Hi, I’m
Melanie Armijo
Loveland,CO
Summary
Detail-oriented healthcare and insurance professional with over 5 years of experience in denial management, appeals processing, and payer contract interpretation. Skilled in resolving complex reimbursement issues, analyzing EOBs, and ensuring compliance with payer guidelines. Recognized for clear communication, problem-solving, and collaboration across clinical and administrative teams.
Overview
25
years of professional experience
Work History
Independent Contractor
Customer Service / Medicaid Support
03.2025 - Current
Job overview
- Handled short-term assignments providing customer service and Medicaid support for multiple contractors.
- Assisted clients with eligibility inquiries, claims, and account updates.
- Adapted quickly to different systems and workflows while maintaining compliance with policies.
- Delivered accurate, efficient support and built strong client rapport during varied projects.
UnitedHealthcare
IFP Senior Advocate - ACA
10.2022 - 03.2025
Job overview
- Investigated denial reasons and verified accuracy of DCM coding.
- Coordinated clinical consultations with CRC teams to support appeals.
- Drafted and submitted payer-specific appeals, including online reconsiderations.
- Researched contracts and compiled documentation for IMaCS adjudication and overpayment cases.
- Monitored trends in denials and payments, escalating recurring issues to leadership for resolution.
Capital One
Acquirer Specialist
10.2021 - 08.2022
Job overview
- Handled merchant account inquiries and dispute resolutions with a focus on accuracy and compliance.
- Maintained detailed records to support audit and compliance processes.
Interim HealthCare, Colorado
Certified Nursing Assistant
03.2017 - 09.2021
Job overview
- Delivered direct patient care, ensuring comfort and safety.
- Documented care activities in compliance with HIPAA regulations.
- Collaborated with interdisciplinary teams to coordinate patient support.
Presbyterian St. Luke'sColorado
Nursing Float Pool
01.2004 - 01.2012
Job overview
- Provided patient support across multiple hospital units.
- Assisted in adapting to rapidly changing care environments and workflows.
Public StorageColorado
Property Manager
01.2001 - 01.2004
Job overview
- Managed day-to-day operations of a high-volume storage property.
- Led sales and marketing initiatives, driving occupancy and revenue growth.
- Supervised and trained on-site staff while ensuring compliance with company policies and safety standards.
- Delivered exceptional customer service, handling contracts, billing, and tenant relations.
Education
Our Lady of the Lake University
Master of Social Work
12.2025
University Overview
University of Colorado
Bachelor of Arts from Communication
University Overview
Aims Community College
Associate of Arts from Journalism & Medical Terminology
University Overview
Skills
- Denial Management & Appeals
- Managed Care Contract Review
- ICD-9
- CPT
- HCPCS Coding
- UB-04 Billing Requirements
- EOB Analysis & Payer Guidelines
- Medical Terminology
- HIPAA Compliance
- Microsoft Word
- Microsoft Excel
- Professional Correspondence
- Documentation
Certifications And Systems
Certifications And Systems
- HIPAA Compliance Certified
- Microsoft Office Suite
- DCM & IMaCS Systems
- EHR & CRM Platforms
Timeline
Customer Service / Medicaid Support
Independent Contractor
03.2025 - Current
IFP Senior Advocate - ACA
UnitedHealthcare
10.2022 - 03.2025
Acquirer Specialist
Capital One
10.2021 - 08.2022
Certified Nursing Assistant
Interim HealthCare
03.2017 - 09.2021
Nursing Float Pool
Presbyterian St. Luke's
01.2004 - 01.2012
Property Manager
Public Storage
01.2001 - 01.2004
Our Lady of the Lake University
Master of Social Work
University of Colorado
Bachelor of Arts from Communication
Aims Community College
Associate of Arts from Journalism & Medical Terminology