Melani Lawson
Harrisonburg,VA
Summary
Driven Insurance Coordinator with years of experience offering personalized, courteous service. Expert at managing insurance sales cycle, prospecting and follow-up support. Skillful in advising current and potential clients on insurance coverage plans and processing applications, payments and corrections. Resourceful and versatile professional with reputation for consistently achieving aggressive sales goals.
Overview
9
9
years of professional experience
Work History
Surgery Scheduling Coordinator
Ear,Nose & Throat LTD
03.2003 - 03.2004
- Arranged pre-operative and post-operative appointments for surgical patients.
- Resolved scheduling conflicts to maintain high-quality patient services.
- Expertly managed planning, scheduling, and coordination of outpatient procedures.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Obtained pre-authorizations and pre-certifications ahead of scheduled surgeries.
- Verified insurance coverage and obtained pre-authorizations.
- Educated patients about surgeries and provided treatment plan documentation.
- Communicated surgery requirements to nursing teams for smooth operation delivery.
- Updated patient records to reflect upcoming surgeries and medical histories.
- Coordinated with facilities to set up surgeries for assigned surgeon and back up surgeon.
Medical Office Assistant
Margie Corney, MD, FACOG
01.2002 - 03.2003
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Provided prompt, polite and professional in-person and telephone customer service.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Updated patient information and insurance details for accurate electronic medical records.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Prepared patient charts by gathering and organizing medical records ahead of appointments.
- Used MEDIC to schedule appointments for doctor visits and procedures.
- Registered patients and completed associated paperwork for accurate records.
- Gathered forms and copied insurance cards to collect patient information for billing and insurance filing.
- Called and faxed pharmacies to submit prescriptions and refills.
- Performed medical records management, including filing, organizing and scanning documents.
- Answered phone calls and messages for two-physicians one medical facility, scheduling appointments, and handling patient inquiries
Medical Office Receptionist
Totalcare For Women: Steven B. Powers, MD, FACOG
01.2001 - 01.2002
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Checked patient insurance, demographic, and health history to keep information current.
- Helped patients complete necessary medical forms and documentation.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Managed multi-line phone system and pleasantly greeted patients.
- Organized paperwork such as charts and reports for office and patient needs.
- Maintained current and accurate medical records for patients.
- Kept waiting room neat and organized by stacking magazines, removing trash, and cleaning glass.
- Transcribed phone messages and relayed to appropriate personnel.
- Supported office staff and operational requirements with administrative tasks.
- Received, recorded and filed medical payments by check, cash, and credit card.
- Maintained records by recording, obtaining and updating personal and financial information.
- Kept patients' appointments on schedule by informing provider of patient's arrival and any delays.
- Filed and retrieved patient records for provider.
- Maintained patient databases and updated information in alignment with HIPAA protocols.
Insurance Coordinator
Amerigroup
01.1999 - 01.2000
- Verified insurance and communicated coverage to staff and patients.
- Obtained data such as patient, insurance ID, insurance provider and medical codes to properly file insurance claims.
- Obtained prior authorization and precertification for outpatient procedures.
- Filed and tracked insurance claims and communicated claims status to patients.
- Prepared insurance claims for submission to clearinghouses or insurance companies.
- Achieved revenue goals by managing collections and accounts receivables, referral process and insurance billing.
- Referenced monthly aging reports to follow up on unpaid claims and obtain maximum reimbursement.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
- Verified patient insurance coverage and benefits for medical claims.
- Managed large volume of medical claims on daily basis.
- Researched and resolved complex medical claims issues to support timely processing.
- Paid or denied medical claims based upon established claims processing criteria.
- Evaluated medical claims for accuracy and completeness and researched missing data.
Medical Receptionist
Virginia Beach Obstetrics And Gynecology
01.1995 - 01.2000
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Checked patient insurance, demographic, and health history to keep information current.
- Helped patients complete necessary medical forms and documentation.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Managed multi-line phone system and pleasantly greeted patients.
- Organized paperwork such as charts and reports for office and patient needs.
- Maintained current and accurate medical records for patients.
- Kept waiting room neat and organized by stacking magazines, removing trash, and cleaning glass.
- Transcribed phone messages and relayed to appropriate personnel.
- Supported office staff and operational requirements with administrative tasks.
- Received, recorded and filed medical payments by check, cash, and credit card.
- Maintained records by recording, obtaining and updating personal and financial information.
- Kept patients' appointments on schedule by informing provider of patient's arrival and any delays.
- Filed and retrieved patient records for provider.
- Handled office inventory by ordering new supplies and scheduled equipment services and repairs.
- Maintained patient databases and updated information in alignment with HIPAA protocols.
Education
Associate of Science - Nuclear Medicine Technology
Tiidewater Community College
Virginia Beach, VA09.1990
Skills
- Data Entry Software
- Insurance Calculation
- Insurance Claims and Denial Processes
- CPT Coding
- Medical Billing and Coding
- Patient Data Management Systems
- Office Supplies and Inventory
- Updating charts
- Correspondence writing
- EHR systems expertise
- MIPS standards
- Obtaining authorizations
- Following up with patients
- Facility coordinating
- Verifying insurance
- Interpersonal Communication
Languages
English
Native or Bilingual
Timeline
Surgery Scheduling Coordinator
Ear,Nose & Throat LTD
03.2003 - 03.2004
Medical Office Assistant
Margie Corney, MD, FACOG
01.2002 - 03.2003
Medical Office Receptionist
Totalcare For Women: Steven B. Powers, MD, FACOG
01.2001 - 01.2002
Insurance Coordinator
Amerigroup
01.1999 - 01.2000
Medical Receptionist
Virginia Beach Obstetrics And Gynecology
01.1995 - 01.2000
Associate of Science - Nuclear Medicine Technology
Tiidewater Community College