Summary
Overview
Work History
Education
Skills
Timeline
Generic

Melanie Flowers

Weatherford,USA

Summary

Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.

Overview

24
24
years of professional experience

Work History

Quality Control Specialist

HealthMark Group
05.2021 - 08.2021
  • Conducted thorough inspections of products to ensure compliance with quality standards.
  • Developed and implemented quality control procedures to enhance operational efficiency.
  • Collaborated with production teams to identify and resolve quality issues promptly.
  • Organized and maintained electronic medical records for accuracy and accessibility.
  • Reported problems and concerns to management.
  • Managed electronic health record systems to ensure accurate patient information retrieval.
  • Maintained confidentiality of all medical records and sensitive information to comply with HIPAA regulations.
  • Processed medical records requests from outside providers according to facility, state, and federal law.

Patient Access Representative

Driscoll Children's Hospital
11.2019 - 06.2020


  • Review patient demographic and financial data to ensure accuracy.
  • Place outbound calls to referring providers or guardians (for self-referrals) to obtain missing and validate existing information.
  • Managed patient intake processes, ensuring accurate data entry and adherence to hospital protocols.
  • Facilitated communication between patients and healthcare providers, enhancing access to services and information.
  • Coordinated insurance verification procedures, improving efficiency in patient registration workflows.
  • Coordinated appointment scheduling, optimizing provider availability and improving patient access to services.
  • Streamlined verification processes by implementing best practices, reducing turnaround times for approvals.

Lead Referral Coordinator

PROGRESSIVE HEALTHCARE
01.2006 - 01.2010
  • Managing and distributing daily duties to 5 team members.
  • Completed 300-500 referral requests for medical providers of Cedar Sinai Hospital.
  • Scheduled monthly meetings with managers, physicians & staff.
  • Oversaw patient referral processes ensuring compliance with healthcare regulations.
  • Coordinated communication between providers and patients to streamline appointment scheduling.
  • Developed training materials to enhance staff understanding of referral protocols.
  • Implemented workflow improvements that increased efficiency in processing referrals.
  • Mentored junior coordinators, fostering skill development and team collaboration.
  • Verified insurance eligibility and benefits for diverse patient populations to ensure accurate billing processes.
  • Communicated effectively with healthcare providers and insurance companies to resolve discrepancies in coverage.
  • Collaborated with cross-functional teams to address complex cases, improving resolution rates and patient satisfaction.
  • Trained new staff on insurance verification protocols, enhancing overall team efficiency and accuracy.
  • Made contact with insurance carriers to discuss policies and individual patient benefits.
  • Complied with HIPAA guidelines and regulations for confidential patient data.
  • Improved communication between medical staff and patients by explaining insurance benefits and financial responsibilities.
  • Maintained strong knowledge of basic medical terminology to better understand services and procedures.
  • Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
  • Developed strong relationships with insurance representatives, facilitating smooth communication channels for resolving inquiries or disputes.
  • Expedited patient registration process by efficiently validating eligibility for various insurance plans.

Closing Coordinator

OPTION ONE MORTGAGE
10.2005 - 12.2006


  • Produced and submitted completed loan packages to title and escrow professionals.
  • Reviewed and validated details of loan applications and closing documentation.
  • Coordinated closing processes, ensuring compliance with regulations and company policies.
  • Reviewed loan documents for accuracy, minimizing errors and improving overall efficiency.
  • Facilitated communication between clients, lenders, and title companies to streamline transactions.
  • Implemented process improvements that increased operational effectiveness within the closing unit.
  • Improved customer satisfaction by providing timely updates on the status of closings and addressing any concerns or questions promptly.
  • Expedited closings by managing deadlines efficiently, prioritizing tasks according to necessity and urgency.
  • Contributed to the overall success of the team by maintaining a strong sense of professionalism and commitment to high-quality work at all times.
  • Collaborated with escrow officers to ensure a smooth closing process, proactively addressing potential roadblocks.

Medical Insurance Verification Specialist

Simi Valley Adventist Hospital
01.2003 - 09.2005
  • Verified patient insurance eligibility and benefits with precision and accuracy.
  • Streamlined insurance verification processes to improve turnaround time for approvals.
  • Collaborated with healthcare providers to resolve discrepancies in patient insurance information.
  • Trained new staff on insurance verification protocols and system usage.
  • Implemented best practices for documentation and record-keeping within the verification department.
  • Analyzed trends in insurance coverage denials to identify areas for process enhancement.
  • Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
  • Assured timely verification of insurance benefits prior to patient procedures or appointments.
  • Coordinated surgical schedules to optimize patient flow and minimize delays.
  • Implemented electronic scheduling systems to enhance appointment accuracy and accessibility.
  • Managed pre-operative documentation and ensured compliance with regulatory requirements.
  • Managed high volume of incoming calls and inquiries related to surgery scheduling with professionalism and attention to detail.
  • Supported surgical department staff by proactively addressing potential conflicts in the schedule before they arose.

Caregiver/Personal Assistant

Ventura Estates
01.1998 - 01.2003
  • Provided compassionate care to residents, ensuring safety and well-being in daily activities.
  • Assisted with personal hygiene and grooming, promoting dignity and comfort for individuals.
  • Administered medication per physician instructions, maintaining accurate health records for each resident.
  • Developed and implemented engaging activities tailored to residents' interests, enhancing quality of life.
  • Collaborated with healthcare professionals to coordinate effective care plans and support services.
  • Led initiatives to improve resident engagement through structured programs and social interaction opportunities.
  • Monitored residents' physical and emotional health, reporting changes promptly to nursing staff for intervention.
  • Assisted clients with activities of daily living, promoting independence and quality of life.
  • Assisted with dressing guidance, grooming, meal preparation, and medication reminders.
  • Built strong relationships with clients to deliver emotional support and companionship.
  • Assisted clients with daily living needs to maintain self-esteem and general wellness.

Education

High school or equivalent -

APOLLO HIGH SCHOOL
Simi Valley, CA
06.1999

Skills

  • Documentation review
  • Customer service
  • Problem-solving skills
  • Team collaboration
  • HIPAA compliance
  • Patient confidentiality
  • Attention to detail
  • Data entry proficiency
  • Medical terminology
  • Insurance verification
  • Data entry
  • Telephone etiquette

Timeline

Quality Control Specialist

HealthMark Group
05.2021 - 08.2021

Patient Access Representative

Driscoll Children's Hospital
11.2019 - 06.2020

Lead Referral Coordinator

PROGRESSIVE HEALTHCARE
01.2006 - 01.2010

Closing Coordinator

OPTION ONE MORTGAGE
10.2005 - 12.2006

Medical Insurance Verification Specialist

Simi Valley Adventist Hospital
01.2003 - 09.2005

Caregiver/Personal Assistant

Ventura Estates
01.1998 - 01.2003

High school or equivalent -

APOLLO HIGH SCHOOL

Similar Profiles

CREATE PROFILE
Melanie Flowers