Melaina Kupka
Winchester,VA
Summary
Results-driven Medical Billing and Coding. Exceeding expectations for all previous medical practices I have worked for. I would love the opportunity to continue to work in medical billing part time while I am expanding my Real Estate career.
Previously member of AAPC and currently work part time for a local therapist while growing my Real Estate business.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Realtor
Keller Williams Realty
Winchester, VA
11.2025 - Current
- Assisted clients in navigating real estate transactions and understanding market trends.
- Utilized MLS systems to manage listing data and client inquiries efficiently.
- Developed marketing materials to enhance property visibility and attract potential buyers.
- Collaborated with mortgage brokers and inspectors to streamline transaction processes.
- Maintained up-to-date knowledge of local market conditions and competitor activities.
- Provided exceptional customer service, addressing client concerns promptly and professionally.
- Streamlined contract negotiations by meticulously reviewing documents and communicating clearly with all involved parties.
- Assisted buyers with finding ideal homes by assessing needs, requirements, and budgets.
- Compared recently sold area properties to determine competitive market prices.
- Fostered trust among clients by maintaining strict confidentiality regarding personal information during each transaction agreement period.
Office Administrator
Healing Hands Integrated Wellness & Primary Care
Winchester, VA
06.2022 - 08.2025
- Managed daily office operations to ensure efficient workflow and organization within practice
- Primary Biller and Coder for both Primary Care and Mental Health Providers (Five Primary Care, Three Psychiatric, Four Psychotherapist)
- Processed all claims for the office from date of service through satisfaction of claim payment
- Insurance contracting and credentialing entire office. Including all Primary Care/Mental Health
- Medication and procedure Authorizations for all patients within practice
- Responsible for all budgets, medical supplies, 1099 employees, as well as payroll
- Maintained optimal supply levels by closely monitoring and proactively replenishing supply inventory.
- Maintained accurate patient records using electronic health record systems, ensuring compliance with regulations.
- Coordinated insurance verification processes, improving patient onboarding experience.
- Trained new staff on office protocols and software systems for improved team performance.
- Optimized patient flow within the clinic by coordinating with clinical staff for smooth transition between appointments and procedures.
- Maintained a safe and clean work environment by adhering to infection control policies and performing routine equipment maintenance checks.
- Coordinated with external partners such as labs, pharmacies, and referring physicians to facilitate timely access to critical patient information or services.
- Facilitated compliance with healthcare regulations such as HIPAA by conducting periodic audits of record-keeping practices, privacy policies, and staff training programs.
- Verified benefits and worked with insurance companies to obtain payments.
- Improved patient check-in efficiency by streamlining administrative processes.
- Implemented secure digital patient data management system, safeguarding against data breaches.
- Maintained up-to-date knowledge of healthcare regulations, ensuring clinic operations remained compliant.
- Successfully negotiated client contract renewals to create increased revenue.
Billing and Authorization Specialist
Neurologic Associates
Winchester, VA
02.2015 - 03.2022
- Processed insurance authorizations for patient treatments and procedures, ensuring compliance with regulatory standards.
- Coordinated communication between healthcare providers and insurance companies to expedite authorization approvals.
- Reviewed medical records and documentation for accuracy, facilitating timely insurance claims processing.
- Implemented training programs for new staff on authorization procedures and software systems used in operations.
- Advocated for patient assistance with neurologic disorder medications.
- Resolved complex authorization issues through detailed investigation and collaboration with cross-functional teams.
- Supported clinical staff by providing timely updates on the status of prior authorizations for various services.
- Collaborated with healthcare providers to obtain necessary documentation for prior authorization requests.
- Ensured prompt resolution of denied claims through comprehensive analysis of denial reasons and timely submission of necessary documentation for reconsideration or appeal.
- Prevented delays in care delivery by proactively identifying potential issues during the pre-authorization process and seeking clarification from providers when needed.
- Developed strong relationships with insurance representatives to expedite approvals and resolve issues promptly.
Referral Specialist
Selma Medical Associates
Winchester, VA
02.2013 - 05.2015
- Coordinated patient referrals to specialists, ensuring timely access to care.
- Managed referral tracking system, improving workflow efficiency and accuracy.
- Collaborated with healthcare providers to streamline communication and referral processes.
- Trained new staff on referral procedures and best practices for patient management.
- Called insurance companies to get precertification and other benefits information on behalf of patients.
- Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.
- Monitored referrals to foster timely completion and followed up with physicians to facilitate.
- Developed and maintained strong working relationship with referral sources to streamline processing.
- Assisted with medical coding and billing tasks.
Education
Bachelor of Science - Real Estate
Coibri Real Estate
Online09-2025
Bachelor of Science - Fashion Marketing
Davis And Elkins College
Elkins, WV06-1995
Skills
- Client relations
- Contract negotiations
- Comparative market analysis
- Negotiation
- Database management
- Marketing coordination
- Staff management
- Real estate law
- CAQH, Availity, Cover My Meds, Navinet, UHC Complete, Evernorth, familiar with all Medical Billing sites for providers
- Previous AAPC Member
- ICD 10
- Notary Public REG # 7973982
Certification
- Licensed Realtor - 2009-2012, 2025- Current
- AAPC Certified Billing and Coding (inactive)
Timeline
Realtor
Keller Williams Realty
11.2025 - Current
Office Administrator
Healing Hands Integrated Wellness & Primary Care
06.2022 - 08.2025
Billing and Authorization Specialist
Neurologic Associates
02.2015 - 03.2022
Referral Specialist
Selma Medical Associates
02.2013 - 05.2015
Bachelor of Science - Real Estate
Coibri Real Estate
Bachelor of Science - Fashion Marketing
Davis And Elkins College