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
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
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
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
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
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