Melanie Johnson
Sherman,TX
Summary
Dedicated Patient Account Representative bringing 19 years' experience in customer service and healthcare support. Well-developed communication, time management and problem-solving abilities.
Overview
14
14
years of professional experience
Work History
Trainer/Auditor
Critical Access Billing
Sherman, TX
11.2023 - Current
- Conducted onboarding sessions to orientate new staff members about company policies and procedures.
- Organized and facilitated one-on-one coaching sessions.
- Maintained up-to-date records of trainee progress and provided regular updates to management team.
- Recommended changes or improvements in existing training processes as needed.
- Resolved any issues raised by participants during the training session in a timely manner.
- Trained newly hired top talent to fill key positions and maximize productivity & current employees in areas of need.
- Explained goals and expectations required of trainees.
- Provided constructive feedback and positive reinforcement to keep trainees motivated.
- Monitored training effectiveness through observation.
- Conducted training classes for employees on features and operation of products, client tools and processes.
Patient Account Representative III
Critical Access Billing
Sherman, TX
06.2019 - 11.2023
- Initiated collection activities on delinquent accounts while adhering to HIPAA guidelines and regulations.
- Updated existing patient files with relevant information such as changes in address or contact information.
- Ensured compliance with company policies concerning the privacy of confidential health information.
- Resolved any issues arising from incorrect or incomplete documentation relating to a particular claim.
- Analyzed claims denials from third party payers and identified potential solutions for reimbursement.
- Communicated frequently with healthcare providers regarding payment status updates on their claims submitted.
- Reviewed flagged items daily and resolved issues.
- Contacted insurance companies to check status of claim payments.
- Wrote appeal letters to insurance companies for denial of claims.
- Reviewed EOBs statements submitted by insurance companies for accuracy against provider's charges.
- Reconciled payments received against outstanding invoices ensuring proper posting of credits and debits.
Denials Management Coordinator
Critical Access Billing
Sherman, TX
01.2018 - 06.2019
- Prepared presentations, reports, and correspondence for management meetings.
- Provided administrative support to management team members.
- Conducted research on industry trends to provide recommendations for improvement initiatives.
- Performed data entry tasks into various databases.
Patient Account Representative Ll
Critical Access Billing
Sherman, TX
04.2010 - 01.2018
- Provided customer service to patients regarding billing inquiries and account information.
- Assisted in resolving patient complaints related to account balances, insurance coverage, and payment plans.
- Maintained detailed notes on all patient interactions for future reference purposes.
- Updated existing patient files with relevant information such as changes in address or contact information.
- Ensured compliance with company policies concerning the privacy of confidential health information.
- Analyzed claims denials from third party payers and identified potential solutions for reimbursement.
- Reviewed EOBs statements submitted by insurance companies for accuracy against provider's charges.
- Reconciled payments received against outstanding invoices ensuring proper posting of credits and debits.
- Reviewed flagged items daily and resolved issues.
- Contacted insurance companies to check status of claim payments.
- Wrote appeal letters to insurance companies for denial of claims.
Education
Associate of Applied Science - Medical Billing/Coding
Anthem College - Phoenix
Phoenix, AZ05-2006
Associate of Applied Science - Medical Assistant
High-Tech Institute - Memphis
Memphis, TX07-2005
Skills
- Insurance Verification
- File Coordination
- Medical Billing
- Coding
- HIPAA Compliance
- Verbal and Written Communication
- Follow-Up Skills
- Medical Terminology
- HIPAA Understanding
- Insurance Billing
- Medical Terminology Knowledge
- Microsoft Office/Power Point
- Intermediate Word/Excel
- NDC Medisoft/Springcharts
- SSI/Artiva/Onbase/Nextgen PM
- HCA Rebill Webtool, Sphere Financials
Timeline
Trainer/Auditor
Critical Access Billing
11.2023 - Current
Patient Account Representative III
Critical Access Billing
06.2019 - 11.2023
Denials Management Coordinator
Critical Access Billing
01.2018 - 06.2019
Patient Account Representative Ll
Critical Access Billing
04.2010 - 01.2018
Associate of Applied Science - Medical Billing/Coding
Anthem College - Phoenix
Associate of Applied Science - Medical Assistant
High-Tech Institute - Memphis
Similar Profiles
Dat Thahn LeDat Thahn Le
Locum Tenens - Emergency Medicine at Guthrie Center Medical Center - Critical AccessLocum Tenens - Emergency Medicine at Guthrie Center Medical Center - Critical Access
Vinanta SuparatVinanta Suparat
Administrative Assistant at Access Medical BillingAdministrative Assistant at Access Medical Billing
Liesl MalcolmLiesl Malcolm
Registered Nurse at Critical Access HospitalRegistered Nurse at Critical Access Hospital