MACKENZIE BEATY
Medina
Summary
Strategic and results-driven healthcare leader with over 10 years of progressive experience in healthcare operations, revenue cycle management, and cross-functional team leadership. Proven ability to optimize operational performance, lead high-performing teams, and deliver patient-centric administrative solutions in complex healthcare environments. Adept in managing accounts receivable functions, reducing aging claims, and resolving complex billing issues through advanced use of Epic systems, including Resolute, Prelude, and Cadence. Skilled in developing process improvements, driving staff development, and aligning workflows with organizational and regulatory goals. MBA-qualified with a strong foundation in special education and patient services.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Senior Precertification Specialist
University Hospitals
10.2022 - Current
- Lead high-volume pre-certification and insurance eligibility processes using Epic Prelude and Eligibility Verification modules, ensuring payer compliance and reducing claim denials.
- Coordinated communication between healthcare providers and insurance companies to streamline approval processes.
- Evaluated precertification requests to ensure compliance with insurance guidelines and policies.
- Trained new staff on precertification procedures and effective use of electronic health record systems.
- Act as subject matter expert and liaison between clinical staff, insurance providers, and patients regarding benefit coverage, pre-authorizations, and claim issues.
- Supported implementation of Epic work queues to streamline authorization tasks, contributing to a 30% improvement in turnaround time.
- Assisted in auditing accounts receivable status tied to authorization holds, accelerating reimbursement cycles.
- Led cross-functional teams to develop and implement strategic initiatives, enhancing operational efficiency.
- Drove organizational change by analyzing performance metrics and identifying areas for improvement.
Billing Specialist & Trainer
University Hospitals
07.2021 - 10.2022
- Managed end-to-end billing and reimbursement using Epic Resolute Professional Billing, focusing on minimizing accounts receivable days and increasing first-pass claim resolution.
- Trained and mentored staff on Epic-based workflows for insurance eligibility, claim submission, and denial resolution, enhancing productivity and accuracy.
- Built automated tracking systems for billing and eligibility applications, improving processing speed by 25%.
- Led departmental initiatives for data accuracy, denial prevention, and A/R clean-up projects to reduce aging claims over 90 days.
- Collaborated with IT and finance to configure Epic reports (e.g., HB/PB Aged A/R, Claim Edit Work Queues), driving visibility into revenue leakage and unresolved claims.
- Processed billing claims and ensured accuracy for timely reimbursements.
- Collaborated with insurance providers to resolve discrepancies and expedite payments.
- Reviewed patient accounts for compliance with billing regulations and protocols.
- Trained new staff on billing software and established best practices for efficiency.
- Led initiatives to streamline billing processes, enhancing overall operational effectiveness.
Patient Service Specialist
Cleveland Clinic
12.2020 - 07.2021
- Delivered front-line patient support and resolved Epic MyChart issues tied to scheduling, billing, and copay collections.
- Supported physicians and care teams by managing appointment scheduling and patient insurance documentation via Epic Cadence and ADT.
- Coordinated patient intake and service estimates, proactively discussing A/R balances and payment options with patients.
- Managed patient scheduling, ensuring timely appointments and efficient use of resources.
- Facilitated effective communication between patients and healthcare providers to enhance care coordination.
- Implemented patient intake processes, improving data accuracy and streamlining registration workflows.
- Trained new staff on systems and procedures, promoting consistency in patient service delivery.
- Resolved patient inquiries promptly, enhancing satisfaction through excellent service and support.
Special Education Teacher
Total Education Solutions
02.2016 - 12.2020
- - Developed individualized education plans (IEPs) and provided targeted instruction to neurodiverse student populations.
- - Built long-term strategies to improve academic performance and behavioral outcomes.
- - Partnered with multidisciplinary teams and families to align interventions with student needs.
- - Demonstrated transferable leadership, curriculum planning, and compliance documentation skills.
Call Center Manager
Plus One Communications
10.2012 - 02.2016
- - Directed operations of a 40+ person call center; developed and enforced KPIs and service quality benchmarks.
- - Recruited, trained, and promoted employees, cultivating future leaders and improving employee retention.
- - Enhanced customer satisfaction scores by 20% through team coaching and escalation management.
- - Implemented performance tracking and feedback systems that significantly improved issue resolution times.
Education
MBA - Healthcare Administration
Liberty University
Lynchburg, VA12.2020
BA - Special Education
Liberty University
Lynchburg, VA05.2018
Skills
- Epic Systems
- Microsoft Office Suite
- Kronos
- Telehealth Platforms
- CRM & EMR Systems
- Strong communication skills
- Prior authorization
- Organizational growth
- Patient confidentiality adherence
- HIPAA compliance awareness
- Payment posting
- Collections
- Decision-making
- Verbal and written communication
Certification
- Certified Revenue Cycle Professional (CRCP) - [HFMA]
- Lean Six Sigma Green Belt - [Certifying Body]
CORE COMPETENCIES
- - Revenue Cycle Optimization
- - Cross-functional Leadership
- - Healthcare Operations Management
- - Staff Development & Coaching
- - Patient Experience Improvement
- - Conflict Resolution
- - Training & Onboarding Programs
- - Strategic Planning & Execution
- - Insurance & Regulatory Compliance
- - Data-Driven Process Improvement
Timeline
Senior Precertification Specialist
University Hospitals
10.2022 - Current
Billing Specialist & Trainer
University Hospitals
07.2021 - 10.2022
Patient Service Specialist
Cleveland Clinic
12.2020 - 07.2021
Special Education Teacher
Total Education Solutions
02.2016 - 12.2020
Call Center Manager
Plus One Communications
10.2012 - 02.2016
BA - Special Education
Liberty University
MBA - Healthcare Administration
Liberty University
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