SM
Open to opportunities

Suasdey McGovern

@suasdeymcgovern

Patient-focused medical administrative professional with extensive experience.

United States
Message

What I'm looking for

I am seeking a role that allows me to leverage my extensive experience in medical administration while contributing to patient care and financial transparency.

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

RL

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.

IU

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.

TS

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.

T(

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.

DM

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.

DS

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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Suasdey McGovern - Incentive Compensation Specialist - Ryan LLC | Himalayas