Yolanda McCree
Summary
Seasoned Medical Assistant with a robust background in patient care and medical billing, notably at Southern California Hospital at Culver City. Excelled in HIPAA compliance, vital signs monitoring, and insurance verification, leveraging skills in Microsoft Excel and patient relationship management. Demonstrated a 60% improvement in billing accuracy, underscoring a blend of technical proficiency and compassionate patient support.
Overview
15
15
years of professional experience
Work History
Medical Assistant
Southern California Hospital at Culver City
10.2023 - Current
- Patient Care & Support
- Vital Signs Monitoring and EKG
- Medical Records Management
- Appointment Scheduling
- Insurance Verification
- HIPAA Compliance and EMR system
- Assisting Orthopedic team in preparing patients examinations, X-rays, Casts and prepare steroid injection
- Assisting Cardiologist team in taking vitals and EKG (Electrocardiography) ensuring their comfort and assisting with any necessary preparations
Medical Biller/Debt Collector. (Remote)
Fulgent Diagnostics
Los Angeles, CA
01.2022 - 09.2022
- Performed medical billing and collections for Fulgent Diagnostics
- Worked with pathology department to ensure accurate billing and collections
- Utilized medical terminology to accurately code and bill for services
- Handled appeals and denials to ensure timely payment
Traveling Nurse Document Specialist (Remote)
Aya Healthcare
Los Angeles, CA
09.2021 - 01.2022
- Responsible for assessing documentation practices, training staff on best practices, and ensuring compliance with regulatory standards while traveling to different facilities.
- Provide ongoing support to healthcare providers to ensure compliance with documentation standards.
- Support administrative operations with strong data entry and Microsoft Excel skills.
Underpayment Analyst (Remote)
Parallon /HCA Hospital's
Los Angeles, CA
01.2017 - 12.2019
- Researched and resolved underpayments
- Performed second validation of discrepancy reason code assigned by Discrepancy Analyst
- Contacted payer and initiated request for payment
- Performed appropriate follow up with payer for payment as appropriate
- Escalated contract issues to supervisor
Medical Collector
Northside Hospital
Atlanta, USA
07.2014 - 09.2017
- Review EOBs and remittance advices to ensure proper contractual application.
- Determine contractual adjustments for those contracted groups not adjusted at the final bill by reviewing the E.O.B. Remittal when payments are received.
- Changed financial classes on accounts with patient liability balances, secondary insurance balances, and account denials.
- Reviewed HMO/PPO, Medicare HMO W/C, campus, and patient account at final bill to calculate expected reimbursement.
Credit Balance Representative
Children's Hospital Los Angeles Medical Group
01.2012 - 12.2014
- Minimized credit balances by analyzing the explanation of benefits.
- Calculated insurance contract rates, and allocated payments to the appropriate invoices.
- Research and resolve credit balances.
- Process refunds and adjustments.
- Communicate with patients, and insurance companies.
Account Billing Specialist
Providence Health & Services (Contract Position)
Torrance, CA
02.2012 - 09.2012
- Work all Medi-Cal (CA Medicaid) claims.
- Audit UB94 claims for correct coding, and CMS 1500 ambulatory claims for correct time/units for billing.
- Perform follow-up on all outstanding insurance claims, initiate proactive measures that result in account resolutions by corresponding with the patient and insurance carrier, investigate delinquent accounts, and provide timely notation of actions taken.
- Answer account inquiries both in writing and by telephone from patients, physicians, and insurance companies.
- Prepared delinquent accounts for the collection agency after all avenues have been exhausted to collect from insurance companies and patients.
Credit Analyst
Kasier Permanente (Contract position)
Pasadena, CA
03.2010 - 03.2011
- Researched and followed up on all credit balance accounts for all lines of business.
- Identified and reconciles accounts to be escheated to the local, state, and/or federal authorities to comply with regulatory requirements.
- Reviewed K. P. Health Connect work queues to determine the proper course of action for credit balance resolution by preparing or reversing adjustments, initiating refund requests, reversing charges, and requesting transfers if applicable.
- Identified areas where additional information was needed to complete a thorough analysis.
Education
Medical Assistant Certification -
Hollywood Academy/ Business Industry
Los Angeles, CA06-1984
Graduate Certificate - MEDICAL ASSISTANT
BUSINESS INDUSTRY
Los Angeles, CA04-1993
Ambulatory Coding - CCS Input/CCSP Output
West Valley Occupational Center
other01.2011
Computer Skills
Windows 95-07, XP, Microsoft Word Application 07, Excel 5.0 and 7.0, PowerPoint, Access, Outlook, Athena, and Medi Soft, Medical Management, Ensure, IDX, Multi Health Network (MHN), Florida Shares, DDE Web Base, Prism, E-Premius, Medipak, SMC, Premis, Medi Com, Meditech, Pathways, Emdeon, Laws AB 1455, Knox Keene Act, Worker's Compensation, Allscripts, ECW, Office Ally
Timeline
Medical Assistant
Southern California Hospital at Culver City
10.2023 - Current
Medical Biller/Debt Collector. (Remote)
Fulgent Diagnostics
01.2022 - 09.2022
Traveling Nurse Document Specialist (Remote)
Aya Healthcare
09.2021 - 01.2022
Underpayment Analyst (Remote)
Parallon /HCA Hospital's
01.2017 - 12.2019
Medical Collector
Northside Hospital
07.2014 - 09.2017
Account Billing Specialist
Providence Health & Services (Contract Position)
02.2012 - 09.2012
Credit Balance Representative
Children's Hospital Los Angeles Medical Group
01.2012 - 12.2014
Credit Analyst
Kasier Permanente (Contract position)
03.2010 - 03.2011
Medical Assistant Certification -
Hollywood Academy/ Business Industry
Graduate Certificate - MEDICAL ASSISTANT
BUSINESS INDUSTRY
Ambulatory Coding - CCS Input/CCSP Output
West Valley Occupational Center
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