Maegan McGhee
@maeganmcghee
Revenue Integrity Analyst specializing in healthcare revenue cycle analytics, compliance, and process improvement.
What I'm looking for
I am a dedicated healthcare professional with multiple years of experience in administrative and business office roles, specializing in revenue cycle management. I bring analytical skills and attention to detail to identify discrepancies, correct claim issues, and implement process improvements that enhance operational efficiency.
In my current role, I focus on revenue integrity by monitoring account accuracy and compliance, performing weekly account audit reviews, and analyzing charge capture data. I also correct claim errors based on daily analysis, ensuring accuracy and reducing downstream billing issues. At the same time, I work as an AR Rep II, where I reduced accounts outstanding by 73%, recovered more than 31% of originally written off revenue, and consistently met or exceeded daily production goals to maximize cash collection.
Previously, I improved performance across the revenue cycle at Norton Healthcare by reducing billing errors by 75%, increasing collections through research-driven work, and identifying trending denials. I composed and implemented SOPs that increased revenue by 35% monthly, and I supported production through program and project management while maintaining consistent 100% caller satisfaction. Earlier experience includes Medicare Part A & Part B compliance audits, handling provider-related referrals and scheduling improvements, and managing COBRA claims processing and benefit-related inquiries with strong outcomes for accuracy and retention.
Experience
Work history, roles, and key accomplishments
Worked AR to reduce accounts outstanding by 73% and recover more than 31% of originally written off revenue through extensive research. Consistently met or exceeded daily production goals and maximized cash collection.
Revenue Integrity Analyst
Ensemble
Oct 2024 - Present (1 year 9 months)
Ensures accuracy and compliance through weekly account audit monitoring of medical records and daily analysis of charge capture data. Corrects claim errors to improve charge accuracy.
Reduced billing errors by 75% and increased revenue by identifying trending denials. Improved collections by composing and implementing new SOPs and increased revenue by 35% monthly.
Improved patient scheduling efficiency through clear and concise measurement and managed multiple programs and projects during production. Maintained 100% ratings on caller satisfaction.
Coordinated provider referrals for processing and reduced repeat callers on initial interactions by 25%. Managed double cases and retained 77% of patients for the new merger.
Ensured Medicare Part A & Part B compliance through monthly audits and resolved claims at an average of 69% for existing claims. Improved billing efficiency and managed migration of old patient claims into a new EPIC version for U of L facilities.
Managed new COBRA claims for daily intake consideration and completed error-free processing for the full tenure. Resolved benefit-related inquiries with an average of 95% and maintained client interaction consistently at an average of 83%.
Education
Degrees, certifications, and relevant coursework
University of Phoenix
Bachelor of Science in Business, Business
Earned a Bachelor of Science in Business (BBA) at the University of Phoenix.
University of Phoenix
Master of Health Administration, Health Administration
Earned a Master of Health Administration (MHA) at the University of Phoenix.
University of Phoenix
Certificate, Healthcare Informatics
Completed a certificate in Healthcare Informatics at the University of Phoenix.
Availability
Location
Authorized to work in
Job categories
Skills
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