Madison Huguley
Huntsville,AL
Summary
Detail-oriented professional with extensive experience in revenue cycle operations and billing. Demonstrated ability to conduct thorough audits and resolve denials effectively, leveraging strong communication and multi-system client support skills to enhance operational efficiency.
Overview
7
7
years of professional experience
Work History
Denials & AR Support Analyst
R1 Rcm
Remote, AL
04.2025 - Current
- Utilize multiple EMR and billing platforms including EPIC, Cerner, ChartMaxx, and Eagle to support client specific denial workflows and revenue cycle operations
- Retrieve and review patient documentation including medical records, UB04s, referral packets, and payer correspondence to support denial resolution and appeals
- Upload and organize required documentation into Quantum to ensure accurate account files and timely processing by internal departments
- Document denial details including amounts, referred DRGs, billed DRG risk amounts, denied codes, revised codes, and denial reasons to support coding corrections and payer appeals submissions
- Direct account routing to recovery department for timely follow-up actions
- Conduct account audits to identify missing or misapplied payments and ensure accurate account resolution
- Collaborate with cross functional departments to fulfill urgent document requests needed for appeal filing and denial reconsideration
- Maintain accurate account notes and supporting documentation to ensure compliance with internal processes and payer requirements
- Consistently surpass productivity benchmarks by processing over 792 accounts monthly while ensuring accuracy above 95%.
Flat Rate Billing Specialist
HCA Healthcare Inc.
Remote, TN
12.2024 - 04.2025
- Collaborated with facility CFOs to oversee accurate patient billing in accordance with negotiated contracts
- Collaborated with facility financial counselor to assess patient surgery schedules and verify accuracy
- Collaborated with Facility Patient Access Director to verify accurate posting and billing of insurance plans.
- Reviewed and bill procedures using correct codes for accurate claim submission
- Managed patient accounts, post adjustments, and handle billing inquiries to ensure a smooth revenue cycle
- Validated insurance coverage and confirmed third-party payers for accurate billing processes
- Analyzed discrepancies in billing and executed refund processes as necessary
Industrial Medical Billing Specialist 3
HCA Healthcare Inc.
Remote, TN
09.2021 - 12.2024
- Collaborated with COO to conduct regular audits of account records, ensuring accuracy and internal consistency
- Trained facility controllers and oversaw their work to ensure accuracy
- Cultivated and strengthened relationships with clients and facilities
- Researched questions and concerns from clients and provided detailed responses
- Worked with cashiering department to ensure payments were posted accurately to client accounts
- Worked with lab directors to ensure clients are being charged correctly peer fee schedules/ contracts
- Generated monthly invoices and past due letters for clients based on services provided according to established fee schedules. Managed contract documentation to ensure compliance with service agreements
- Assisted with the reconciliation of accounts receivable ledgers at month-end close process
- Monitored aging account balances ensuring timely resolution of outstanding balances
- Solely responsible for 183 client accounts for 13 different facilities
Customer Service Advisor
HCA Healthcare Inc.
Nashville, TN
04.2019 - 09.2021
- Resolved customer inquiries promptly, ensuring high satisfaction levels.
- Delivered exceptional customer service and maintained high work quality while showcasing attention to detail, adaptability, and innovative problem-solving skills.
- Demonstrated effective communication skills and fostered collaboration across all organizational levels.
- Handled large call volume from over 40+ hospitals nationwide while maintaining accuracy, efficiency, and a positive friendly attitude
- Handled credit card payments for patients
- Reviewed and adjusted prompt pay discounts
- Maintained and encouraged patient loyalty through the courteous and efficient resolution of disputes, complaints, and discrepancies.
- Served as team liaison, effectively communicating team needs to upper management.
- Guided new hires through customer service training by providing mentorship and designing job aids to enhance training effectiveness.
- Surpassed productivity benchmarks by managing over 120 calls daily with 95% accuracy.
Education
Associate of Applied Science - Health Information Management
Volunteer State Community College
Gallatin, TNHigh School Diploma -
Hendersonville High School
Hendersonville05-2017
Skills
- Revenue Cycle Management
- Billing
- Claims Submission
- Customer Service
- Communication
- Multi- System Client Support
- HIPPA Compliance
- Adaptable Learner
Timeline
Denials & AR Support Analyst
R1 Rcm
04.2025 - Current
Flat Rate Billing Specialist
HCA Healthcare Inc.
12.2024 - 04.2025
Industrial Medical Billing Specialist 3
HCA Healthcare Inc.
09.2021 - 12.2024
Customer Service Advisor
HCA Healthcare Inc.
04.2019 - 09.2021
Associate of Applied Science - Health Information Management
Volunteer State Community College
High School Diploma -
Hendersonville High School