Summary
Overview
Work History
Education
Skills
References
Timeline
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Melanie Keator

Oneonta

Summary

Dynamic healthcare professional with extensive experience at Optum, excelling in insurance verification and claims resolution. Proven ability to enhance patient information accuracy and uphold HIPAA standards. Skilled in EPIC and adept at teaching and mentoring, ensuring seamless patient interactions and successful reimbursements. Committed to delivering exceptional service in high-pressure environments.

Overview

12
12
years of professional experience

Work History

Ambulatory Collector

Optum
Cooperstown
09.2018 - Current
  • Submitted electronic claims to various insurance carriers.
  • Processed refunds requests timely and accurately according to established protocols.
  • Reviewed patient insurance information to ensure accuracy and completeness of claims submission.
  • Provided training and support to new staff members regarding billing processes.
  • Ensured compliance with HIPAA guidelines when handling confidential patient information.
  • Performed follow up activities on unpaid claims with insurance companies or other third party payers by phone or written correspondence.
  • Handled billing, waivers and claims for private and commercial clients.
  • Completed and submitted appeals for denied claims.

Cashier

Mirabito Convenience Store
Laurens
05.2018 - 09.2018
  • Stocked shelves with merchandise when needed.
  • Greeted customers and answered any questions they had about the store's products and services.
  • Organized promotional displays or arrange merchandise on counters or tables to promote sales.
  • Maintained cleanliness of checkout area including countertops, registers, windowsills and floors.
  • Accepted cash and credit card payments, issued receipts and provided change.
  • Verified that customers were of legal age to purchase alcohol or tobacco products.

Apple Technical Support Representative

Kelly Connect Services
Oneonta
04.2015 - 05.2018
  • Provided technical support to customers on Apple products, including iPhone, iPad, Macbook and iMac.
  • Educated customers on product features and usage instructions.
  • Attended training sessions regularly to stay updated on latest product developments from Apple.
  • Assisted customers over the phone and via chat by providing accurate information regarding Apple products.
  • Ensured that all customer complaints were addressed in a timely manner.
  • Resolved customer issues through troubleshooting techniques and escalated unresolved problems to senior technicians.

Medical Office Assistant

A.O Fox Memorial Hospital - Internal Medicine
Oneonta
01.2015 - 04.2015
  • Scheduled patient appointments, answered incoming calls, and assisted with inquiries.
  • Followed HIPAA guidelines to ensure confidentiality of patient information.
  • Performed basic clerical duties such as filing documents, entering data into the computer system, photocopying forms and documents.
  • Managed medical records using an electronic health record system.
  • Greeted patients and visitors in a professional and friendly manner.
  • Ensured that all required paperwork was completed accurately prior to submitting it for processing.
  • Processed referrals for specialist visits or diagnostic tests.

Registrar

A. Fox Memorial Hosptial
Oneonta
09.2013 - 01.2015
  • Verified patient information and insurance.
  • Familiar with Epic.
  • Setting up appointments and preregistration.
  • Imaged and scanned patient information in the medical record.
  • Maintained up-to-date information regarding hospital policies, procedures, and insurance requirements to provide accurate information to patients upon registration.

Education

High School Diploma -

Unatego Central School
Otego NY
06-1992

No Degree - Business Administration And Management

Utica School of Commerce
Utica NY

Skills

  • Medical history taking
  • Clinical judgment
  • Understanding various insurances
  • Teaching and mentoring

Patient information collection

  • Goals and performance
  • Data entry efficiency
  • Claims processing
  • Insurance verification
  • Attention to detail
  • Call center experience
  • Proficiency in Epic
  • HIPAA compliance
  • Billing processes

References

References available upon request.

Timeline

Ambulatory Collector

Optum
09.2018 - Current

Cashier

Mirabito Convenience Store
05.2018 - 09.2018

Apple Technical Support Representative

Kelly Connect Services
04.2015 - 05.2018

Medical Office Assistant

A.O Fox Memorial Hospital - Internal Medicine
01.2015 - 04.2015

Registrar

A. Fox Memorial Hosptial
09.2013 - 01.2015

High School Diploma -

Unatego Central School

No Degree - Business Administration And Management

Utica School of Commerce

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