Melanie Pullar
Blaine,WA
Summary
Detail-oriented Medical Administration professional with over 12 years of experience, delivering executive support and team leadership to business operations. Dependable and detail-oriented to manage multiple tasks and priorities. Broad experience includes office management, ability to work in a busy
setting with high patient volumes, direct staff supervision and coaching, medical terminology, working directly with Washington State L&I and Self-Insured worker's comp groups, insurance verification, insurance authorization, process efficiency improvement.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Administrative Lead (Medical Reception Supervisor)
Proliance Pacific Rim Orthopedic Surgeons
01.2016 - Current
- Directly supervising a team of 10 and a staff of 25.
- Helped patients complete necessary medical forms and documentation.
- Supported office staff and operational requirements with administrative tasks.
- Checked patient insurance, demographic, and health history to keep information current.
- Provided backup to front desk to step in to assist with various tasks whenever necessary.
- Delegated tasks to administrative support staff to organize and improve office efficiency.
- Hired, managed, developed and trained staff, established and monitored goals, conducted performance reviews and administered salaries for staff.
L & I Workers Compensation Care Coordinator Bellin
Proliance Pacific Rim Orthopedic Surgeons
01.2016 - Current
- Obtaining demographic and claim information from referrals.
- Verifying/documents claim status, diagnosis referred for has been accepted to claim, obtains authorizations for consultations via claim manager.
- Working one-on-one with patients and WA State L&I/Worker’s Comp providers to ensure referrals are processed timely, are authorized, and contacted.
- Ensuring patient account is complete, scheduling appointments within 7 business or 9 calendar days.
- Tracking pending authorizations/claims for received referrals.
- Tracking all WA State incoming referrals.
- Faxing chart notes to L&I for urgent claims that have not yet been received by L&I (mostly when a patient will require urgent surgery).
- Tracking and faxing all WA State L&I appointments to fax all office visit notes and APF’s to patient attending provider and L&I. (WA State claims only)
- Maintaining L&I Portal messages.
- Working directly with patients to complete their initial claim paperwork.
- Submitting claims opened in clinic via L&I Portal.
Medical Receptionist
PeaceHealth Medical Group
02.2011 - 06.2015
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Checked patient insurance, demographic, and health history to keep information current.
- Helped patients complete necessary medical forms and documentation.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
Customer Operations Service Manager
Wells Fargo
11.2008 - 02.2011
- Communicated with Branch Operations Manager to inform of quality control checks and findings.
- Oversaw branch operations and workflow for consistency.
- Recommended new procedures to boost consistency and customer experiences.
- Performed banking, business administration and financial tasks to guarantee five-star service for clients.
- Complied with established internal compliance and policies.
- Dealt with large cash volume incoming/outgoing, negotiable instruments and wire transfers.
Education
No Degree - Busineess
Husson University
Bangor, MEHigh School Diploma -
Brewer High School
Brewer, ME06.2001
Skills
- Insurance Eligibility Verification and Authorizations
- Medical Records Management
- Office Supplies and Inventory
- Patient Data Processing
- Direct Patient Service
- Patient Reception Management
- Computerized Maintenance Management Systems
- Front Desk Operations
Certification
- Washington State Notary Public
License Number: 146432
Issue Date: 9/15/2021
Expiration Date: 8/12/2025
Timeline
Administrative Lead (Medical Reception Supervisor)
Proliance Pacific Rim Orthopedic Surgeons
01.2016 - Current
L & I Workers Compensation Care Coordinator Bellin
Proliance Pacific Rim Orthopedic Surgeons
01.2016 - Current
Medical Receptionist
PeaceHealth Medical Group
02.2011 - 06.2015
Customer Operations Service Manager
Wells Fargo
11.2008 - 02.2011
No Degree - Busineess
Husson University
High School Diploma -
Brewer High School
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