Gail Hudgins
Roanoke
Summary
Experienced in program and project management applications such as Excel, Word, and PowerPoint, with a strong focus on effective leadership, communication, and organizational skills. Demonstrated ability to independently test multiple applications with minimal supervision. Proven track record of collaborating with management and various departments to ensure quality and productivity. Skilled in insurance eligibility verification and data entry techniques. Proficient in billing HCFA 1500 and UB04 claim forms. Adept at preparing and maintaining Excel spreadsheets to support efficient operations.
Overview
12
12
years of professional experience
Work History
Analyst, Revenue Integrity Quality Assurance
Ensemble Health Partners
09.2024 - Current
Perform quality reviews based on industry standards for Ensemble Health Partners employees who are responsible for filing, coding and editing medical insurance claims for patients nationwide.
Revenue Integrity QA Specialist
Carilion Clinic
08.2022 - 09.2024
- Ensured compliance with industry standards and regulations through diligent adherence to established QA procedures and guidelines.
PB Quality Analyst Revenue Cycle Operational Support
Carilion Clinic
03.2018 - 08.2019
- Monitored completed work and provided feedback to improve team member performance
- Maintained policy, procedures, work instructions and projects for quality and continuous improvement agendas
- Identified quality trends to investigate system flaws, process inefficiencies and training needs
PB Auditor
Carilion Clinic
07.2012 - 03.2018
- Analyze and critique work proficiency and productivity for 3 departments
- Work closely with management to ensure proper billing, coding and clean insurance claims from their department
Education
High School -
Lord Botetourt High School
Daleville, VA01.1971
Skills
- Insurance Verification Proficiency
- Data entry techniques
- Billing HCFA 1500 and UB04 claim forms
- Preparing and maintaining Excel spreadsheets
Timeline
Analyst, Revenue Integrity Quality Assurance
Ensemble Health Partners
09.2024 - Current
Revenue Integrity QA Specialist
Carilion Clinic
08.2022 - 09.2024
PB Quality Analyst Revenue Cycle Operational Support
Carilion Clinic
03.2018 - 08.2019
PB Auditor
Carilion Clinic
07.2012 - 03.2018
High School -
Lord Botetourt High School
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