MEGAN MCCORMICK ENCALADE
Ochsner Healthcare Systems
Marrero,LA
18
years of professional experience
Resourceful Healthcare Revenue Cycle professional with 12 years of experience in hospital billing, claims resolution, and process improvement. Led employee development initiatives, training programs, and performance audits to enhance operational efficiency. Merged healthcare operations expertise with financial services management to drive accountability and foster continuous improvement.
Work History
Senior PB Billing Revenue Cycle Rep
7 Years 6 Months- Conduct monthly quality assurance audits of employee accounts to evaluate accuracy, completeness, appropriate account handling, and adherence to established billing procedures.
- Provide direct feedback and constructive coaching to employees based on audit findings, addressing performance gaps, recurring errors, and opportunities for improvement.
- Identify employee training needs and provide guidance to strengthen account resolution, billing accuracy, quality, and overall performance.
- Provide direct training and instruction to internal employees and external vendor AGS personnel on billing procedures, account workflows, claims processing, and departmental expectations.
- Coordinate and facilitate training sessions for AGS vendor staff and internal team members to improve billing knowledge, accuracy, consistency, and operational efficiency.
- Serve as a subject matter resource for employees and vendor personnel, providing assistance with complex billing issues, account research, and claims resolution.
- Identify opportunities for operational improvement and streamline PBB billing processes to enhance workflow efficiency and consistency.
- Perform hospital and professional billing functions, including PBB claims processing and complex account resolution.
- Monitor daily work queues and maintain Excel tracking systems to support workflow visibility, productivity, and timely account resolution.
- Analyze outstanding accounts, identify barriers to resolution, and implement appropriate actions to minimize unpaid claims.
- Collaborate with leadership and team members to address operational challenges, improve processes, and achieve departmental objectives.
- Consistently exceed established daily productivity requirements while maintaining a personal monthly quality assurance score of 100%.
- Research and resolve complex third-party liability (TPL) claims, including duplicate claims, timely filing concerns, and insurance-related discrepancies.
- Support Partnership Services billing operations for outside facilities, including hospital-based and professional billing claims.
- Assist with MRA claims, CRM claims, BCBS transplant claims, NDC code research, and Ochsner Health System professional billing claims.
- Respond to leadership inquiries and contribute to special projects and departmental initiatives.
- Maintain confidentiality and compliance when handling sensitive patient, financial, and billing information.
PB Billing Revenue Cycle Rep III
5 Years- Managed third-party liability account research, correspondence, and claims resolution.
- Composed and drafted professional correspondence to patients, attorneys, and insurance companies.
- Investigated aged accounts and addressed claim discrepancies to minimize outstanding balances.
- Researched duplicate claims, claim generation issues, and timely filing concerns.
- Assisted with training new and existing employees on billing processes and departmental procedures.
- Monitored shared departmental inboxes and ensured timely responses to inquiries.
- Maintained accurate account documentation and Excel tracking reports.
- Collaborated with colleagues to resolve complex accounts and improve billing accuracy.
- Supported hospital and professional billing operations and additional departmental assignments.
Administrative Assistant
1 Year 10 Months- Prepared professional correspondence, reports, and administrative documentation.
- Managed accounts receivable postings and deposit preparation.
- Screened calls, greeted clients, and routed inquiries with professional client service.
- Coordinated document distribution, filing, and deadline management.
- Assisted with office operations, inventory management, and vendor coordination.
- Supported management and staff with administrative and operational responsibilities.
- Managed case files, correspondence, and confidential client records with strict attention to detail.
- Streamlined invoice processing procedures to ensure timely payment of vendors while minimizing errors in financial records.
Teller/Member Service Rep/Assistant Branch Manager
3 Years 7 Months- Supported daily branch operations, including opening and closing procedures, financial balancing, and operational accuracy.
- Performed Assistant Branch Manager responsibilities while supporting branch management and daily business operations.
- Trained new employees and provided guidance on procedures, performance expectations, and customer service standards.
- Assisted with monthly teller audits to ensure accuracy, accountability, and compliance with established procedures.
- Addressed employee questions, concerns, and operational issues.
- Processed deposits, withdrawals, loan payments, and account transfers with accuracy and efficiency.
- Assisted members with account inquiries, transaction support, and service needs in branch environment.
- Maintained loan applications, financial records, and confidential documentation.
- Oversaw office supply inventory and purchasing needs.
- Assisted in maintaining branch efficiency, professionalism, and customer satisfaction.
Education
Bachelor of Science - Business Administration
- Minor in Management
- Concentration in Accounting
Skills
Healthcare Systems: Epic
FinThrive
Contract Manager
Financial & Administrative Systems: Quickbooks
Episys
Trialworks
Microsoft Office: Excel
Word
Powerpoint
Revenue Cycle Management
Data management
Analytical thinking and problem solving
Organizational skills
Billing compliance
Proactive and Self-motivated
Teamwork and collaboration
Adaptability and flexibility
Process Improvement
CORE LEADERSHIP & PROFESSIONAL COMPETENCIES
- Revenue Cycle & Billing Operations Management
- Employee Training, QA Audits, Coaching & Development
- Vendor Training & Relationship Management
- Workflow Optimization & Productivity Monitoring
- Team Collaboration & Leadership
- Problem Solving & Decision Making
Timeline
Senior PB Billing Revenue Cycle Rep
Ochsner Healthcare Systems
05.2019 - CurrentRead More
PB Billing Revenue Cycle Rep III
Ochsner Healthcare Systems
05.2014 - 05.2019Read More
Administrative Assistant
Colvin Law Firm
07.2012 - 05.2014Read More
Teller/Member Service Rep/Assistant Branch Manager
Jefferson Financial Credit Union
11.2008 - 06.2012Read More
University of New Orleans
Bachelor of Science from Business Administration
Read More