Summary
Overview
Work History
Education
Skills
Timeline
Generic

Melanie Keator

Oneonta,NY

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

Physician BIller/Collector

Optum
09.2019 - Current

Physician Biller :

  • Verified insurance of patients to determine eligibility.
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
  • Familiar with EPIC

Cashier

Mirabito Convenience Store
05.2019 - 09.2019
  • Greeted customers entering store and responded promptly to customer needs.
  • Welcomed customers and helped determine their needs.
  • Worked flexible schedule and extra shifts to meet business needs.
  • Operated cash register for cash, check, and credit card transactions with excellent accuracy levels.

Apple Technical Support Representative

Kelly Connect Services
06.2017 - 05.2019
  • Utilized comprehensive understanding of Apple hardware, software, and services to resolve a wide range of technical inquiries.
  • Implemented follow-up procedures to ensure complete resolution of customer issues and continued satisfaction after initial contact.
  • Effectively translated complex technical information into user-friendly language for customers lacking advanced expertise.
  • Supported cross-functional teams in identifying opportunities for improvement within the organization''s technical support processes.

Registrar

A.O. Fox Hospital
08.2013 - 05.2017
  • Ensured patient privacy and confidentiality, adhering to HIPAA regulations in handling sensitive personal information.
  • Facilitated timely check-in by greeting visitors and establishing purpose of visits.
  • Enhanced data accuracy by diligently verifying insurance coverage, demographic information, and other essential details.
  • Managed high-stress situations calmly and professionally while prioritizing multiple competing demands during peak hours or emergency situations.
  • Collected and processed co-payments and out-of-pocket charges using EPIC
  • Imaged and scanned patient and registration documentation into electronic patient records.
  • Maintained up-to-date knowledge of hospital policies, procedures, and insurance requirements to provide accurate information to patients during registration.
  • Verified medications, symptoms and other important patient information for entry into patient management system.

Education

No Degree - Business Administration And Management

Utica School of Commerce
Utica NY

High School Diploma -

Unatego Central School
Otego NY
06-1992

Skills

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

  • EPIC
  • Healthcare ethics
  • Insurance requirements
  • Patient information collection

Timeline

Physician BIller/Collector

Optum
09.2019 - Current

Cashier

Mirabito Convenience Store
05.2019 - 09.2019

Apple Technical Support Representative

Kelly Connect Services
06.2017 - 05.2019

Registrar

A.O. Fox Hospital
08.2013 - 05.2017

No Degree - Business Administration And Management

Utica School of Commerce

High School Diploma -

Unatego Central School
Melanie Keator