Melanie Bellinger
Margate,FL
Summary
Detail oriented healthcare administrative professional with extensive experience in patient care coordination, scheduling, insurance verification, referrals, prior authorizations, medical records provider credentialing support, and HIPAA compliance. Proven ability to manage complex administrative workflows, resolve patient and insurance issues and maintain accurate documentation. Skilled in managing provider schedules, patient intake, claims documentation, payments, and communication with patients, providers, insurers, lawyers, pharmacies, and other healthcare professionals. Proficient in Microsoft 365, CRM and Google Workspace, with knowledge of EHR/EMR, and HRIS systems. Recognized for strong organization, accuracy, remote collaboration, and the ability to manage multiple priorities effectively in fast paced and remote healthcare environments.
Overview
1
1
Language
1
1
Certification
21
21
years of professional experience
Work History
Chiropractic Office Administrator
Russ Tannenbaum Chiropractor
Margate, FL
06.2023 - Current
- Professional and personal customer service when interacting with patients in person or over the telephone
- Checked patients in and out while verifying insurance information and obtaining referrals and prior authorizations.
- Verify PIP eligibility and confirmed coverage limits in accordance with regulations in Florida
- Intake coordinator for PIP patients involved in motor vehicle accidents, workers comp and disability cases
- Collected and verified accident reports, insurance policy details, and claim information to ensure accurate coverage eligibility
- Obtain and process critical documentation including Assignment of Benefits, HIPAA authorizations, medical release forms, and patient consent forms
- Coordinated communication with medical providers, insurance carriers, and legal representatives to facilitate proper case documentation and timely claim submissions
- Perform consultations & health assessments with new & existing patients by gathering health history, vital signs, goals, questions/concerns to better assist the doctor when he evaluates the patient
- Directed patient flow to minimize wait times and enhance overall patient experience
- Manage the doctor's schedule, assists practice members in scheduling appointments, determines availability and confirms appointments to ensure patients are on time
- Collect and process payments from patients, audits patient accounts to ensure everyone is in good financial standing
- Assist the front desk by handling phone calls, making follow-up calls, emails, scanning, faxing and other administrative tasks
- Resolved conflicts between patients and staff by facilitating open communication and understanding.
- Committing to ensuring the best possible patient experience
- Documented patient interactions using SOAP notes to ensure accurate medical records.
- Finalized daily financial transactions and reconciled accounts at the end of each work shift.
- Explaining EOBs to patients
- Managed billing and coding tasks to facilitate timely reimbursements and maintain financial records.
- Utilized online carrier portals for efficient claim submissions and tracking insurance statuses.
- Extracted and organized medical data for accurate reporting and analysis.
- Prepare forms for credentialing
- Operations key supervisor
- Coordinated patient intake processes to enhance office efficiency and streamline workflows.
- Maintained accurate patient records using electronic health record (EHR) systems.
- Trained new staff on administrative protocols and patient management systems.
- Facilitated insurance verification processes to ensure timely patient billing and claims processing.
- Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
- Streamlined appointment scheduling for executives, optimizing their daily agendas for maximum productivity.
- Improved office efficiency by streamlining filing systems, ensuring documents were easily accessible.
Medical Office Administrator/Assistant Manager
Boca Pain Management
Boca Raton, FL
02.2022 - 02.2023
- Updated admission rules, policies, and procedures to enhance compliance and clarity.
- Promoted programs and facilities through effective communication with clients via phone and email.
- Screens clients by comparing their needs to admission criteria, deciding on acceptance or denial, referring them elsewhere if needed, and consulting with Clinical or Doctor when eligibility is unclear.
- Screened clients by comparing their needs to admission criteria, decided on acceptance or denial, and referred them to other services when appropriate.
- Verified patient identity before releasing medical information or records
- Maintained secure documentation practices when processing patient intake forms, insurance information and medical records
- Digitized and uploaded historical patient records into the EHR system, verifying completeness and correct patient identification to support continuity of care
- Reviewed patient prescription history via the PMP to verify if patient prescriptions were previously filled, ensuring safe and compliant prescribing practices
- Generated and verified over 150 prescription orders daily for electronic physician signature, maintaining compliance with office protocols and ensuring timely medication delivery
- Maintained organized filing systems and ensured accurate documentation to support operational efficiency.
- Collected, analyzed and documented urinalysis results, ensuring accuracy and compliance with laboratory and clinical protocols
- Performed medical records abstraction to support clinical decision-making
- Supervised daily operations to ensure efficient workflow and team performance
Front Desk Receptionist
Rouse Family Eye Care
Weston, FL
05.2021 - 05.2022
- Greeted and checked in patients for routine eye exams and specialty vision appointments
- Collected and verified patient demographic information, insurance coverage, and vision benefits to ensure accuracy in patient records
- Scheduled appointments and managed provider calendars to ensure efficient patient flow
- Processed patient intake forms and entered information into EHR system
- Verified eligibility for vision and health insurance plans
- Collected copayments and processed payments in accordance with official financial policies
- Communicating with other eye care professionals for prior authorizations, referrals and co management of patients
- Reviewed medical documentation and assigned appropriate diagnostic and procedural codes using ICD-10, CPT, and HCPS Level II
- Prepared and electronically submitted insurance claims through practice management systems to payers including Medicaid and Medicare
- Reviewed claims for completeness and compliance prior to submission, reducing potential billing errors and denials
- Investigated denied or rejected claims and collaborated with payers to expedite claim resolution and payment processing
- Maintained accurate billing records and documentation to support audits and regulatory compliance
- Collaborated with providers and administrative staff to ensure accurate coding and claim submission
- Used carrier portals for efficient claim processing and communication with payers
- Supervised key operations to ensure efficient workflow and team performance
- Managed appointment scheduling using electronic health record systems for optimal patient flow.
- Processed insurance claims and verified coverage to facilitate patient billing accuracy.
- Maintained organized patient files and confidential information in compliance with HIPAA regulations.
- Handled sensitive customer information with confidentiality, adhering to company privacy guidelines.
- Completed data entry and filing to keep records updated for easy retrieval.
Medical Office Administrator /Assistant Manager
DASOD Eyecare
Leonardtown, MD
05.2016 - 03.2020
- Checked in patients and confirmed vision plan benefits with accuracy.
- Scheduled appointments and coordinated workflow to optimize patient flow and strengthen service delivery.
- Monitoring delivery workflows and inventory levels.
- Handling general accounting and billing services.
- Compiled patient medical history, updated electronic health records, and prepared patient chart.
- Obtained insurance authorization codes while clarifying benefits to ensure patient comprehension of coverage.
- Reviewing clinical statements and coding with ICD-10 standard classifications.
- Processed and tracked claims by following up with vision insurance companies to help ensure timely payment for services rendered.
- Preparing orders for glasses and contact lenses by validating prescriptions, lens thickness, and other specifications.
- Pre-examined patients by collecting medical history, communicating the exam process, and administering tests to determine visual capabilities.
- Streamlined insurance claims and authorization processes using online portals.
- Performed medical billing and coding activities to support proper reimbursement processing.
- Finalized credentialing forms for healthcare providers while organizing supporting documents for processing.
- Directed daily operations, ensuring efficient workflow performance.
- Streamlined inventory management processes, resulting in improved stock accuracy and reduced discrepancies.
- Oversaw daily cash reconciliations, ensuring accurate financial reporting and minimizing discrepancies.
- Developed marketing strategies to attract new customers, increasing foot traffic.
- Coordinated with vendors for timely inventory replenishment, ensuring product availability.
- Oversaw daily operations to maintain store cleanliness and organization.
- Improved customer satisfaction by resolving complaints and inquiries promptly.
- Opened and closed location and monitored shift changes to uphold successful operations strategies and maximize business success.
Executive Administrative Assistant/Project Manager
AQ Construction
Gaithersburg, MD
05.2005 - 01.2016
- Coordinate calendar management while organizing work schedules and scheduling appointments.
- Interact with visitors and determine access approval for specific individuals.
- Responded to incoming phone calls and routed calls to appropriate parties or captured messages.
- Managed construction change orders by reviewing modification requests and processing updates.
- Delivered clerical support across departments with consistent responsiveness.
- Directed clerical staff performance through supervision and training, supporting employee training by scheduling sessions and organizing training materials.
- Logged plan and specification changes, ensuring accurate documentation and timely communication of all updates.
- Processed records and proofread data and other information such as records or reports.
- Reviewed and processed payroll information to ensure compliance and consistency.
- Audited others' deliverables for correct spelling and grammar, followed by revision recommendations.
- Reviewed plan and specification revisions to ensure alignment across documentation.
- Maintained and processed project scope changes to improve clarity across stakeholder communication.
- Managed inspection and meeting scheduling to maintain structured timelines.
- Processed purchase orders and managed payment applications with accuracy.
- organized and maintained project files (contracts, permits, drawings, submittals) for easy access and compliance with project requirements
- Managing responses to RFIs.
- Coordinating construction project document control
- Operate emerging office technologies as developed and implemented.
- Prepared permit applications and arranged scheduling for required inspections.
- Handled purchase orders and ensured accurate processing of payment applications.
- Coordinate organization and upkeep of project files, contracts permits drawings submittals
- Facilitated collaboration by communicating with architects, engineers, and clients to resolve requirements and expectations.
- Develop proficiency in operating new office technologies as rolled out.
- Managing travel and meeting arrangements.
- Managed employee onboarding processes to facilitate smooth integration into company.
- Streamlined communication between departments, fostering collaboration and enhancing project workflows.
- Coordinated executive schedules, ensuring efficient time management and prioritization of tasks.
- Drafted professional correspondence on behalf of executives, fostering strong relationships with clients and partners alike.
Skills
- EHR/EMR Systems
- Epic
- MyChart
- ModMed/EMA
- athenaOne
- Revolution EHR
- EClinical Works
- Team collaboration
- Jane
- Practice Fusion
- Chiro Touch
- Medical Records Management
- Provider Credentialing
- Provider Enrollment
- NPI Verification
- Payer Enrollment
- Recredentialing
- HIPAA Compliance
- Insurance Verification
- Eligibility & Benefits
- Prior Authorizations
- Patient Intake
- Referral Coordination
- Claims Follow-Up
- Revenue Cycle Support
- Medical Terminology
- Medical & Billing
- Data Entry
- Scheduling
- Patient Registration
- Office Mate
- Kronos
- QuickBooks
- Salesforce
- HubSpot
- CRM software
- Microsoft 365
- Google Workspace
- Credentialing
- Provider enrollment
- Sharepoint
- Microsoft Teams
- Payer enrollment
- Asana
- Certification tracking
- Adobe Acrobat
- ExamWRITER
- Crystal PM
- Insurance verification
- Eligibility verification
- Prior authorization
- Referral coordination
- Patient onboarding
- Records management
- Attention to Detail
- Documentation review
- Claim follow-up
- Calendar Management
- Workers' compensation
- Task Prioritization
- Medical billing
- Decisive judgement
- Critical thinking skills
- Conflict management
- Cross-functional communication
- Remote Collaboration
- Cross-functional collaboration
- Worker's Compensation & PIP
- Payroll apps
- Correcting coding or billing errors
- Records Maintenance
- Calendar Management
- Email Management
- Documentation review
- Attention to Detail
- Medical data abstraction
- Payroll apps
- Billing error resolution
- Team collaboration
Certification
Certified Paralegal, Medical Coding and Billing Certification, Medical Administrative Assistant Certification, Medical and Clinical Administration Certification, Medical Terminology Certification,Certified Remote Online Notary, Certified Notary Public, First Aid Certification, AED Certification, BLS Certification,
Languages
English
Timeline
Chiropractic Office Administrator
Russ Tannenbaum Chiropractor
06.2023 - Current
Medical Office Administrator/Assistant Manager
Boca Pain Management
02.2022 - 02.2023
Front Desk Receptionist
Rouse Family Eye Care
05.2021 - 05.2022
Medical Office Administrator /Assistant Manager
DASOD Eyecare
05.2016 - 03.2020
Executive Administrative Assistant/Project Manager
AQ Construction
05.2005 - 01.2016