Julieanne Melton
The Bronx,NY
Summary
Medical billing professional with deep expertise in managing patient billing and insurance claims. Strong background in coding, account reconciliation, and compliance with healthcare regulations. Known for collaborating effectively with teams and adapting to changing needs to achieve optimal results. Reliable and detail-focused, ensuring accurate and timely processing of financial information.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Medical Billing Specialist
Pisacano Eye Surgery & Laser Specialists
01.2023 - Current
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Located errors and promptly refiled rejected claims.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Precisely evaluated and verified benefits and eligibility.
Patient Service Representative Team Lead
IU Health Methodist Hospital
07.2022 - 12.2023
- Ensured compliance with HIPAA regulations and confidentiality guidelines throughout all aspects of patient care coordination activities.
- Implemented proactive strategies for managing high call volumes while maintaining excellent customer service standards.
- Maintained accurate and up-to-date records of patient demographics, insurance information, and medical histories by consistently verifying data during each visit or interaction.
- Managed a team of Patient Service Representatives, providing guidance, support, and performance evaluations.
Patient Care Coordinator
Premier Medical Associates
01.2022 - 04.2022
- Managed sensitive patient information with strict adherence to HIPAA guidelines, maintaining confidentiality and privacy at all times.
- Provided exceptional customer service by addressing concerns, answering questions, and ensuring patient satisfaction with their care experience at the clinic.
- Streamlined communication between patients and healthcare providers, ensuring timely responses to inquiries and concerns.
- Communicated with insurance companies to verify coverage and obtain authorizations for medical treatments and procedures.
Medical Scribe
Nuvance Health
01.2020 - 01.2022
- Documented complete information about examinations, treatment plans, lab results, and other details directly into charts.
- Charted patient encounters by recording information such as diagnosis, treatments, and prescriptions.
- Increased overall productivity of clinical staff by providing real-time scribing support during high-volume shifts, enabling better focus on direct patient care.
- Collaborated with healthcare professionals to ensure timely completion of all necessary documentation, facilitating proper billing and reimbursement processes.
Education
High School Diploma -
Renaissance High School
The Bronx, NY06-2015
Skills
- HIPAA compliance
- Payment posting
- Claim submission
- Insurance verification
- CPT knowledge
- ICD-10 proficiency
Certification
- Certified Medical Assistant (CMA) - American Association of Medical Assistants (AAMA).
- Certified Electronic Health Records Specialist (CEHRS) - National Healthcareer Association (NHA).
- Medical Administrative Assistant Certification (CMAA) - National Healthcareer Association (NHA).
- Certified Phlebotomy Technician (CPT) - National Healthcareer Association (NHA).
Timeline
Medical Billing Specialist
Pisacano Eye Surgery & Laser Specialists
01.2023 - Current
Patient Service Representative Team Lead
IU Health Methodist Hospital
07.2022 - 12.2023
Patient Care Coordinator
Premier Medical Associates
01.2022 - 04.2022
Medical Scribe
Nuvance Health
01.2020 - 01.2022
- Certified Medical Assistant (CMA) - American Association of Medical Assistants (AAMA).
- Certified Electronic Health Records Specialist (CEHRS) - National Healthcareer Association (NHA).
- Medical Administrative Assistant Certification (CMAA) - National Healthcareer Association (NHA).
- Certified Phlebotomy Technician (CPT) - National Healthcareer Association (NHA).
High School Diploma -
Renaissance High School
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