Megan Baughman
Anchorage
Summary
Impeccable Customer Service Understanding of medical terminology to include CPT and ICD-10 coding, in relation to different benefit plans. Able to operate and troubleshoot various medical and office equipment. Expertise in various hospital computer systems to include Meditech, EMR, EPIC, Health Enterprise Portal, Athena/Centricity, Clearwave, Tricare/VA, Evicore, Availity, Incoming faxes and referrals to load into charts, and many more. Up to date on the knowledge of current HIPPA, JHACO, and DOD rules and regulations. Expertise in care/services that recognize age/diversity, specific needs/issues of customers served. Experience with Outlook, Word, Excel spreadsheets, setting up payment plans, Collections, answering a multi line phone system and many other various computer programs.
Professional leader with strong expertise in overseeing daily operations and team coordination. Known for effective collaboration and achieving results in fast-paced environments. Highly adaptable, skilled in problem-solving, conflict resolution, and ensuring optimal workflow. Respected for reliability and proactive approach to shifting demands.
Equipped with strong problem-solving abilities, willingness to learn, and excellent communication skills. Poised to contribute to team success and achieve positive results. Ready to tackle new challenges and advance organizational objectives with dedication and enthusiasm.
Overview
17
17
years of professional experience
Work History
Shift Supervisor
Henry’s Janitorial Services
Anchorage, AK
03.2024 - Current
- Assisting the company owner with scheduling, emails, time cards, bank deposits, running supplies and errands as needed.
- Developed and implemented cleaning schedules to maintain cleanliness standards in all areas.
- Supervised a team of janitors, ensuring efficient and effective cleaning operations.
- Trained new janitorial staff on proper cleaning techniques, safety protocols, and equipment usage.
- Performed regular inspections to ensure compliance with sanitation regulations and company policies.
- Collaborated with facility management to address maintenance issues promptly and efficiently.
- Responded to customer complaints or requests for additional services in a timely manner.
- Maintained accurate records of work performed, including daily logs and incident reports.
- Coordinated with external vendors for specialized cleaning services as needed.
- Conducted performance evaluations for janitorial staff, providing feedback on areas of improvement and recognizing exceptional performance.
Environmental Services Technician
Assett Commercial Cleaning Services
Anchorage, AK
09.2023 - 04.2024
- Collaborated with team members to coordinate tasks efficiently and ensure timely completion of all assigned duties.
- Followed established protocols for handling hazardous materials, adhering to safety guidelines at all times.
- Responded promptly to customer requests or complaints regarding cleanliness issues, resolving problems effectively.
- Supported a safe work environment by promptly addressing any potential hazards or unsafe conditions observed.
- Trained new employees on proper cleaning techniques/procedures as part of their onboarding process.
- Demonstrated attention to detail by consistently achieving high cleanliness ratings during inspections.
Prior Authorization Specialist
Alaska Heart & Vascular Institute
Anchorage, AK
06.2023 - 11.2023
- Reviewed and processed pre-authorization requests for medical procedures, ensuring compliance with insurance guidelines.
- Verified patient eligibility and benefits coverage to determine if pre-authorization was required.
- Collaborated with healthcare providers to obtain necessary documentation and clinical information for pre-authorization requests.
- Maintained accurate records of all pre-authorization activities in the electronic database.
- Communicated with insurance companies to follow up on pending or denied pre-authorization requests.
- Resolved issues related to incomplete or inaccurate documentation by coordinating with healthcare providers and insurance companies.
- Assisted patients in understanding their insurance coverage and explained the process of obtaining a pre-authorization.
- Ensured timely submission of complete and accurate pre-authorization requests to minimize delays in patient care.
- Managed a high volume of incoming calls from patients, healthcare providers, and insurance representatives regarding pre-authorizations.
- Collaborated with the billing department to ensure proper coding and billing practices for authorized procedures.
- Maintained confidentiality of patient information according to HIPAA regulations at all times.
Collections/Insurance Verification Specialist
Denali OBGYN Clinic
Anchorage, AK
12.2022 - 06.2023
- Responsible for verifying patient’s insurance coverage for all upcoming appointments.
- Negotiated payment arrangements with customers to resolve outstanding debts and prevent further escalation.
- Managed a portfolio of overdue accounts, consistently meeting or exceeding monthly collection targets.
- Utilized skip tracing techniques and tools to locate debtors and initiate contact for repayment.
- Developed strong relationships with clients by providing excellent customer service during the collections process.
- Conducted thorough investigations into disputed accounts, resolving issues in a timely manner.
- Maintained accurate records of all collection activities, including phone calls, emails, and correspondence.
- Demonstrated strong negotiation skills in resolving disputes and reaching mutually beneficial payment agreements.
Cath Lab Prior Authorization Specialist
Alaska Heart & Vascular Institute
Anchorage, AK
03.2022 - 11.2022
- Reviewed and processed pre-authorization requests for medical procedures and verification of patient’s eligibility.
- Collaborated with healthcare providers to obtain necessary documentation and clinical information for pre-authorization requests.
- Communicated with insurance companies to follow up on pending or denied pre-authorization requests.
- Resolved issues related to incomplete or inaccurate documentation by coordinating with healthcare providers and insurance companies.
- Assisted patients in understanding their insurance coverage and explained the process of obtaining a pre-authorization.
- Managed a high volume of incoming calls from patients, healthcare providers, and insurance representatives regarding pre-authorizations.
Mobile Administrator
Fairweather
Anchorage, AK
01.2022 - 03.2022
- In charge of going into Assisted living homes, homeless shelters, and senior residents clinics that the State of Alaska requests to be tested to do the swabbing of patients for Covid testing.
- Keeping track and logging all patients demographics.
- Transporting swab test tubes to labs for drop off.
Front Desk Clerk
DLH
10.2021 - 01.2022
- In charge of assisting patients and their families registering online and front desk for appointments at vaccination clinic.
- Helping maintain patients past appointment details when they are seen offsite at our other clinics.
- Keeping clinic sanitized and cleaned.
- Provided exceptional customer service.
Front Desk Associate
Baxter Senior Living
Anchorage, AK
07.2021 - 10.2021
- Answering multi line phone system for the administrative office and transferring phone calls to the appropriate care staff or resident.
- Entering new hire information into system and obtaining identification for employees folders.
- Assisting with scanning, filing, faxing, emailing, creating spreadsheets and updating if needed.
- Present a professional demeanor that communicates to current and prospective residents the corporate philosophy of service, goodwill, and genuine interest in the residents unique needs.
- Greeted and welcomed guests, providing excellent customer service and creating a positive first impression.
- Scheduled appointments and maintained calendars for multiple staff members, ensuring efficient time management.
- Responded to guest inquiries in person, over the phone, or via email promptly and accurately.
- Utilized computer systems proficiently for tasks such as data entry, generating reports, or updating guest information records.
Patient Administrator/Scheduler
Advanced Physical Therapy Center
Anchorage, AK
09.2020 - 06.2021
- Managed patient scheduling and appointment coordination for a busy medical practice.
- Effectively communicated with patients to gather necessary information and ensure accurate record-keeping.
- Coordinated referrals to specialists, ensuring timely appointments and seamless transitions of care.
- Collaborated with healthcare providers to coordinate diagnostic tests, procedures, and surgeries for patients.
- Assisted in the verification of insurance coverage and obtained prior authorizations as needed.
- Scheduled follow-up appointments for patients based on provider recommendations.
- Provided administrative support by managing phone calls, emails, and other correspondence related to patient care.
- Ensured accuracy of billing information by verifying insurance details and updating patient records accordingly.
- Supported the front desk team by greeting patients, checking them in/out, and collecting payments.
- Assisted in the coordination of telehealth visits, ensuring patients had necessary technology and support.
- Implemented strategies to reduce no-show rates for appointments through reminder calls or text messages.
- Cultivated positive relationships with patients through empathetic listening and compassionate care.
- Leveraged strong organizational skills to manage multiple tasks simultaneously while maintaining attention to detail.
Front Desk Associate
Alaska Back Care Center
Anchorage, AK
03.2020 - 09.2020
- Rooming patients and prepping patients for doctor.
- Answering all incoming calls and emails transferring to appropriate person in office.
- Contact patient insurance company for patient’s eligibility and coverage.
- Greeted and checked in patients while checking out patients ensuring a positive first impression and providing excellent customer service.
- Handled cash transactions accurately while following established procedures for billing and payment processing.
Surgery Scheduler
AA Spine & Pain Clinic
Anchorage, AK
08.2018 - 05.2019
- Reaching out to patients put into my providers queue for needing initial first patient appointment or direct referral from another office to make contact and schedule for a certain procedures.
- Insurance verification and following up with patients to notify of amount to be collected at time of service.
- Contacting the appropriate surgery center to coordinate the selected procedure to be performed and arrange dates/times.
- Notifying my providers team along with the patient to discuss pre procedure information with the patient and or their families.
- Arranging Medicaid travel if needed for the patient and escorts.
Medicaid Patient Benefit Adviser
HCA Parallon Workforce Solutions
Anchorage, AK
10.2015 - 08.2018
- Bedside screening for all self pay and low income patients along with their family members to see if they could potentially qualify for medical assistance with the Alaska Medicaid program
- At the time I was also certified with the HPE (Hospital Presumptive Eligibility) allowing me to screen patients and potentially approve patients for 30 days of Medicaid coverage while applying for full Medicaid
- Continuous following up with the DPA (Department of Health Assistance) on Medicaid applications submitted on patients behalf’s, submitting all verification needed to assist on making determination by the department of public assistance and working very closely with social workers and case workers
- Assisting screenings on all DOC inmates as well as OCS newborns on submitting applications for Medicaid assistance and submitting applications
- Maintained confidentiality of patient information in compliance with HIPAA regulations
- Served as a liaison between patients/families and healthcare providers during hospital admissions or discharges
- Coordinated transportation services for patients requiring assistance getting to/from medical appointments
- Served as a resource for patients regarding healthcare resources, community programs, and support groups
- Contributed to team meetings by providing input on process improvements or workflow enhancements
- Achieved high levels of patient satisfaction through attentive communication and personalized care
- Developed comprehensive knowledge of medical terminology, procedures, and insurance protocols
- Cultivated positive relationships with patients through empathetic listening and compassionate care
- Maintained up-to-date knowledge of HIPAA regulations to ensure compliance in handling sensitive patient information
- Fostered a welcoming environment for patients by creating a warm and friendly atmosphere at the front desk area
- Leveraged strong organizational skills to manage multiple tasks simultaneously while maintaining attention to detail
Patient Service Representative
Alaska Heart Institute
Anchorage, AK
05.2014 - 10.2015
- Provided exceptional customer service to patients, ensuring a positive experience throughout their visit
- Scheduled and confirmed patient appointments, efficiently managing a high volume of calls and inquiries
- Verified insurance coverage and obtained necessary authorizations for medical services, minimizing billing errors
- Maintained accurate patient records by updating personal information, medical history, and insurance details in the electronic database
- Addressed patient concerns and resolved issues promptly and professionally, resulting in increased re patient satisfaction ratings
- Assisted with the check-in process by verifying patient demographics, collecting co-pays, and explaining office policies
- Collaborated with healthcare providers to coordinate referrals for specialized treatments or consultations as required
- Managed incoming/outgoing correspondence such as emails, faxes, and mail to ensure timely communication between patients and healthcare professionals
- Performed administrative tasks including filing documents, organizing charts, maintaining inventory of office supplies, etc
Billing Specialist
Internal Medicine Associates
Anchorage, AK
12.2013 - 05.2014
- Reviewed billing data to identify discrepancies or errors, resolving issues promptly to minimize delays in payment processing.
- Managed accounts receivable by tracking payments, following up on outstanding balances, and initiating collection efforts when necessary.
- Collaborated with internal departments to resolve billing inquiries or disputes, providing excellent customer service and maintaining positive relationships.
- Researched complex billing issues or disputes, working closely with clients or vendors to reach satisfactory resolutions.
- Monitored aging accounts receivable balances regularly, taking proactive measures to address overdue payments or delinquent accounts.
Mind Leaf Contractor/Front desk
CANNON AFB
Cannon AFB, NM
05.2010 - 01.2012
- Assisted in the Tricare department processing DTS paperwork for families and dependents.
- Covered several check in areas at the hospital as a floater for outpatient departments.
- Maintained patient records by accurately updating personal information, medical history, and insurance details in patient chart.
- Assisted with administrative tasks such as filing documents, organizing paperwork, scanning, and maintaining office supplies inventory.
- Coordinated referrals for specialist appointments based on physician recommendations.
- Performed data entry tasks accurately and efficiently to update electronic health records (EHR).
- Served as a liaison between patients and healthcare providers regarding prescription refills and medication inquiries.
- Managed patient check-in, check-out process efficiently, collecting payments, providing necessary paperwork, obtaining formal documents and scheduling follow-up appointments as needed.
- Collaborated with medical staff to ensure accurate documentation of patient symptoms, concerns, and vital signs.
- Provided administrative support to physicians by preparing and processing patients medical reports, referrals, charts, and other relevant documents.
- Demonstrated excellent problem-solving skills when addressing patient complaints or issues to achieve satisfactory resolutions.
Admitting/Emergency Room Registrar I
PRESBYTERIAN HOSPITAL
Clovis, NM
12.2008 - 05.2010
- Accurately interviewed and retrieved specific information from the patient, family, or other representative in a sensitive, respectful, and confidential manner.
- Going into in-patients and obs-patients rooms to update information and having all paperwork signed to scan into hospital system.
- Managed patient registration process, ensuring accurate and timely collection of demographic and insurance information.
- Responded to inquiries from patients regarding appointment scheduling, medical records requests, and general information about the facility.
- Performed data entry tasks accurately and efficiently to update patient records.
- Trained new staff members on registration procedures, software systems, and customer service protocols.
- Assisted in maintaining an organized filing system for medical records while adhering to privacy regulations.
- Provided administrative support such as answering phone calls, scheduling appointments, faxing, and scanning documents.
- Maintained knowledge of insurance plans, coverage limitations, and billing requirements to facilitate accurate patient registration.
- Provided exceptional customer service by addressing patient concerns promptly and professionally and with empathy.
- Contributed to team efforts in achieving departmental goals related to productivity metrics and customer satisfaction scores.
- Demonstrated proficiency in handling sensitive information with discretion while adhering to privacy regulations.
Education
High school diploma - undefined
Craig High School
Craig, AK05.1997
Skills
Emotional intelligence and people skills
Administrative skills
Excellent attention to detail skills
Organization skills
Communication skills
Languages
English
Additional Information
Authorized to work in the US for any employer
Willing to relocate
Timeline
Shift Supervisor
Henry’s Janitorial Services
03.2024 - Current
Environmental Services Technician
Assett Commercial Cleaning Services
09.2023 - 04.2024
Prior Authorization Specialist
Alaska Heart & Vascular Institute
06.2023 - 11.2023
Collections/Insurance Verification Specialist
Denali OBGYN Clinic
12.2022 - 06.2023
Cath Lab Prior Authorization Specialist
Alaska Heart & Vascular Institute
03.2022 - 11.2022
Mobile Administrator
Fairweather
01.2022 - 03.2022
Front Desk Clerk
DLH
10.2021 - 01.2022
Front Desk Associate
Baxter Senior Living
07.2021 - 10.2021
Patient Administrator/Scheduler
Advanced Physical Therapy Center
09.2020 - 06.2021
Front Desk Associate
Alaska Back Care Center
03.2020 - 09.2020
Surgery Scheduler
AA Spine & Pain Clinic
08.2018 - 05.2019
Medicaid Patient Benefit Adviser
HCA Parallon Workforce Solutions
10.2015 - 08.2018
Patient Service Representative
Alaska Heart Institute
05.2014 - 10.2015
Billing Specialist
Internal Medicine Associates
12.2013 - 05.2014
Mind Leaf Contractor/Front desk
CANNON AFB
05.2010 - 01.2012
Admitting/Emergency Room Registrar I
PRESBYTERIAN HOSPITAL
12.2008 - 05.2010
High school diploma - undefined
Craig High School