Mycka McIver
East Haven,CT
Summary
To secure a challenging yet responsible career opportunity to fully utilize my training and skills, while making a significant contribution to the success of the company.
Proven record of facilitating support services in a fast-paced hospital/office setting. Strong organizational and communication skills with the ability to concurrently direct multiple business affairs. A multitude of versatile skills transferred into any administrative setting to create and maintain high levels of efficiency and productivity. Advanced understanding of customer needs with diligent attention to detail resulting in superior customer service and high levels of client satisfaction. An organized and motivated individual, eager to utilize time management and organizational skills across diverse settings. Seeking entry-level opportunities to enhance abilities while contributing to company growth.
Overview
15
15
years of professional experience
Work History
Account Analyst 2 Remote
YNHH
New Haven, Connecticut
01.2020 - Current
- Obtained referrals and pre-authorizations for procedures.
- Verified patient eligibility and benefits for treatments, hospitalizations, and procedures through insurance databases.
- Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.
- Followed up on unpaid claims, ensuring resolution within standard billing cycle timeframe.
- Checking each insurance payment for accuracy and compliance with contract discount.
- Identified and billed secondary or tertiary insurances to maximize reimbursement opportunities.
- Investigated and submitted appeals for denied insurance claims, securing appropriate reimbursements.
- Collaborated with cross-functional teams to resolve account issues.
- Reviewing patient bills for accuracy and completeness and obtaining any missing information.
- Setting up patient payment plans and work collection accounts.
- Updating cash spreadsheets and running collection reports.
- Analyzed financial data to support decision-making processes.
- Calling insurance companies regarding any discrepancy in payments if necessary.
- Assisted with external audits by gathering relevant information from internal records.
Clinical Services Assistant - Radiology
Yale New Haven Hospital
01.2018 - 01.2020
- Ensures all outpatient procedures are scheduled accurately with optimum customer service.
- Coordinates and supports all tasks related to patient scheduling. Ensures all exams are scheduled appropriately.
- Scheduled all inpatient procedures from order entry queue promptly, ensuring inclusion of all necessary forms such as patient safety forms.
- Obtained preauthorization for all medical procedures in compliance with established guidelines.
- Maintained compliance with scheduling guidelines and regulations established by business service manager.
- Works with manager/coordinator to ensure all quality control measures have been addressed.
- Identifies all exams that have not been completed or cancelled from the previous day.
- Adhered to HIPAA guidelines while managing confidential patient information, keeping patients informed of exam delays and addressing inquiries.
Mammography Technician Aide
Yale New Haven Hospital
01.2014 - 01.2017
- Provided preparatory instructions for mammograms to guide patients during appointment scheduling and assess compliance.
- Communicated effectively with patients and families to schedule appointments and clarify exam requirements, enhancing patient understanding and satisfaction.
- Executed patient reception, scheduling, and eligibility confirmation procedures to ensure smooth administrative operations.
- Prepare procedure rooms with proper equipment for biopsies.
PCA (Personal Care Assistant)
Yale New Haven Hospital
01.2011 - 01.2017
- Monitor conditions and overall health of patients to ensure their well-being.
- Assisted patients with bathing, eating, changing, and restroom use to promote dignity and comfort.
- Record patients’ condition, check vital signs, including their mood, appetite, whether they are in pain, etc., and keep documentation of it.
- Assist with the treatment of current health conditions to ensure a patient’s good health.
- Change bandages and clean the injured or affected areas.
- Collected fluid samples, including blood and urine, for analysis to aid in accurate diagnosis and treatment.
- Keep the rooms in the facility clean and restocked with necessary supplies according to the standards.
- Communicated with doctors and nurses about patient care methods to support optimal health outcomes.
Education
Allstate Commercial Driver School
01-2016
EMT -
New Haven Sponsor Hospital
01-2012
Gateway Community
01-2005
Southern University
01-2001
Skills
- Electronic medical records
- Patient scheduling
- Software
- Team leadership
- Interpersonal communication
- Customer service
- Database management
- EPIC
- Microsoft Office (Word, Excel and Powerpoint)
- CDL
- Claims processing
- Billing software
References
Available upon request
Timeline
Account Analyst 2 Remote
YNHH
01.2020 - Current
Clinical Services Assistant - Radiology
Yale New Haven Hospital
01.2018 - 01.2020
Mammography Technician Aide
Yale New Haven Hospital
01.2014 - 01.2017
PCA (Personal Care Assistant)
Yale New Haven Hospital
01.2011 - 01.2017
Allstate Commercial Driver School
EMT -
New Haven Sponsor Hospital
Gateway Community
Southern University