Megan Turner
LaGrange,KY
Summary
To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. Hardworking and passionate job seeker with strong organizational skills eager to help a team achieve company goals. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
9
9
years of professional experience
Work History
Subrogation Analyst
The Rawlings Group
04.2023 - Current
- Investigates and determines whether medical insurance claims are recoverable or non-recoverable
- Communicates and negotiates with healthcare plan members, insurance adjusters, and attorneys
- Utilizes computer systems to accurately document collected information
- Applies organizational, analytical, and time management skills to manage daily workflow
- Reviews and understands healthcare contracts
- Creates medical expense spreadsheets and processes payments from recoveries.
Pharmacy Analyst and Mentor
The Rawlings Group
08.2021 - 04.2023
- Reviews and audits pharmacy claims
- Investigates to determine claims payments are made properly
- Communicates with healthcare providers, employers, members, pharmacies and or insurance representatives to gather information
- Utilizes available resources to maximize identification and recovery of overpayments
- Answers phone calls in a timely fashion and resolves issues
- Creates, maintains, and closes files in accordance with policies and guidelines
- Experience with mentoring new hires and assisting them in researching files and answering questions pertaining to their work
- Experience with person search, caqh, idicore, express scripts, cvs portal, report builder, rxtra, rx select
EMR Technician
Norton Healthcare
08.2019 - 06.2021
- Responsible for all activities that pertain to processing health information into the Electronic Medical Record (EMR)
- Quantitative/qualitative analysis of the medical record and preserving the integrity of Norton Healthcare Electronic Medical Record
- Responsible for prepping, scanning and indexing of documents into the EMR to ensure document type accuracy and positive patient identification
- Triages all Ambulatory documents and route faxes using established workflow procedures
- Scans and routes results via Epic Order Result Scanning and routes workflows to ensure standardization for providing the information in the right place at the right time consistently.
Security Assistant
Census Bureau
07.2018 - 04.2019
- Scheduled appointments for future employees to be badged
- Answered multi line telephone system, granting access on PIV badges
- Deactivated and activated PIV badges, problem solving issues on PIV badges, issued escorted badges to visitors
- Issued remedy tickets for employees to gain access to computers
- Obtained a secret security clearance for this position.
Billing and Enrollment Specialist
Humana Government Business
10.2017 - 04.2018
- Answered multi-line telephone systems
- Enrolled beneficiaries into requested insurance plans
- Assigned primary care managers to beneficiaries and took payments for health plans
- Obtained a secret security clearance for this position
Department Secretary
Baptist Health Rehabilitation Services
04.2016 - 11.2016
- Scheduled and cancelled appointments
- Collected co-payments, prepared charts and faxed proper documents
- Entered patient information in EMR, verified insurance
- Experience with EPIC medical records program
Security Guard
Horseshoe Casino
08.2015 - 11.2015
- Provided security for customers on and off the vessel
- Checked identification of customers boarding the vessel
- Escorted any outside company to transport money from the vault
- Escorted other employees during money transfers between the employee and customers
- Secured areas and guarded the areas as money was removed from multiple games on the floor
- Removed customers that were a potential threat to others and to themselves and escorted them to their vehicle
Front Desk/Scheduler
Norton Healthcare
08.2014 - 07.2015
- Scheduled and cancelled appointments and collecting co-pays
- Handled HICFAs, filing/pulling charts
- Maintained new patient charts, faxing documents, filling out/handling prescription request forms
- Secretary for neuropsychologist; planned meetings, adjusted calendars, filled out forms and communicated with patients for confirmation of meetings
Education
Diploma -
Oldham County High School
2006
Skills
- Data Mining and Modeling
- Federal Laws
- Public Record Research
- Contract Interpretation
- Oral Arguments
- Decision-Making
- Data Entry
- Microsoft Outlook
- Microsoft Excel
- Call Center Operations
- Data Evaluation
- Microsoft Word
- Microsoft Windows
Timeline
Subrogation Analyst
The Rawlings Group
04.2023 - Current
Pharmacy Analyst and Mentor
The Rawlings Group
08.2021 - 04.2023
EMR Technician
Norton Healthcare
08.2019 - 06.2021
Security Assistant
Census Bureau
07.2018 - 04.2019
Billing and Enrollment Specialist
Humana Government Business
10.2017 - 04.2018
Department Secretary
Baptist Health Rehabilitation Services
04.2016 - 11.2016
Security Guard
Horseshoe Casino
08.2015 - 11.2015
Front Desk/Scheduler
Norton Healthcare
08.2014 - 07.2015
Diploma -
Oldham County High School