Marcia Hill
Havelock,NC
Summary
Experienced office administrative professional with over 20 years of dedicated service, adept at offering high-level support to executives. Demonstrates strong motivation and reliability in managing administrative tasks effectively.
Overview
26
26
years of professional experience
1
1
Certification
Work History
Team Coordinator, Claims Operations
Sentara
Norfolk, VA
01.2019 - Current
- Oversee and manage daily operations and personnel within claims operations, particularly focusing on OHP Specialty team functions such as DME, Home Health, Inpatient, Optima Family Care, and commercial claims
- Ensure adherence to plan policies and procedures to maintain excellent customer satisfaction levels
- Serve as backup for Behavioral Health claims operations
- Responsible for overseeing daily workflow, fostering staff development, and conducting quality assurance activities to uphold team performance standards
Grievance & Appeals Coordinator
Anthem, Inc.
Norfolk, VA
01.2013 - 01.2019
- Accountable for thorough review, analytical research, root cause analysis, and resolution of CMS complaints related to Behavioral Health
- Utilize Facets, Macess, and PEGA systems, along with supplementary resources, to handle complaints across all markets
- Also, manage the processing of Behavioral Health admission authorization letters and handle Medicare Appeals when required
Office Manager/Insurance Clerk/Transcriptionist
Medical Park Family Physicians
Greenville, NC
02.2003 - 01.2014
- Managed administrative tasks across various areas including payroll, staff training, electronic health record implementation, credentialing, scheduling, technical support, accounts management, insurance processing, transcription documentation, and providing personal assistance to physicians
- Their meticulous processes minimized redundancy, enhanced accuracy, and improved overall efficiency, contributing to the achievement of organizational goals
Office Manager/Insurance Clerk/Transcriptionist
Judith S. Yongue, M.D., PA
Greenville, NC
08.2001 - 01.2003
- Systematically increased office organization by developing more efficient filing/documenting system and customer database protocols, payroll, accounts receivables and payables, insurance and billing, and reception coverage as needed
Receptionist
Eastern Carolina Internal Medicine
Pollocksville, NC
01.1999 - 07.2001
- Managed patient check-in and checkout procedures, appointment scheduling, record copying, faxing, and filing of patient charts, ensuring efficient organization and flow of patient information within the healthcare facility
Education
Master of Business Administration - Business Administration
Grantham University
02-2025
Healthcare/Medical Assistant/Certified -
Allied Health Professionals
Havelock, NC01.2000
Bachelor of Business Administration -
Grantham University
Associates in Arts - Business Administration Management
Grantham University
Skills
- Lean Six Sigma Black Belt
- Lean Six Sigma Green Belt
- Minitab Data Analysis
- Risk Management FMEA ISO 31000
- Process Improvement
- Process Mapping
- Administrative Task Management
- Communication Skills
- Microsoft Word
- Microsoft Excel
- Microsoft PowerPoint
- Microsoft Access
- Microsoft Outlook
- Microsoft Publisher
- Microsoft SharePoint
- CSC
- QNXT
- Macess
- Tableau
- Interpersonal Skills
- Facets
Certification
- MS Fitness & Wellness Specialist
- Clinical & Administrative Medical Asst
References
Upon Request
Timeline
Team Coordinator, Claims Operations
Sentara
01.2019 - Current
Grievance & Appeals Coordinator
Anthem, Inc.
01.2013 - 01.2019
Office Manager/Insurance Clerk/Transcriptionist
Medical Park Family Physicians
02.2003 - 01.2014
Office Manager/Insurance Clerk/Transcriptionist
Judith S. Yongue, M.D., PA
08.2001 - 01.2003
Receptionist
Eastern Carolina Internal Medicine
01.1999 - 07.2001
Master of Business Administration - Business Administration
Grantham University
Healthcare/Medical Assistant/Certified -
Allied Health Professionals
Bachelor of Business Administration -
Grantham University
Associates in Arts - Business Administration Management
Grantham University