Megan Sivley
Decatur,AL
Summary
At McAbee Medical, I spearheaded billing and compliance, enhancing system accuracy and reducing discrepancies by conducting regular audits, a testament to my proficiency in billing systems and software. My leadership in cross-functional collaboration and dedication to continuous improvement in compliance practices underscore my strong decision-making and team collaboration skills, significantly contributing to operational excellence.
Overview
7
7
years of professional experience
Work History
Billing Specialist and Compliance Manager
McAbee Medical
Decatur, AL
03.2018 - Current
- Researched and resolved billing discrepancies to enable accurate billing.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Worked with multiple departments to check proper billing information.
- Assisted colleagues in resolving complex billing issues, promoting teamwork and knowledge sharing within the department.
- Collaborated with the collections team to recover overdue payments from clients, maintaining cash flow and minimizing writeoffs.
- Maintained detailed records of each account''s payment history, providing easy access to information for audit and analysis purposes.
- Strengthened client relationships through effective communication regarding billing issues and concerns.
- Ensured compliance with industry regulations by staying up-to-date on changes in billing rules and guidelines.
- Succeeded in maintaining a positive relationship with regulators through proactive engagement and timely responses to inquiries.
- Strengthened company-wide awareness of relevant laws, regulations, and industry standards through targeted trainings, presentations, and ongoing communication efforts.
- Provided expert advice to senior management on potential risks, legal implications, and recommended solutions for complex compliance issues.
- Oversaw a team of compliance professionals, providing guidance, mentorship, and support to ensure their continued growth and development.
- Played instrumental role in company-wide risk assessment efforts, supporting enhancements in business processes and controls.
- Negotiated with insurance companies to resolve disputed claims, securing rightful payments.
- Proactively addressed potential billing discrepancies by conducting pre-billing audits.
- Fostered strong relationships with healthcare providers and insurance representatives to facilitate efficient resolution of billing issues.
- Contributed to positive work environment by offering support and guidance to junior billing staff.
- Facilitated staff training on new billing software, enhancing team productivity and billing accuracy.
- Maintained up-to-date knowledge of billing regulations and compliance requirements, ensuring adherence to legal standards.
- Reduced billing errors, leading to decrease in customer complaints, by conducting regular audits of billing data.
- Improved customer satisfaction with prompt and clear communication regarding their billing inquiries.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
- Collaborated with cross-functional teams to establish clear compliance guidelines and expectations for all departments.
- Maintained effective working relationships with regulatory authorities, suppliers and customers.
Education
Associate Of Applied Science - Liberal Studies
Calhoun Community College
Tanner, AL05.2026
GED -
Calhoun Community College
Tanner, AL05.2014
Skills
- Billing systems and software
- Insurance Verification
- Invoice Processing
- Claims Processing
- Data entry proficiency
- HIPAA Compliance
- Claim submission
- Denial Management
- Medical coding knowledge
- Payment posting
- Customer Engagement
- Medical Billing Expertise
- Patient account management
- Record preparation
- Research and due diligence
- Procedure Development
- Records organization and review
- Audit Procedures
- Billing cycle management
- Coding proficiency
- Billing dispute resolution
- Medical billing and collections
- Billing best practices
- Insurance confirmation
- Microsoft Office
- Customer Service
- Customer service support
- Decision-Making
- Paperwork and documentation
- Customer Account Management
- Administrative Support
- Billing Data Verification
- Discrepancy Resolution
- A/P and A/R expertise
- Records Research
- Word Processing
- Team Collaboration
- Financial report creation
Timeline
Billing Specialist and Compliance Manager
McAbee Medical
03.2018 - Current
Associate Of Applied Science - Liberal Studies
Calhoun Community College
GED -
Calhoun Community College