Melanie Farinas
'Ewa Beach
Summary
Detail-oriented Revenue Cycle Specialist experienced in billing accuracy and claims processing. Delivered improvements in revenue cycle processes through analytical thinking and effective communication. Managed patient accounts and resolved billing discrepancies while collaborating with healthcare providers and insurance companies to ensure timely collections and enhance patient satisfaction.
Overview
21
21
years of professional experience
1
1
Certification
Work History
Revenue Cycle Specialist
Medac Inc./Coronis Health (Hawaii Anesthesia Grp.)
Honolulu
06.2019 - Current
- Analyzed revenue cycle processes to identify areas for improvement.
- Managed patient accounts to ensure timely billing and collections.
- Collaborated with insurance companies to facilitate claims processing.
- Coordinated with healthcare providers to resolve billing discrepancies.
- Reviewed patient accounts to ensure accuracy and completeness of information.
- Monitored accounts receivables daily to determine appropriate follow-up action needed.
- Researched discrepancies on unpaid invoices and reconciled them.
- Collaborated with other departments to resolve customer inquiries regarding billing issues.
- Answering patients' questions and resolving billing issues.
Medical Biller and Coder
Aloha Billing Services (Hawaii Anesthesia Group)
Honolulu
11.2006 - 05.2019
- Processed medical claims using advanced billing software systems.
- Reviewed patient records for coding accuracy and compliance.
- Collaborated with healthcare providers to resolve billing discrepancies.
- Maintained up-to-date knowledge of insurance regulations and coding standards.
- Assisted in training new staff on billing procedures and software usage.
- Generated detailed reports to track claim submissions and denials.
- Communicated with patients regarding outstanding balances and payment plans.
- Ensured timely submission of claims to optimize revenue cycle management.
- Ensured timely filing of all claims within established guidelines.
- Filed and submitted insurance claims.
- Submitted claims to insurance companies electronically or by mail.
- Provided customer service support to patients regarding billing inquiries.
- Assessed medical codes on patient records for accuracy.
- Maintained current CPT, HCPCS codes library as well as ICD-9, 10 CM diagnostic codes.
- Monitored aging accounts receivable report weekly to identify unpaid balances due.
- Reviewed received payments for accuracy and applied to intended patient accounts.
- Worked closely with physicians to obtain additional clinical information when needed for accurate coding assignments.
- Answered questions and fulfilled requests with friendly and knowledgeable service.
Data Entry Clerk
Hawaii Anesthesia Group, Inc.
Honolulu
08.2005 - 10.2006
- Entered patient data into electronic health record system accurately.
- Verified and corrected discrepancies in patient information.
- Processed insurance claims and managed billing information efficiently.
- Maintained organized digital and physical files for easy access.
- Collaborated with medical staff to ensure accurate data entry protocols.
- Communicated effectively with patients regarding their data and appointments.
- Assisted in scheduling appointments for anesthesia services
- Assisted in scheduling appointments for anesthesia services.
Education
Medical Billing
Leeward Community College
Pearl City, HI06-2007
Bachelor of Science - Computer Science
Central Colleges of The Philippines
Quezon City, Philippines03-2004
Skills
- Medical billing
- Claims processing
- Insurance verification
- Verifying insurance
- Payment posting
- Accounts receivable management
- Patient account management
- Patient registration
- Claims review
- Medical coding
- Analyzing claims
- Collecting payments
Certification
- Certified Medical Reimbursement Specialist
- Certified Medical Coding Specialist
- Certified Nurses Aid
Timeline
Revenue Cycle Specialist
Medac Inc./Coronis Health (Hawaii Anesthesia Grp.)
06.2019 - Current
Medical Biller and Coder
Aloha Billing Services (Hawaii Anesthesia Group)
11.2006 - 05.2019
Data Entry Clerk
Hawaii Anesthesia Group, Inc.
08.2005 - 10.2006
Medical Billing
Leeward Community College
Bachelor of Science - Computer Science
Central Colleges of The Philippines