CHRISTINA MELENDEZ

• Processed payments accurately for neurophysiological services received.
• Reviewed patient accounts to ensure correct billing information.
• Resolved discrepancies in payment postings efficiently and promptly.
• Extracted payments from multiple websites.
• Called insurances to locate any missing payments.

Created and ensured Monthly Spreadsheets Balanced.

• Scheduled meetings between Clients and New Nurses as well as attend all Meet and Greets.
• Monitored, tracked and conveyed important patient information to healthcare staff to help optimize treatment.
• Met all customer call guidelines including service levels, handle time and productivity.
• Maintained routine communication with Clients/Nurses to assess overall satisfaction.
• Ordered Medical Supplies and oversaw the delivery to Clients address.
• Built Nurses Schedule Monthly for the DFW Market as well as fill any shifts during any unexpected callouts.

• Mailed out claims/EOB's and corrected claims to insurance providers.
• Ensured accuracy of insurance claims and verified ICD-10/CPT for procedures.
• Analyze and determine reasons for either or potential delinquency and assist patients in developing a plan to reconcile accounts.
• Reviewed claims to verify that they have been paid correctly per contractual agreements.

• Verify eligibility within the database system for patients and providers.
• Acted as a liaison between the payer and clinic schedulers/ medical support staff.
• Obtain the initial prior authorization/ pre-certification as required by patients insurance/plan.
• Work the essential queues to ensure all request are resolved and errors corrected in a timely manner.
• Contact providers offices to retrieve information to complete the authorization process.
• Applied insurance payments according to specific dates and procedures according to the EOB.
• Managed contractual adjustments calculated by the system care software.
• Reconciled Daily Batch Postings to actual entry in order to identify any discrepancies.

• Assisted in dealing with patient concerns/complaints in an effective and courteous manner.
• Assist other departments by maintaining spreadsheets and databases as directed.
• Auditor/Notary (Licensed valid till 2024).
• Developed accurate and completed audit documents that adequately supported audit documents performed on.
• Report on the findings of the executed audits and translate improvement opportunities and necessities.
• Provided information to new patients to ensure a smooth transition from referral call to registration to billing/financial counseling.
• Coordinate multiple office functions that focus on computerized scheduling, electronic billing, and patient records with a demonstrated knowledge of insurance carriers.