Stacy Maggard
Cooper,TX
Summary
Dynamic Medical Billing Specialist with extensive experience at Paris Regional Medical Center, adept in claim submission and denial management. Proven track record in enhancing revenue cycle efficiency through meticulous insurance verification and exceptional customer service. Skilled in HIPAA compliance and fostering collaborative relationships with healthcare providers to optimize patient financial counseling.
Overview
23
23
years of professional experience
Work History
Medical Billing Specialist/Patient Financial Counselor
Paris Regional Medical Center/R1 RCM
07.2017 - Current
- Assisted in processing medical claims using billing software and electronic health records.
- Supported verification of insurance eligibility and patient information for accurate billing.
- Learned to review and resolve billing discrepancies to ensure timely payments.
- Collaborated with healthcare providers to obtain necessary documentation for claims submission.
- Gained familiarity with medical coding systems, enhancing accuracy of submitted claims.
- Conducted follow-up on outstanding claims and communicated with insurance companies effectively.
- Maintained confidentiality of patient information in compliance with HIPAA regulations.
- Developed foundational knowledge of healthcare billing practices through training sessions and hands-on experience.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Provided support in verifying insurance coverage and eligibility for medical services
- Assisted patients in understanding financial responsibilities and options for healthcare services
- Maintained accurate records of patient interactions and financial consultations
- Educated patients on payment plans and financial assistance programs available
Medical Billing Specialist
McKesson
01.2012 - 07.2017
- Processed and submitted medical claims, ensuring compliance with regulations and accuracy in billing information.
- Resolved discrepancies in billing statements, collaborating with healthcare providers to clarify patient accounts.
- Analyzed denial reasons and implemented corrective actions to reduce claim rejections and improve revenue cycle efficiency.
- Trained new staff on billing procedures and software, fostering a knowledgeable team environment for optimal performance.
- Collected payments and applied to patient accounts.
- Provided exceptional customer service to both patients and insurance representatives, resolving inquiries quickly and professionally.
- Coordinated with other departments to address any discrepancies or concerns related to charge capture or data entry accuracy.
Clinical Manager/Lead Registered Dental Assistant
Community Dental Clinic
01.2003 - 01.2012
- Directed clinical operations, ensuring compliance with regulations and standards.
- Led multidisciplinary teams to enhance patient care and service delivery.
- Implemented process improvements to optimize workflow efficiency in clinical settings.
- Developed training programs for staff, fostering professional growth and adherence to best practices.
- Coordinated with healthcare providers to streamline patient admission and discharge processes.
- Analyzed performance metrics to drive strategic decisions and improve operational outcomes.
- Promoted a culture of safety within the clinic by enforcing policies related to infection control, medication administration, and incident reporting procedures.
- Delegated tasks to staff members, monitored completion of all duties and provided support to enhance performance.
- Managed 6 employees with various personalities and from different cultures for large 3-physician practice.
- Selected, promoted and terminated staff members.
Education
High School Diploma -
Cooper High School
Cooper, TXSkills
- HIPAA compliance
- Payment posting
- Claim submission
- Insurance verification
- Patient billing
- CPT knowledge
- Denial management
- Medicare and medicaid process
- Data entry
- Insurance claims processing
- Customer service
- Multitasking and organization
- Insurance billing
- Medical billing
Timeline
Medical Billing Specialist/Patient Financial Counselor
Paris Regional Medical Center/R1 RCM
07.2017 - Current
Medical Billing Specialist
McKesson
01.2012 - 07.2017
Clinical Manager/Lead Registered Dental Assistant
Community Dental Clinic
01.2003 - 01.2012
High School Diploma -
Cooper High School
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