Margo Grant Email & Phone Number

5400 Martin Luther King Jr. Blvd

Manager School Budget, Inventory, Financial books, QB, Vena Budget tool, Vendor Management

Preregistration Secretary for Northside Hospital Sleep Center. Inbound/Outbound calls to Northside Patients, Scheduling, appointments setting, benefits and eligibility, direct contact with insurance companies and physicians.

Long Beach, California

*Review and resolve complex provider disputes timely in accordance with regulatory DMHC and AB1455 guidelines*Coordinates workflow between departments (Utilization Management Department, Claims *Adjustment Unit, Cost Recovery, Provider Information Management, Configuration Information *Management, Enrollment) and interface with internal and external resources to resolve appeals/disputes*Maintain knowledge of all system, contractual, compliance standard changes and policy updates, Medi-Cal and CMS guidelines*Root cause analysis and contribute to process improvement efforts

Long Beach, California

Handled inbound and outbound calls to providers for Ohio, Texas, and California in regard to potential or identified claim overpaymentsCalculated overpayments and issued refund request notice letters

Gardena, California

• Performed billing and collections for workers compensation and commercial insurance accounts for Saint John’s Medical Center • Patient account research and resolution, insurance verification and benefits determination, identification of reimbursement issues, resolution of credits and issuance of refunds, follow up and resolution of denied claims

Bachelor Of Science (B.S.), Clinical Psychology

Associate’S Degree, Psychology

Long Beach City College – AA Degree Psychology Behavioral Healthcare Expected Grad June 2016

Medical Billing Coding Certification, Clinical Laboratory Science/Medical Technology/Technologist

120 Hours Externship Follow Grad - 2005, Medical Terms, Coding, Insurance Billing skills acquired.