Lori Melbo
Ferndale,WA
Summary
Results-driven Senior Billing & Eligibility Specialist at Coastal Administrative Services, adept at enhancing client satisfaction through precise eligibility determinations and exceptional communication. Proven problem-solver with a strong attention to detail, achieving significant error reduction through audits and feedback, while fostering teamwork and collaboration in high-pressure environments.
Overview
18
18
years of professional experience
Work History
Senior Billing & Eligibility Specialist
Coastal Administrative Services
08.2018 - Current
- Enhanced client satisfaction by providing timely and accurate eligibility determination for various assistance programs.
- Reduced errors in eligibility determinations by maintaining thorough knowledge of program guidelines and regulations.
- Provided exceptional customer service through prompt response times, clear communication channels, and diligent follow-up practices.
- Resolved discrepancies with client applications to verify eligibility.
- Assisted clients with accurate eligibility form, application and document completion.
- Reduced errors in eligibility determination by conducting regular audits and feedback sessions for continuous improvement.
Patient Services Representative
PeaceHealth
04.2007 - 08.2018
- Maintained patient confidentiality by adhering to HIPAA regulations and diligently updating records as needed.
- Resolved patient complaints promptly, demonstrating empathy and understanding while seeking mutually beneficial solutions.
- Managed high call volume, prioritizing urgent issues and directing calls appropriately for optimal resolution.
- Provided exceptional customer service to build strong relationships with patients, leading to increased loyalty and return visits.
- Implemented effective time management strategies that allowed me to balance multiple responsibilities, resulting in improved productivity and patient satisfaction.
- Conducted pre-registration tasks including verifying insurance eligibility requirements were met before scheduled appointments.
- Took copayments and compiled daily financial records.
- Coordinated referrals to specialists when necessary, ensuring seamless continuation of care for patients with complex needs.
- Stayed calm under pressure to and successfully dealt with difficult situations.
Education
GED -
Clark County JVS
Springfield01-2004
Skills
- Data entry
- Effective communication skills
- Microsoft office
- Telephone etiquette
- Documentation and reporting
- Verbal communication
- Problem-solving
- Excellent communication
- Schedule management
- Attention to detail
- Teamwork and collaboration
Timeline
Senior Billing & Eligibility Specialist
Coastal Administrative Services
08.2018 - Current
Patient Services Representative
PeaceHealth
04.2007 - 08.2018
GED -
Clark County JVS
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