Melissa Sainsbury
Wichita Falls,TX
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
11
11
years of professional experience
1
1
Certification
Work History
A/R SPECIALIST
OS Inc
Remote
06.2021 - Current
- Medical billing operations including accurate claim submission, account reconciliation, insurance follow up and denial appeals.
- Ensured compliance with industry regulations by staying up-to-date on changes in billing rules and guidelines.
- Strengthened client relationships through effective communication regarding billing issues and concerns.
PATIENT FINANCIAL SPECIALIST
Sauk Prairie Healthcare
Prairie Du Sac, WI
02.2018 - 06.2021
- Assisted patients with payment plans, ensuring timely payments and reducing outstanding balances.
- Handled patient inquiries promptly and professionally, resulting in high levels of satisfaction among those seeking assistance with financial matters.
- Enhanced revenue collections through diligent follow-up on unpaid accounts and negotiating settlements with patients.
- Maintained up-to-date knowledge of industry regulations, ensuring compliance in all financial transactions and communications with patients.
- Maintained strict confidentiality of patient data by adhering to HIPAA regulations and company policies regarding information security.
MEDICAL BILLING SPECIALIST
Sauk Prairie Healthcare
Prairie Du Sac, WI
02.2017 - 02.2018
- Responsible for duties such as claims submission, insurance follow up, posting insurance payments, reconciling and balancing accounts
- Responsible for researching and analyzing payments to ensure accuracy and following up with the insurance company regarding any discrepancies.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Efficiently processed refunds or adjustments for patients when necessary, ensuring accuracy and compliance with company policies.
PATIENT ACCESS REPRESENTATIVE
Sauk Prairie Healthcare
Prairie Du Sac, WI
09.2015 - 02.2017
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
- Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
- Trained new hires on department procedures, policies, and software systems, ensuring consistent quality service delivery from all team members.
PATIENT ACCESS REPRESENTATIVE
United Regional Health Care System
Wichita Falls, TX
07.2013 - 05.2015
- Enhanced overall patient experience with empathetic communication and thorough explanations of insurance benefits and coverage.
- Managed challenging situations effectively by remaining calm under pressure while resolving conflicts or addressing dissatisfied patients professionally.
- Facilitated smooth billing processes by verifying insurance eligibility, obtaining authorizations, and accurately entering claim details into the system.
- Trained new hires on department procedures, policies, and software systems, ensuring consistent quality service delivery from all team members.
- Provided excellent customer service through active listening skills, understanding patient needs, and offering tailored solutions where applicable.
Education
Associate in Science (A.S.) Accounting -
SOUTHERN NEW HAMPSHIRE UNIVERSITY
Manchester, NH11.2021
High School Diploma -
BARABOO HIGH SCHOOL
Baraboo, WI05.2009
Skills
- Microsoft Office
- Communication
- Customer Service
- QuickBooks Online
- Dispute Resolution
- Client Communication
- Accounts receivable management
- Customer Account Reconciliation
- HIPAA Compliance
Certification
Certified Revenue Cycle Professional
Volunteer Experience
Treasurer for American Association of Healthcare Administrative Management, WI 01/2019 - 12/2020. Provided general financial oversight, banking, book keeping and record keeping.
References
References available upon request
Timeline
A/R SPECIALIST
OS Inc
06.2021 - Current
PATIENT FINANCIAL SPECIALIST
Sauk Prairie Healthcare
02.2018 - 06.2021
MEDICAL BILLING SPECIALIST
Sauk Prairie Healthcare
02.2017 - 02.2018
PATIENT ACCESS REPRESENTATIVE
Sauk Prairie Healthcare
09.2015 - 02.2017
PATIENT ACCESS REPRESENTATIVE
United Regional Health Care System
07.2013 - 05.2015
Associate in Science (A.S.) Accounting -
SOUTHERN NEW HAMPSHIRE UNIVERSITY
High School Diploma -
BARABOO HIGH SCHOOL