Summary
Overview
Work History
Education
Skills
Awards
References
Community Service
Certification
Websites
References
Timeline
Generic

Melanie Wickwire

Great Barrington,MA

Summary

Medical Office Manager – Highly motivated with Over 20 years’ medical experience excelling at prioritizing, completing multiple tasks simultaneously and achieving project goals. Flexible and focused team player with unique skillset to streamline operations from within.

Overview

23
23
years of professional experience
1
1
Certification

Work History

Mobile Health Units Manager

Community Health Programs Inc.
Great Barrington, MA
04.2022 - 02.2024
  • Created monthly reports for senior management summarizing operational performance metrics.
  • Established processes to ensure efficient workflow throughout the organization.
  • Ensured compliance with all applicable laws, regulations, industry standards.
  • Conducted performance reviews for team members.
  • Trained employees on additional job positions to maintain coverage of roles.
  • Oversaw daily operations, maintaining efficiency and quality standards.
  • Coordinated cross-departmental projects to ensure timely and successful completion.
  • Managed the daily operations of a fleet of drivers and vehicles.
  • Collaborated with marketing team on campaigns designed to increase awareness of the practice among potential patients.
  • Created and maintained office policies and procedures to ensure smooth operations and compliance with all state regulations.
  • Monitored inventory levels of supplies necessary for daily operations of the office.
  • Interviewed, hired and trained medical office teams and conducted performance reviews.
  • Coordinated logistics for internal and external staff meetings and conferences.
  • Pitched in to help with office tasks during busy periods and staff absences.

WIC Community Coordinator

Community Health Programs Inc.
Great Barrington, MA
11.2019 - 04.2022
  • Developed and implemented community outreach strategies to increase awareness of programs and services.
  • Maintained accurate records of all outreach activities including contacts made and outcomes achieved.
  • Cultivated relationships with local organizations to increase visibility in the community.
  • Managed social media campaigns to reach target audiences with key messages.
  • Created content for newsletters, brochures, websites, press releases, and other promotional materials.
  • Responded promptly to inquiries from members of the public regarding programs and services provided by organization.
  • Gave presentations at public gatherings, community events and school meetings.
  • Provided individuals and families with information and resources to connect with available programs.
  • Assessed and identified service delivery challenges and opportunities within local area.

Referral Specialist

Community Health Programs
Great Barrington, MA
01.2014 - 01.2018
  • Maintaining and tracking ongoing referrals to ensure the best possible patient care
  • Providing complete and accurate demographic and insurance information
  • Providing all clinical documentation pertaining to need of the specialist
  • Ensure prior Approvals or Insurance Referrals requirements have been met
  • Assist patients in problem solving potential issues or barriers (e.g
  • Requesting interpreters and transportation)
  • Ensuring referrals are addressed in a timely manner
  • Notifying patients of scheduled appointments
  • Perform online and telephone authorizations for routine office consults, surgical procedures, physical therapy evaluations, nutritional consults
  • Notify providers of approvals, denials and appeal procedures
  • Work closely with the Primary Care Physicians and specialist office staff regarding referral and prior authorization activity
  • Familiar with ICD-10 coding
  • Data entry – documenting thoroughly any and all information collected on each referral
  • Determine insurance benefits for specialty consults
  • Knowledge of most health insurance
  • OBGYN Surgical Prior Authorization
  • Excellent computer, multi-tasking and phone skills
  • Work well under pressure to meet deadlines.

Medical Receptionist

Community Health Programs
Great Barrington, MA
01.2010 - 01.2014
  • Verified insurance coverage for appointments and collected co-payments as required.
  • Greeted and checked in patients, updating patient information in computer system.
  • Answered incoming calls, responding to inquiries from patients and other medical offices.
  • Carried out daily tasks by professionally communicating with physicians, nursing staff, technicians and medical assistants.
  • Scheduled patient appointments, verifying accuracy of appointment times with providers.
  • Maintained confidentiality of patient information according to HIPAA regulations.

Receptionist

Dr. Andrew Plager
Lenox, MA
01.2009 - 01.2010
  • Performed data entry tasks into various computer systems accurately and promptly.
  • Reviewing Insurance Explanation of Benefits (EOB) and making corrections if needed for billing.
  • Processed payments and updated accounts to reflect balance changes.
  • Provided administrative support to staff members including typing letters, filing documents, and scanning and copying documents when necessary.
  • Managed all incoming mail distribution, courier services, faxes, and photocopying documents as requested.
  • Processed customer payments using cash registers or point-of-sale terminals according to company policies and procedures.
  • Monitored office supplies inventory and placed orders when necessary.
  • Maintained an organized filing system of confidential client information in accordance with company policy.
  • Ensured that all patient information was kept confidential at all times in accordance with HIPAA regulations.
  • Verified insurance coverage for services rendered and collected co-pays when applicable.

Receptionist

Dermatology Center in The Berkshire
Great Barrington, MA
01.2004 - 01.2009
  • Patient Registration
  • Booking Appointment
  • Check in/out
  • Collection of copays
  • Referrals/Prior Authorizations
  • Preparing excel sheets and bank deposits
  • Fee sheets reviewed and sent to billing company
  • Reviewing Insurance Explanation of Benefits (EOB) and making corrections if needed for billing.

Receptionist, Administrative Assistant, Surgical Coordinator & Medical Assistant

Gold Ophthalmology
Great Barrington, MA
01.2001 - 01.2009
  • Patient Registration
  • Booking Appointment
  • Check in/out
  • Collection of copays
  • Insurance Eligibility Verification
  • Referrals/Prior Authorizations
  • Preparing excel sheets and bank deposits
  • Fee sheets reviewed and sent to billing company
  • Reviewing Insurance Explanation of Benefits (EOB) and making corrections if needed for billing
  • Performing special testing (e.g
  • Visual fields, Retinal topography, auto Refractions, reading glass Rx and visual acuities)
  • History of patient and prescreening of eyes
  • Booking Surgeries
  • Preparing patients for surgical procedure (e.g
  • Completed Paperwork, Preadmission testing, H&Ps with Primary Care Physicians, medications and dates/time clearly indicated for patients).

Education

Bachelor of Science - Health Administration

Bay Path University
Longmeadow, MA

Skills

  • HIPAA Compliance
  • Insurance Verification
  • Medical Terminology
  • Payment Collection
  • Referral Verification
  • Microsoft Office
  • Telephone Etiquette
  • Electronic Medical Records
  • Appointment Scheduling
  • Front Desk Operations
  • Records Management

Awards

  • Customer Service certificate
  • Exceptional knowledge of IEP Plans and Community Resources through personal experience with Special Needs.

References

References available upon Request

Community Service

  • Guest Speaker at Austin Riggs on Care Coordination
  • Children’s Attic Volunteer 2012 - Current

Certification

  • Customer Service
  • OSHA

References

References available upon request.

Timeline

Mobile Health Units Manager

Community Health Programs Inc.
04.2022 - 02.2024

WIC Community Coordinator

Community Health Programs Inc.
11.2019 - 04.2022

Referral Specialist

Community Health Programs
01.2014 - 01.2018

Medical Receptionist

Community Health Programs
01.2010 - 01.2014

Receptionist

Dr. Andrew Plager
01.2009 - 01.2010

Receptionist

Dermatology Center in The Berkshire
01.2004 - 01.2009

Receptionist, Administrative Assistant, Surgical Coordinator & Medical Assistant

Gold Ophthalmology
01.2001 - 01.2009

Bachelor of Science - Health Administration

Bay Path University

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Melanie Wickwire