Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Raquel McGriff

Pinellas Park

Summary

Reliable Medical Biller with coding and medical terminology knowledge. Polished and hardworking performer with a background overseeing accounts and handling records management tasks. Considered a team-oriented person with great decision-making skills.

Overview

8
8
years of professional experience
1
1
Certification

Work History

Revenue Cycle Specialist

UF Shands Hospital
02.2023 - Current
  • Identified and resolved payment issues between patients and providers.
  • Contacted responsible parties for past due debts.
  • Reached out to insurance companies to verify coverage.
  • Balanced and reconciled accounts.

Insurance Specialist

Vwinn
06.2020 - 12.2022
  • Tracked pending authorizations to resolve discrepancies and avoid revenue loss.
  • Followed up on denials, late payments, extensions and other special circumstances.
  • Processed eligibility and benefits verification and authorization requests.
  • Acted as subject matter expert, answering internal and external questions and inquiries.
  • Maintained high standards of customer service by building relationships with clients.

Revenue Cycle Specialist

Tampa General Hospital
07.2022 - 11.2022
  • Identified and resolved payment issues between patients and providers.
  • Reached out to insurance companies to verify coverage.
  • Generated receivables reports and offered improvement recommendations.
  • Epic software; create referral shells and attach to appointments. Financially clearing a patient and creating HAR accounts for patients within Epic.
  • Aria software; tasked for patients receiving radiation treatment to submit authorization for treatment along with clinical documentation in Aria such as treatment plan and prescriptions/orders for treatment.

Medical Appointment Scheduler

Community Health Centers Of Pinellas Inc.
10.2019 - 06.2020
  • Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
  • Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
  • Updating records, databases and calendars after appointments have been made or met.
  • Prioritizing urgent appointments over non-urgent appointment

Medical Claims Processor

Fl Department Of Health
12.2015 - 11.2018
  • Managed large volume of medical claims to insurance companies such as Medicaid and Medicare on daily basis.
  • Responded to correspondence from insurance companies.
  • Verified the of diagnosis,treatment, and service codes utilizing ICD-9, ICD-10 and CPT codes.
  • Maintained knowledge of benefits claim processing, claims principles, medical terminology and procedures and HIPAA regulations.

Education

Bachelor of Science - Health Administration

St. Petersburg College
Clearwater, FL
05.2024

Associate of Science - Health Information Technology

St. Petersburg College
Clearwater, FL
05.2020

Certification - Medical Billing And Coding

Pinellas Technical Education Center
St. Petersburg, FL
07.2015

Skills

  • Medical Billing
  • HIPAA Compliance
  • Payment Processing
  • Spreadsheets
  • CPT Coding
  • Invoice Processing
  • Medical Coding
  • Medical Records Review
  • Epic software
  • ARIA software

Certification


CCA/CPC Eligible

Medical Coding and Billing

RHIT Eligible

Timeline

Revenue Cycle Specialist

UF Shands Hospital
02.2023 - Current

Revenue Cycle Specialist

Tampa General Hospital
07.2022 - 11.2022

Insurance Specialist

Vwinn
06.2020 - 12.2022

Medical Appointment Scheduler

Community Health Centers Of Pinellas Inc.
10.2019 - 06.2020

Medical Claims Processor

Fl Department Of Health
12.2015 - 11.2018

Bachelor of Science - Health Administration

St. Petersburg College

Associate of Science - Health Information Technology

St. Petersburg College

Certification - Medical Billing And Coding

Pinellas Technical Education Center

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Raquel McGriff