Myllan McLean
Antioch
Summary
Dynamic health information management professional with extensive expertise in data analysis, electronic health records, and regulatory compliance. Proven track record of fostering team collaboration and delivering results in fast-paced environments underscores a commitment to excellence. Demonstrated ability to ensure data accuracy, safeguard patient confidentiality, and enhance health information systems reflects a dedication to quality and integrity. Dependable and detail-oriented, equipped with strong critical thinking and problem-solving skills that drive impactful outcomes in the healthcare sector.
Overview
19
19
years of professional experience
Work History
Health Information Management Analyst
Ascension Saint Thomas
08.2024 - Current
- Verified completion of all necessary forms prior to the release of protected health information.
- Performed detailed evaluations of medical records to uphold compliance and quality standards.
- Acquired patient medical records for physicians, technicians, and medical personnel.
- Dedicated to providing exceptional customer service in high-pressure settings.
- Uploaded physician progress notes, histories, and physicals into electronic medical records to streamline patient information management.
- Compiled and generated reports from EHR systems in response to requests from physicians and administrators.
- Established and executed a quality assurance system to uphold accuracy of medical records and compliance with HIPAA guidelines.
- Facilitated collaboration with healthcare providers to enhance accuracy of patient documentation.
Patient Account Representative
Brookdale Senior Living
06.2024 - 08.2024
- Conducted thorough quality assurance assessments to ensure accuracy of patient data in PCC.
- Processed initial and adjusted skilled nursing facility claims for managed care and Medicare.
- Utilized Waystar and online portals for efficient processing of Medicare claims and coinsurance transactions.
- Oversaw comprehensive understanding of current and historical contracts with managed care companies.
- Executed follow-up procedures on overdue revenue for Medicare managed care and coinsurance accounts.
- Provided assistance to communities by resolving patient account issues and answering questions.
- Monitored SNF credit accounts to identify potential refunds and necessary adjustments.
- Facilitated write-off and refund processing utilizing ServiceNow and PCC systems.
- Tracked claims systematically to support timely monthly billing processes.
- Delivered support to colleagues as required to promote team efficiency.
- Conducted thorough analysis of claim denials to ensure accurate reporting of all payer payments.
General School Assistant
Metropolitan Nashville Public Schools
08.2023 - 05.2024
- Participated in staff training sessions and programs organized by school and district to enhance professional development.
- Streamlined organization and management of school records, student documentation, and administrative communications.
- Managed daily attendance documentation to ensure accurate student participation records.
- Facilitated office operations by efficiently answering telephone lines and greeting visitors and parents.
- Executed clerical and administrative tasks to enhance workflow efficiency.
- Cultivated a positive educational atmosphere to enhance collaboration and peer interaction among students.
- Delivered positive and nurturing support to address students' physical, personal, and emotional needs.
- Facilitated access to necessary technology for all students, ensuring educational success.
- Supervised students in classroom and common areas to ensure safety and support educational staff.
- Safeguarded confidential student data to maintain compliance with established school regulations.
- Organized and maintained filing system to enhance document retrieval efficiency. Entered data accurately to support operational processes. Assisted with clerical tasks to facilitate office workflow.
Patient Service Representative
Vanderbilt University Medical Center
11.2020 - 04.2021
- Oversaw scheduling requests for appointments, tests, and procedures to ensure regulatory compliance.
- Implemented protocols to safeguard patient privacy by securing sensitive information and medical records in compliance with HIPAA standards.
- Streamlined record organization and maintenance by updating and acquiring personal and financial information from patients.
- Exhibited strong interpersonal skills while addressing inquiries and concerns from patients, visitors, and healthcare personnel, ensuring effective communication.
- Articulated financial responsibilities to patients to streamline fee collection at the point of service.
- Validated insurance eligibility and coverage for patients to ensure seamless access to healthcare services.
- Oversaw management of incoming and outgoing calls, ensuring accurate message recording for office staff distribution.
Billing Review Specialist/Intake Specialist
Brookdale Senior Living
08.2017 - 04.2020
- Performed thorough compliance audits to ensure accuracy in therapy billing for home health services.
- Ensured adherence to confidentiality standards mandated by healthcare organizations and HIPAA regulations.
- Investigated and addressed inconsistencies in billing processes to uphold data integrity.
- Produced comprehensive daily reports on claims status, detailing necessary correspondence to facilitate timely release to payers.
- Facilitated referral coordination with clinical care team to enhance patient care processes.
- Collected and organized intake information from multiple healthcare facilities.
- Oversaw review approvals and managed intake admissions through EMR workflow.
- Compiled and distributed daily reports to branch locations, detailing pending admissions and tracking open document requirements.
- Coordinated collection of necessary signed medical orders and ensured accuracy by reviewing for discrepancies before billing claims.
- Engaged with referral sources and medical staff to confirm documentation accuracy and compliance with signature requirements.
- Logged referrals into designated system according to referral type.
Premium Billing Consultant
Aetna
02.2012 - 03.2017
- Facilitated teamwork with supervisor and colleagues to enhance efficiency and accuracy through automated data collection solutions.
- Investigated and addressed billing inquiries and account discrepancies for Medicare supplement policyholders.
- Implemented and enforced guidelines to maintain strict compliance with company policies and Medicare regulations.
- Managed member requests for policy cancellations and death notifications, streamlining adjustment preparations to enhance service efficiency.
- Facilitated generation of refund requests for overpayments and processed returned checks to rectify customer account discrepancies.
- Analyzed claim denials, identified root causes, and implemented solutions to expedite insurance payments.
- Assisted in drafting reports for team reviews. Helped customers with inquiries and support. Supported transaction reconciliation processes.
CPAP Coordinator Consultant
American Home Patient
04.2011 - 08.2011
- Input customer data into company database for account set up via email, faxes, or mail for new patients.
- Ensure all necessary medical documents are obtained for billing purposes.
- Answer customer questions regarding an account, billing, and policy procedures.
- Performed site evaluations, customer surveys, and team audits.
- Maintained quality levels above prescribed minimums to support team productivity and efficiency.
- Coordinated with departmental staff to assign proper procedures for project implementation and strategic aim.
- Efficiently performed insurance verifications, pre-certifications, and pre-authorization functions.
- Documented research findings and prepared polished reports highlighting results and potential improvement strategies.
- Maintained quality levels above prescribed minimums to support team productivity and efficiency.
- Liaised with customers, management, and sales team to better understand customer needs and recommend appropriate solutions.
Office Coordinator
Caregiver Referral Service
07.2007 - 08.2010
- Facilitated orientation and training for new hires, ensuring clear understanding of requirements.
- Evaluated organizational policies to enhance work productivity and foster team collaboration.
- Oversaw calendar management and appointment scheduling in alignment with caregiver availability and established load limits.
- Streamlined correspondence routing to enhance communication efficiency among team members, customers, and vendors.
- Safeguarded confidentiality of compensation and employee matters by meticulously managing sensitive information and documentation.
- Articulated duties, compensation, benefits, and working conditions to potential candidates, ensuring clarity of job expectations.
- Facilitated HR practice development and program creation for client organizations.
- Coordinated team schedules for five personnel to maintain adequate staffing levels.
Education
Associate of Science - Health Administration
Volunteer State Community College
Gallatin, TNSkills
- HIPAA regulations adherence
- Accurate clinical documentation
- Healthcare data analysis
- Continuous improvement strategies
- Collaborative team development
- Effective time management
- Proficient in managing disputes
- Effective verbal communication
- Medical documentation review
Timeline
Health Information Management Analyst
Ascension Saint Thomas
08.2024 - Current
Patient Account Representative
Brookdale Senior Living
06.2024 - 08.2024
General School Assistant
Metropolitan Nashville Public Schools
08.2023 - 05.2024
Patient Service Representative
Vanderbilt University Medical Center
11.2020 - 04.2021
Billing Review Specialist/Intake Specialist
Brookdale Senior Living
08.2017 - 04.2020
Premium Billing Consultant
Aetna
02.2012 - 03.2017
CPAP Coordinator Consultant
American Home Patient
04.2011 - 08.2011
Office Coordinator
Caregiver Referral Service
07.2007 - 08.2010
Associate of Science - Health Administration
Volunteer State Community College