Megan Humphrey
Oxford,NC
Summary
Seasoned administration professional with 9 years of experience in healthcare settings, adept at credentialing processes, meeting coordination, and office management. Skilled in medical billing, maintaining confidential records, and streamlining communication with stakeholders. Seeking an Administration role to leverage meticulous organizational skills and a strong background in supporting executive and medical staff functions.
Overview
14
14
years of professional experience
Work History
Financial Counselor
Hospital Sisters Health System
2024.04 - Current
- Demonstrates the ability to utilize all payer websites and maintains up to date credentials to assist verifying patient's coordination of benefits and authorization requirements.
- Able to perform chart abstraction to pull clinical data from a patient's chart for review by a payer's clinical team.
- Adheres to all department procedures, guidelines, and standard work with the ability to utilize resources appropriately.
- Complete authorization requests in a timely and efficient manor without compromising quality to ensure patients receive their care as scheduled
- Communicates barriers effectively to avoid patient delays in care demonstrating critical thinking skills to anticipate and resolve barriers to success.
Medical Staff & Administrative Services Coordinator
Granville Health System
2023.02 - 2024.04
- Manage the credentialing process for healthcare providers, ensuring compliance with Joint Commission standards and conducting thorough background checks using primary source verification
- Facilitate committee meetings by preparing agendas, assembling packets, distributing materials, and recording minutes, while also maintaining provider credentialing files for departmental approvals
- Oversee the FPPE and OPPE processes, conducting audits, tracking variances, and reporting findings to Department Chiefs for further review and action
- Coordinate the onboarding of new hires, including scheduling orientations and completing necessary paperwork, as well as managing provider contracts and maintaining licensure and certification records
- Provide assistance to the Executive suite to include scheduling appointments, preparing meeting materials, sending calendar invites, reviewing invoices, and maintaining contract database.
Direct Support Professional
ReverGrand
2021.07 - 2022.12
- Provided comprehensive care and support tailored to individual client needs, ensuring adherence to their specific Individual Support Plan
- Maintained detailed documentation of assistance provided, including support with transportation, feeding, and personal hygiene
- Enhanced client well-being through dedicated daily support, fostering independence and improving quality of life.
Office Technician
Pelican Bay State Prison
2018.01 - 2021.11
- Coordinated executive meetings, including the creation of invitations, document preparation, and accurate recording of minutes; diligently maintained an up-to-date Proof of Practice binder
- Compiled and reviewed essential data for monthly reports, ensuring timely submission while also managing the supervisor's and staff calendars, as well as overseeing conference room scheduling
- Conducted thorough audits, liaising with auditors, organizing pertinent information, and meticulously documenting findings to uphold organizational standards and compliance
- Managed confidential employee records with discretion, facilitated inmate health education, and contributed to the Inmate Advisory Council by recording minutes and addressing concerns.
Office Assistant
Dr. Meyers
2016.09 - 2017.12
- Managed patient appointment scheduling, document handling, and chart preparation, ensuring efficient office operations and patient readiness
- Facilitated patient referrals and liaised with insurance entities to secure authorizations, submit documentation, and address denied procedure rebuttals
- Investigated and resolved billing discrepancies by correcting coding errors and resubmitting claims, improving the approval rate for insurance reimbursements.
Medical Billing Specialist
ASE Billing
2012.10 - 2013.10
- Managed the billing cycle, including processing, rebilling, and correcting claims, ensuring accuracy and adherence to insurance guidelines
- Coordinated with patients to resolve delinquent accounts, facilitating payment arrangements and maintaining account records.
Foundation Assistant
Universal Health Services
2011.03 - 2012.10
- Accurately audited and rectified discrepancies in patient accounts, ensuring both the integrity of billing processes and the accuracy of charge postings
- Supported hospital liaisons in resolving account-related issues, including supply pricing and coding errors, enhancing operational efficiency and accuracy.
Education
Bachelor of Science Degree (Health Management) -
University of Phoenix
Phoenix, AZ05.2025
Medical Billing Certification -
Palomar Community College
Palomar, CA10.2008
Associate of Art Degree (Psychology) -
Riverside Community College
Riverside, CA12.2004
Skills
- Computer Skills Including Microsoft Word, Excel, Publisher, Outlook, and PowerPoint
- Experience With Zoom, Skype, and Teams to Conduct Meetings
- Communication Skills
- Attention to Detail
- Analytical Skills & Problem Solving
- Organized
- Strong Clerical Background
- Customer Service Skills
Timeline
Financial Counselor
Hospital Sisters Health System
2024.04 - Current
Medical Staff & Administrative Services Coordinator
Granville Health System
2023.02 - 2024.04
Direct Support Professional
ReverGrand
2021.07 - 2022.12
Office Technician
Pelican Bay State Prison
2018.01 - 2021.11
Office Assistant
Dr. Meyers
2016.09 - 2017.12
Medical Billing Specialist
ASE Billing
2012.10 - 2013.10
Foundation Assistant
Universal Health Services
2011.03 - 2012.10
Bachelor of Science Degree (Health Management) -
University of Phoenix
Medical Billing Certification -
Palomar Community College
Associate of Art Degree (Psychology) -
Riverside Community College
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