MACKENZY VAUGHAN
Ellenwood,GA
Summary
Detail-oriented medical billing and collections specialist with over 6 years of experience in fast paced healthcare settings. Specialized in payment posting, patient accounts receivable, benefits coordinator, and customer satisfaction. Dedicated to improving profitability, reducing claim errors, and streamlining collections processes. Expert in processing payments and posting promptly to minimize outstanding debt.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Payment Poster
Wakefield Associates
Remote
05.2023 - 09.2023
- Operated Cerner Soarian system to scrub claims.
- Created spreadsheet of all claims that needed updates with reasons why.
- Exceeded metric goal of 300 lines a day and sent to manager weekly.
- Completed Oracle training.
- Posted insurance payments and reconciled batches daily.
- Received payments from Medicaid insurance providers and private pay patients and completed immediate processing.
Medical Billing Specialist & Payment Poster
The Hand and Upper Extremity Center of GA
Sandy Springs, GA
04.2021 - 09.2022
- Posted payments including patients and insurance checks from mail, electronic checks, and credit card payments made on the portal or at the kiosk.
- Determined prior authorizations for surgeries and outpatient procedures.
- Reconciled batches daily from the front desk collections/check out compared to what is in the payment system and corrected any outstanding issues before posting.
- Finalized end of the month reports for reconciliation to report numbers to the doctors.
- Initiated refunds or credits as needed after insurance processed claims.
- Entered EMG charges to the therapy department.
- Scanned and audited rehab claims, faxes, credit cards, checks, patient correspondence, and eobs.
- Checked eligibility and benefits before each patient office visit.
- Verified deductibles, copays, and/or coinsurance so the front desk could collect from patients upon arrival.
- Offered financial counseling in person or by phone and followed up on payment plans.
Medical Billing and Collections Specialist
Aeroflow Healthcare
Asheville, North Carolina
10.2018 - 04.2021
- Reviewed patient records, identified medical codes and created invoices for billing purposes and reimbursement.
- Prepared patient accounts with past due balances of more than 90 days and transferred those cases to the collection agency.
- Trained and mentored new team members and managers on PT AR systems and policies to promote operational performance as well as phone training.
- Specialized in hospital grade breast pump billing procedures and documentation.
- Led projects and analyzed data to identify opportunities for improvement with core issues.
- Improved accounts payable processes by over double the revenue compared to the previous year.
- Answered the department's voicemails daily and communicated with escalated patients via phone call or email.
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
ICU Patient Care Assistant
Holland Hospital
Holland, MI
10.2017 - 09.2018
- Attended to patient and family's immediate needs and concerns by acknowledging and providing required attention.
- Recognized and reported abnormalities and/or changes in patients' health status to nurses.
- Answered phone calls and messages for the ICU/Telemetry floor, scheduling appointments between hospital departments, and handling patient inquiries.
- Recorded patients' medical status and treatment details in electronic charts to accurately document medical care.
- Delegated patient care assignments at the start of each shift.
- Completed ICU training to care for patients without direct supervision of nurses or doctors.
- Prepared patients for both routine tests and complicated surgeries.
Education
Bachelor of Science - Health Sciences & Healthcare Administration
Florida Southern College
Lakeland, FL05.2017
High School Diploma -
West Ottawa High School
Holland, MI05.2014
Skills
- Financial Management
- Payment Posting
- Reconciliation
- Revenue Cycle Process
- Claims Denial Management
- CPT Coding
- Enter Claim Charges
- Scheduling
- Microsoft Office
- Google Drive
- HIPAA Compliance
- Troubleshooting
- Multitasking Abilities
- Effective Communication Skills
Certification
- Certified Institute for Healthcare Improvement Training - 1 year
- ICU Tech Certification
- Certified in Basic Life Support
- Oracle Training
Software Experience
- Clearwave
- Availity
- Caretracker
- SRS
- Cerner
- Epic
- AllScripts
- Blue Pay
- Waystar
- DIVA
- Microsoft Office
- Google Drive
- Insurance Portals
- All GA Medicaid & MCO Portals
Timeline
Payment Poster
Wakefield Associates
05.2023 - 09.2023
Medical Billing Specialist & Payment Poster
The Hand and Upper Extremity Center of GA
04.2021 - 09.2022
Medical Billing and Collections Specialist
Aeroflow Healthcare
10.2018 - 04.2021
ICU Patient Care Assistant
Holland Hospital
10.2017 - 09.2018
Bachelor of Science - Health Sciences & Healthcare Administration
Florida Southern College
High School Diploma -
West Ottawa High School