Tracy McFillin

Served as trusted expert for healthcare providers, delivering real-time support on therapy access and insurance benefits.

Partnered with healthcare providers and payers to resolve coverage issues, ensuring timely therapy and treatment access.

• Coordinated interdepartmental communication to enhance workflow efficiency and information sharing.
• Developed and implemented office policies to improve operational efficiency and compliance.
• Facilitated training sessions for staff on new administrative procedures and software tools.
• Managed the daily operations of the business office including accounts payable and receivable, payroll, budgeting, purchasing and inventory control.
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• Provided strategic direction on prioritization, integration and resource application.
• Collaborated with other departments to ensure effective communication between teams.
• Represented company at industry meetings, conferences and trade shows.
• Maintained up-to-date records of all financial transactions including invoices, receipts and expenditures.
• Conducted thorough benefits investigations, interpreting coverage criteria while identifying financial barriers.
• Addressed reimbursement challenges including claim denials, coding corrections, and prior authorization requirements.
• Educated provider practices on documentation standards and proactive strategies to mitigate reimbursement denials.
• Maintained comprehensive knowledge of Medicare, CMS programs, secondary insurance coordination, and payer rules.
• Ensured compliance with legal, regulatory, and privacy standards in all patient support interactions.
• Coordinated continuity of care during transitions across insurance plans and providers.