Melanie Campbell
Dallas,Texas
Summary
Experienced Trainer and Quality Assurance Specialist recognized for elevating team performance in the healthcare sector. Proficient in designing and implementing training programs that engage staff and lead to measurable improvements in operational efficiency. Demonstrates a strong aptitude for leveraging SQL and analytics to drive process enhancements and revenue recovery. Adept at fostering an environment of continuous learning and improvement.
Overview
11
11
years of professional experience
Work History
Trainer / Quality Assurance Specialist / Biller
Steward Healthcare
11.2018 - Current
- Designed and delivered training materials tailored to healthcare industry needs, ensuring regulatory compliance and operational efficiency
- Analyze training effectiveness through surveys, feedback, and performance metrics, and adjust training programs as needed
- Led cross-departmental collaborations to identify training needs, resulting in customized content that addressed specific operational challenges
- Streamlined billing processes, recovering significant revenue, and improving claim accuracy through detailed data analysis
Collector / Biller / Contracting / Trainer
Cornerstone Health Group
Dallas, Texas
07.2016 - 10.2018
- Demonstrated strong project management skills, balancing multiple training initiatives, resource allocation, and timelines, while maintaining a high on-time delivery rate.
- Prepared detailed claims for submission to insurance companies according to policy guidelines.
- Developed strategies for improving revenue cycle performance through process improvement initiatives.
- Researched discrepancies in accounts receivable for accurate reconciliation of balances.
Collector / Authorization / Verification
Lifecare Management Services
Plano, Texas
07.2014 - 07.2016
- Reviewed, researched, and appealed denied/partially denied claims, successfully overturning decisions for reconsideration, and recovering significant revenue for the organization
- Gained additional information from patients to resolve outstanding insurance balances, improving claim resolution efficiency and enhancing patient satisfaction
- Verified commercial and government benefits online by extracting client information from intake emails, ensuring compliance with payer requirements, and preventing future billing issues
- Applied resolution methods to address identified authorization, billing, and eligibility problems, reducing claim rejection rates by 15%
Credit Data Analyst / Trainer
CCS Medical
Farmers Branch, Texas
12.2013 - 02.2014
- Reviewed the Explanation of Benefits (EOBs) to ensure desired reimbursement, and effectively communicated findings and recommendations to leadership.
- Investigated insurance refund requests for validity, mitigating financial risk, and increasing collection accuracy.
- Retrieve and review credit reports, financial statements, income verification documents, and other relevant data to assess a customer’s and/or insurance financial request.
Education
Corporate Trainer Certified -
Management & Strategy Institute
01.2022
Bachelor of Arts - Psychology
The University of Memphis
01.2011
Skills
- Quality Assurance
- Staff coaching and mentoring
- Continuous Process Improvement
- Training Program Design
- SQL Data Reporting
- Conflict resolution
- Strong analytical skills
Timeline
Trainer / Quality Assurance Specialist / Biller
Steward Healthcare
11.2018 - Current
Collector / Biller / Contracting / Trainer
Cornerstone Health Group
07.2016 - 10.2018
Collector / Authorization / Verification
Lifecare Management Services
07.2014 - 07.2016
Credit Data Analyst / Trainer
CCS Medical
12.2013 - 02.2014
Corporate Trainer Certified -
Management & Strategy Institute
Bachelor of Arts - Psychology
The University of Memphis
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