Mary Marcus Email and Phone Number
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Recognized leader in Nursing Evidence Based practice, Who’s Who in Medicine and Healthcare 2007 and in 2012- my first year teaching in Florida I was elected to Who's Who by honors students, and in writing medical articles which followed the initial inclusion after initiating the emergency room nurse triage program at Massachusetts General Hospital. I have been a recent contributor in to Jacksonville, Florida NPR program on women's decreasing access to healthcare. Recently I have been recommended for 2020 TED on my time as a teen ager in nurses training at Bellevue Hospital in New York City.Currently I recouped revenue by successfully writing effective appeals, identifying trends, and root causes involving denials. I remedied losses in outpatient chemotherapy, identified wrong revenue codes on substance abuse treatment, and used the Newborn federal law for inpatient stays for deliveries, and recouped close to a million dollars. There are high losses in outpatient claims as well as low appeal amounts that need correction, Finally I am developing another funding stream for added revenues for the company. Some of other professional experience excluding extensive mental health and critical care:HEALTH DATA INSIGHTS telecommute clinical reviews 2011 - 2012• Audited Medicare Admissions for medical appropriateness of inpatient services BROOKS HOME HEALTH CARE ADVANTAGEQuality Assurance/Staff Educator 2010 - 2011• Trained 40-50 staff members in best practice LAKEVIEW MEDICAL CONSULTING DIRECTOR OF NURSING 2010• Passed JCAHO certification Jacksonville, Florida, instituted medication safety compliance.ST JOHNS RIVER STATE COLLEGE Jacksonville, FLAdjunct Faculty • Taught General Psychology MARIA COLLEGEAdjunct Faculty BSN program Albany, NYFAMILY AND CHILDREN’S SERVICES OF THE CAPITAL REGION• Counseling, Marketing, ManagementMVP HEALTH INSURANCE (NCQA top standard in health insurance Consumer Report 2012)Utilization Reviewer/Case Manager 2006 - 2007EDUCATION AND TRAINING1986, Master’s Degree, PsychologyGoddard College, Plainfield, Vermont• Studied under Mary Belenky who wrote “Women’s Ways of Knowing”1977 Bachelors Degree University of Massachusetts, Boston, MARN Bellevue Hospital School of Nursing New York, New YorkRN Licenses in Florida, New York, Massachusetts, California, and SRN in England and Wales
Parallon Business Solutions
View- Website:
- parallon.com
- Employees:
- 6668
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Rn Revenue Analyst Healthcare Rn, MaParallon Business Solutions Nov 2014 - PresentJacksonville, Florida AreaCurrently I composed effective appeals and identified trends and problems involving denials. I remedied major losses in outpatient chemotherapy claims, wrong revenue codes on substance abuse treatment, and used the Newborn federal law that guarantees reimbursement for inpatient stays for babies’ that allowed recouping thousands. I researched insurance plans and contracts to overturn denials. Revenue return at one million in one and a half years.I am developing ideas concerning correcting low appeal amounts and in developing another funding stream for added revenues for the company. My skills include evaluating medical record/clinical information with 97% accuracy, researching and identifying root causes for issues as well as finding solutions all to recoup lost money. There are a lot of missed opportunities for recovering revenue.I can meet the changes in the Affordable Care Act and see that capturing funds will eventually shift from the current back end focus to increased focus on doing it correctly at the front end and to vastly increase current recoupment. My skills are a perfect match for recovering the maximum amounts. -
Appeals Rn Lifepoint AccountParallon Business Solutions 2014 - 2016
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Contributor Medical WriterThe Patient Advocate Report 2013 Apr 2013 - PresentFreelance Contributor Medical articles
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Rn Utilization Review Hedis AbstractorSelf Employed Nov 2011 - Sep 2012Middleburg, FloridaHedis abstractor
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Utilization Review TelecommuteHealth Data Insights Nov 2011 - Sep 2012Las Vegas, Nevada AreaAudited electronic medical records from home with 97% accuracy
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RnJacksonville Home Care Agency 2010 - 2011I audited computerized medical records reviewing echarts and collaborating with staff to correct inconsistencies and errors in documentation in the required forty eight hour time frame.
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Consulting Director Of NursingSelf Employed Jan 2010 - Jul 2010Substance Abuse Inpatient FacilityConsulted with local facility to pass JCAHO certification
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Adjunct Faculty General PsychologySt John'S River State College Jan 2009 - Apr 2010Elected to Who's Who in America 2011 after second semester of teaching at St John's River State College
Mary Marcus Skills
Mary Marcus Education Details
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Psychology -
Liberal Arts Theater -
Bellevue And Mills School Of NursingNursing
Frequently Asked Questions about Mary Marcus
What company does Mary Marcus work for?
Mary Marcus works for Parallon Business Solutions
What is Mary Marcus's role at the current company?
Mary Marcus's current role is Revenue Analyst RN, MA Healthcare.
What is Mary Marcus's email address?
Mary Marcus's email address is ma****@****lon.com
What schools did Mary Marcus attend?
Mary Marcus attended Goddard College, Umass Boston, Bellevue And Mills School Of Nursing.
What skills is Mary Marcus known for?
Mary Marcus has skills like Healthcare, Nursing, Medicare, Clinical Research, Hospitals, Managed Care, Home Care, Healthcare Management, Critical Care, Inpatient, Medicine, Leadership.
Who are Mary Marcus's colleagues?
Mary Marcus's colleagues are Leah Turner Bshim, Steven B. Davis, Cassie Fuller, Lois Holcomb, Delia Fernandez, Rachel Dellinger, Jose Rubio.
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Mary Marcus
Warrington, Pa2newageind.com, newageindustries.com1 +121552XXXXX
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Mary Marcus
Greater Chicago Area
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