Marcia Gallagher
Ball,LA
Summary
Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
6
6
years of professional experience
Work History
RCM
Aloha ABA
Dallas, TX
08.2023 - Current
- Initiated collection efforts on unpaid accounts by contacting insurance companies or patients directly via phone or mail.
- Researched complex billing issues involving multiple providers or services rendered over a period of time.
- Assisted with the reconciliation of accounts receivable ledgers at month-end close process.
- Submitted appeals for denied claims when appropriate according to the insurance company's criteria.
- Updated patient accounts with information obtained from internal departments or external sources.
- Monitored aging accounts receivable balances ensuring timely resolution of outstanding balances.
- Performed quality assurance audits on submitted claims ensuring that they met industry standards.
- Created and processed claims to third-party payers using specific coding guidelines.
- Conducted research on insurance policies, procedures, and regulations to ensure compliance with all applicable laws.
- Verified the accuracy of claim data prior to submission to insurance carriers.
- Analyzed rejected claims and corrected errors as necessary before resubmitting them for payment.
- Maintained detailed records of all billing activities including denials, adjustments, and payments received.
Medical Billing and Coding Instructor
Unitech Training Academy
Lafayette, LA
06.2019 - 08.2023
- Developed and implemented lesson plans to instruct students on the principles of mathematics, science and English.
- Provided individualized instruction to students to improve their academic performance.
- Assessed student progress through tests and quizzes in order to evaluate understanding of course material.
- Conducted lectures, demonstrations and group activities in order to enhance learning experience.
- Encouraged students' critical thinking skills by facilitating classroom discussions.
- Created a positive learning environment by establishing open communication with students, parents and colleagues.
- Established rules for class management and discipline while implementing appropriate consequences for disruptive behavior.
- Maintained accurate records of attendance, grades and assessments for all students in the course.
- Utilized multimedia technologies such as audio-visual equipment, computers or video projectors when teaching classes.
- Counseled struggling students regarding educational issues such as study habits or academic goals.
Medical Coding and Billing Specialist
ACS Services
Alexandria, LA
04.2018 - 07.2023
- Verified patient information, including medical history and insurance coverage, to ensure accuracy of coding and billing.
- Conducted audits of medical records to identify missing or incorrect documentation that could affect accurate coding and billing.
- Submitted claims electronically to insurance companies in accordance with regulations.
- Generated reports from software systems to track claim status and denials.
- Analyzed trends in denials in order to recommend process improvements which would reduce the number of denials received.
- Reviewed physician orders, laboratory results, diagnostic images, clinical statements and other health care provider services for completeness and accuracy.
- Assigned appropriate codes using ICD-10-CM for diagnosis, CPT for procedures, HCPCS for supplies and modifiers as required by payers.
- Maintained detailed accounts receivable aging reports on a daily basis to ensure timely payments from patients and insurance companies.
- Facilitated payment arrangements with patients and guarantors who were unable to make full payment at time of service.
- Provided customer service support via phone or email regarding account balances or other inquiries related to billing issues.
- Performed data entry into electronic health record system for all relevant patient information including diagnoses, procedures performed, medications prescribed .
- Participated in meetings with physicians and other healthcare providers regarding coding compliance standards.
- Assisted with preparation of financial statements such as balance sheets and income statements.
- Monitored regulatory updates from Medicare and Medicaid programs as well as private insurers.
- Updated patient demographics information within practice management system.
Education
Tioga High School
Tioga, LA05-1989
Skills
- Organization and Time Management
- Computer Skills
- Attention to Detail
- Analytical Thinking
- Planning
- Recordkeeping
- Team Management
- Task Prioritization
- Troubleshooting
- Friendly, Positive Attitude
- Data Entry
Accomplishments
- Instructor of the year in 2022
- Advisory Board Member for Post Secondary Institutions
References
References available upon request.
Timeline
RCM
Aloha ABA
08.2023 - Current
Medical Billing and Coding Instructor
Unitech Training Academy
06.2019 - 08.2023
Medical Coding and Billing Specialist
ACS Services
04.2018 - 07.2023
Tioga High School