Suasdey McGovern
@suasdeymcgovern
Patient-focused medical administrative professional with extensive experience.
What I'm looking for
With over 9 years of experience in the medical administrative field, I am a patient-focused professional skilled in insurance verification, pre-certification, and claims processing. My proven ability to reduce claim denials and ensure HIPAA compliance has significantly contributed to financial transparency in both hospital and outpatient settings.
Throughout my career, I have developed expertise in ICD-10, CPT coding, and EMR systems, along with a strong understanding of payer coordination, including Medicare, Medicaid, and commercial plans. My role as an Authorization/Verification Specialist at Intrepid USA allowed me to process authorizations and verify insurance coverage effectively, ensuring continuity of care for patients. I have consistently met and exceeded productivity goals, demonstrating my commitment to excellence in a high-volume healthcare environment.
In addition to my medical administrative experience, I have also worked in finance as an Incentive Compensation Specialist at Ryan LLC, where I managed bonus reporting and collaborated with payroll for audit reporting. My diverse background, including a managerial role in telecommunications, has equipped me with strong analytical and communication skills, making me a valuable asset in any healthcare setting.
Experience
Work history, roles, and key accomplishments
Incentive Compensation Specialist
Ryan LLC
Dec 2019 - Jan 2025 (5 years 1 month)
Managed bonus reporting, adjustments, and reconciliation for international and U.S. staff. Created ad-hoc compensation reports and maintained incentive data in firm systems.
Authorization/Verification Specialist
Intrepid USA
Feb 2019 - Dec 2019 (10 months)
Processed authorizations and verified insurance coverage for various plans. Collaborated with payors and case managers to secure pre-authorizations for home health services, ensuring continuity of care.
Insurance Verification Specialist
Texas Health Center for Diagnostics & Surgery
Jun 2015 - Dec 2018 (3 years 6 months)
Verified patient eligibility, benefits, and authorization status prior to surgeries. Recovered thousands in denied claims weekly by managing authorization denials effectively.
Pre-cert Specialist
Texas Health Resources (CBO)
Apr 2010 - Jan 2015 (4 years 9 months)
Reviewed imaging orders and secured authorizations by interpreting payer guidelines. Collaborated with physicians and office staff to obtain medical records and overturn denials.
Product Line Manager
Dallas Semiconductor / Maxim
Mar 2000 - Apr 2009 (9 years 1 month)
Managed bottlenecks and production issues to meet shipping plans and delivery targets. Supported engineering and manufacturing by generating ECNs, SWRs, and SARs.
Accounting/Dispatcher/Planning
Dallas Semiconductor
Dec 1995 - Mar 2000 (4 years 3 months)
Released work orders using accounting software and managed invoice processing. Worked with purchasing to coordinate material acquisition and inventory control.
Education
Degrees, certifications, and relevant coursework
Suasdey hasn't added their education
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Tech stack
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