STACEY HUGHES
Ephrata,WA
Summary
Dynamic, detail-oriented professional seeking a position to leverage and enhance existing skills for effective team contributions. Committed to delivering high-quality results while fostering a collaborative environment. Proven ability to adapt quickly and tackle challenges enthusiastically, ensuring the achievement of both individual and team goals. Eager to apply a strong work ethic and proactive approach to support organizational objectives.
Overview
10
10
years of professional experience
Work History
Payor Incentive Program Specialist/Medicare Advantage
PeaceHealth Medical Group
01.2021 - 01.2026
- Responsible for the analysis and coordination of risk assessment and population health measures as identified within multiple payer incentive and value-based care contracts.
- Review health records for specified patient populations to ensure accurate and up to date information within the Electric Medical Record and Payer portals.
- Collaborate with internal departments, clinical teams, and external organizations to identify and implement workflows that support the organization in meeting quality targets.
- Inputting medical diagnosis that needs to be addressed at a patient's next appointment.
- Served as a subject matter expert with knowledge of all current incentive contracts and included measures.
- Work was generally performed independently requiring judgment and problem-solving skills with limited supervision.
Patient Access Representative/Scheduler
PeaceHealth Medical Group
01.2016 - 01.2021
- Answering 95 phone calls a day to address patient inquiries and schedule appointments.
- Documenting insurance information, personal information, payment methods.
- Updating patient files and appointment information accurately.
- Communicating information and important details to other medical care staff.
- Provided excellent customer service through active listening skills, understanding patient needs, and offering tailored solutions where applicable.
- Adapted quickly to changing demands within the healthcare environment, demonstrating flexibility and a strong commitment to quality patient care.
Education
Associates of Arts - accounting
University of Phoenix
Portland08.2019
Billing and Coding Certificate -
ED2GO
01-2025
Skills
- Microsoft Office
- Excel
- Word
- Data analysis
- Communication skills
- Task prioritization
- Teamwork
- ICD-10 Coding
Timeline
Payor Incentive Program Specialist/Medicare Advantage
PeaceHealth Medical Group
01.2021 - 01.2026
Patient Access Representative/Scheduler
PeaceHealth Medical Group
01.2016 - 01.2021
Associates of Arts - accounting
University of Phoenix
Billing and Coding Certificate -
ED2GO