reissue or place on unclaimed properties.
AR Resolution Collector
Franciscan Health
02.2009 - 03.2011
- Effectively collected payment on aged insurance claims through aggressive collection and follow up
- Resolved denials by providing payers with requested documentation to process claims and remit payment.
- Working knowledge of Epic, Affinity, Artiva, Caremedic, Epremis, HPF, Receivables Edge, Emdeon, Ecare and Availity.
Assistant Director
Budget Counselors Credit Services
05.1999 - 10.2008
- Responsible for overseeing the daily operations of a debt management firm with a portfolio of over $11M in unsecured debt. Cross trained in all departments including Customer Services, Sales and Accounting.
- Implemented new procedures and added structure within the organization to increase diligence and maximize employee output. Created and implemented a training manual and program for new hires. Assisted with restructuring the organization based upon business needs.
- Received four promotions throughout my nine-year tenure with the organization. Worked with outside consultant to obtain ISO 9000 certification.
Education
Associates Degree - Business Operations and Technology
Ivy Tech
Gary, IN12.2021
Technical Certificate - Business Administration
Ivy Tech
East Chicago, IN05.2020
High School Diploma - undefined
Kankakee Valley High School
Wheatfield, IN06.1996
Skills
- Effective leadership
- Critical thinking
- Collaborative team member
- Analytical problem solver
- Results-oriented team member
- Effective written and verbal communication
- Skilled at prioritizing tasks simultaneously
- Epic
- Certified in Microsoft Office applications
Timeline
Medicare Specialist Supervisor
Franciscan Health
08.2019 - Current
Medicaid Specialist
Franciscan Health
12.2014 - 08.2019
Operations Specialist
Franciscan Health
03.2011 - 12.2014
AR Resolution Collector
Franciscan Health
02.2009 - 03.2011
Assistant Director
Budget Counselors Credit Services
05.1999 - 10.2008
Technical Certificate - Business Administration
Ivy Tech
High School Diploma - undefined
Kankakee Valley High School
Associates Degree - Business Operations and Technology
Ivy Tech