Liana Melecio
Stoughton,MA
Summary
Organized and efficient professional with over 22 years of experience in Customer service, Medical Administrative and Management positions who excels at prioritizing, completing multiple tasks simultaneously and following through to achieve project goals. Seeking a position that will allow me to utilize my leadership skills and continue to grow professionally.
Overview
25
25
years of professional experience
Work History
Medical Office Manager
Mendes Medical Associates
03.2007 - Current
- Provide outstanding support to entire staff which helps improve process flow and boost efficiency.
- Create and manage electronic patient records, encompassing data entry and administrative functions related to insurance, billing, and accounts receivable.
- Communicate effectively with staff members, physicians, and patients, employing active listening and interpersonal skills.
- Address and remedy all patient or team member issues.
- Order all office supplies and keep check on inventory levels.
- Consult with healthcare professionals on business decisions.
- Develop close working relationships with front office and back office staff.
- Develop policies and procedures for effective practice management.
- Handle job duties for staff members that are unavailable or out of office.
- Create and implement organizational policies and procedures.
- Assist with regulatory issues such as compliance.
- Implement procedures that comply with OSHA and HIPAA regulations.
Front Office Lead/Pre-cert Specialist
Mendes Medical Associates
10.2001 - 12.2006
- Assisted office manager with monitoring daily performance of front desk team members to ensure duties were performed accurately
- Oversaw new employee training
- Obtained insurance authorizations for procedures and specialty appointments such as EMG, Radiology, Injections, TCD, EEG, etc
- Referral management
- Processed payments and informed individuals of further financial responsibility to facilitate timely payments.
- Completed patient check-in processes by verifying insurance and submitting forms to nursing team.
- Coordinated master schedule by booking and rescheduling appointments and balancing workloads.
- Maintained transaction security by verifying payment cards against identification.
- Restocked supplies and placed purchase orders to maintain adequate stock levels.
- Scheduled appointments, sent reminders and updated master calendar.
- Determined amounts due and accepted payments.
Medical Inpatient Biller
Faulkner Hospital
03.1999 - 01.2001
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Communicated with insurance companies to research and resolved coding discrepancies.
- Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
Education
Media Strategy Certificate -
Sail University
Winter Park, FLHS Diploma -
Madison Park Technical Vocational High School
Roxbury, MA05.1997
Skills
- Microsoft Office, Medical Terminology, Medical Insurance Precertification, Insurance Verification
- Scheduling, Medical Records Management, HIPAA, Collections, Microsoft Word, Calendar Management
- Managing Practice Operations
- Bilingual - Native Spanish
Additional Information
- Additional experience upon request
Languages
Spanish
Native or Bilingual
Timeline
Medical Office Manager
Mendes Medical Associates
03.2007 - Current
Front Office Lead/Pre-cert Specialist
Mendes Medical Associates
10.2001 - 12.2006
Medical Inpatient Biller
Faulkner Hospital
03.1999 - 01.2001
Media Strategy Certificate -
Sail University
HS Diploma -
Madison Park Technical Vocational High School
Similar Profiles
Erin D. DaleyErin D. Daley
Legal Billing Compliance Manager, Legal Operations at Tyson & MendesLegal Billing Compliance Manager, Legal Operations at Tyson & Mendes
Adam M. RiveraAdam M. Rivera
Associate Attorney at Tyson & Mendes, LLPAssociate Attorney at Tyson & Mendes, LLP
Isabella VasquezIsabella Vasquez
La Parilla at Camilo MendesLa Parilla at Camilo Mendes