Melanie Lennon
McKeesport,PA
Overview
11
11
years of professional experience
Work History
Claims Analyst
Aetna, a CVS Health Company
06.2023 - Current
- I work Medicaid and Medicare claims for the state of Arizona, including High Dollar claims and PCQ's daily
- I fill in Data Entry if it is in the system for claims that could be missing provider, or patient information
- I process claims following Standard Operating Procedures
- I check if there is current insurance, secondary insurance and coordinate benefits if there is an EOB on file
- I check for approved Prior Authorizations for services billed that require them
Patient Service Representative
Forefront Dermatology
11.2022 - 01.2023
- Checking in patients
- Taking phone calls for scheduling and checking voice-mail daily
- Working daily with faxing and emailing patients and insurance companies
- Checking out patients and handling copayments at the end of visits
- Scheduling appointments
- Balancing end of day transactions to be sent out the following day
Cashier/Customer Service
Dairy Queen
09.2021 - 12.2021
- Taking drive-thru orders
- Cashing out patients
- Preparing food and ice cream
- Maintain cleanliness of the restaurant
Customer Service Associate
UPMC
03.2021 - 09.2021
- Front desk receptionist
- Entails answering phone calls all day with patient inquiries
- Schedule appointments by phone and in person
- Checking in patients
- Sending out and receiving daily mail and fax
Specimen Processor
MHS Labs
08.2020 - 02.2021
- Process specimens in a timely manner
- Make sure all patient information and facility information match correctly in the system
- Trained in the billing department to enter and verify patient insurance information
- Assigned daily responsibilities to team members to ensure seamless execution of processing procedures.
Data Entry Technician
Express Scripts
07.2014 - 05.2019
- Enter prescriptions correctly into the system such as mail, fax, and verbal prescriptions
- Ensure all patient data is correct
- I was also cross-trained in the Accounts Receivable department
- Accounts Receivable entails making outbound calls, collecting and scheduling payments
- Shipping patient orders
Education
High school diploma -
East Allegheny High School
North Versailles, PA06.2007
Skills
- Office experience
- HIPAA
- Accounts receivable
- Medical scheduling
- Medical receptionist
- Medical office experience
- Medical billing
- Epic
- Data entry
- Front desk
- Medical terminology
- Laboratory experience
- Cold calling
- Insurance verification
- Team Lead
- Claims processing
Timeline
Claims Analyst
Aetna, a CVS Health Company
06.2023 - Current
Patient Service Representative
Forefront Dermatology
11.2022 - 01.2023
Cashier/Customer Service
Dairy Queen
09.2021 - 12.2021
Customer Service Associate
UPMC
03.2021 - 09.2021
Specimen Processor
MHS Labs
08.2020 - 02.2021
Data Entry Technician
Express Scripts
07.2014 - 05.2019
High school diploma -
East Allegheny High School