Work Preference
Summary
Overview
Work History
Education
Skills
Timeline
Generic
Open To Work

MELANIE G WHEELER

Lincoln,Nebraska

Work Preference

Desired Job Title

Purchasing AdministratorMedical Billing SupervisorRevenue Integrity LiaisonReimbursement Recovery SpecialistPatient Billing Associate

Work Type

Full Time

Location Preference

On-SiteHybrid
Location: Lincoln, Nebraska
Open to relocation: No

Important To Me

Work-life balanceFlexible work hours401k match

Summary

Results-driven Healthcare Revenue Cycle Leader experienced in billing, reimbursement, denial management, and process improvement. Achieved enhanced revenue cycle performance through effective staff leadership, complex issue resolution, and cross-department collaboration. Focused on delivering value through regulatory compliance, payer analysis, and patient financial communication.

Overview

13
13
years of post-secondary education
24
24
years of professional experience

Work History

Purchasing Administrator

Kawasaki Motors Manufacturing
Lincoln, USA
12.2022 - Current
  • Coordinated operational processes, reporting, supplier follow-up, and issue resolution to ensure timely project completion in a high-volume environment.
  • Collaborated with suppliers, logistics, receiving staff, and quality teams to swiftly resolve issues and ensure accuracy.
  • Monitor shortages, shipping issues, and discrepancies to prevent workflow disruption and support continuous operations.
  • Create training manuals and process documentation to improve team consistency and onboarding.

Medical Billing Supervisor

Advanced Medical Imaging
Lincoln, USA
11.2020 - 11.2022
  • Supervised finance and pre-authorization staff, ensuring effective daily revenue cycle operations.
  • Resolved complex patient billing issues and served as a resource for staff on billing and coding questions.
  • Monitored denial reports from third-party billing company, facilitating issue resolution to enhance reimbursement outcomes.
  • Trained registration staff on insurance and billing functions to improve front-end accuracy and operational alignment.
  • Provided patient estimates and explained billing responsibilities to patients and external partners.
  • Ensured accurate timekeeping by approving employee timecards., managed paid time off, and completed staff performance evaluations.
  • Developed a Finance Resource Book to standardize procedures and support staff performance.

Revenue Integrity Liaison

Bryan Medical Center
Lincoln, USA
08.2018 - 11.2020
  • Managed charge review work queues, resolving billing discrepancies and compliance concerns to ensure accuracy and timeliness.
  • Served as liaison between administration, department directors, and auditors on charging, documentation, and revenue opportunities.
  • Managed charge review work queues and investigated billing discrepancies, backlogs, and compliance concerns.
  • Verified billing data accuracy and completeness through medical record review and regulatory review.
  • Maintained department charge master updates and supported charging accuracy across departments.
  • Acted as liaison among administration, department directors, and auditors to enhance charging accuracy and identify revenue opportunities.
  • Reviewed CMS transmittals and Local Coverage Determinations to assess impact and update procedures.
  • Utilized reporting and analytics tools to analyze revenue cycle flow and trends, identifying areas for improvement.

Reimbursement Recovery Specialist

Bryan Medical Center
Lincoln, USA
06.2014 - 08.2018
  • Identified and corrected underpayments, overpayments, and denial issues through payer follow-up and internal coordination.
  • Analyzed contract reimbursement and investigated variances between expected and actual payments.
  • Generated reports to track payer activity, reimbursement trends, and payment discrepancies.
  • Generated reports tracking payer activity, reimbursement trends, and payment discrepancies to inform management decisions.
  • Collaborated with payer representatives, IT, and internal teams to resolve system and reimbursement issues, enhancing claims processing accuracy.
  • Supported development of policies and procedures for claims management processes to streamline operations and ensure compliance.
  • Served as billing advisor to departments on managed care contracts and payment processes.

Patient Billing Associate

Bryan Medical Center
Lincoln, USA
11.2002 - 06.2014
  • Managed assigned account to ensure timely and accurate reimbursement from third-party payers.
  • Processed secondary claims and managed follow-up on aging accounts.
  • Followed up on aging accounts, resubmitted claims, and processed secondary claims to ensure timely resolution.
  • Verified claim accuracy and addressed coding-related denials to minimize payment delays.
  • Managed workers compensation claims in adherence to local, state, and federal guidelines and fee schedules.
  • Delivered strong customer service while resolving billing and account concerns.
  • Provided customer service while resolving billing and account concerns, enhancing patient satisfaction.

Education

Certificate - Medical Billing and Coding

Purdue University Global
Lincoln, NE
08.2017 - 06.2019

Master of Arts - Healthcare Administration

Kaplan University
Lincoln , NE
08.2014 - 06.2016

Bachelor of Arts - Graphic Design

Bellevue University
Bellevue , NE
08.2011 - 06.2013

Associate of Applied Science - Administrative Office Technology

Southeast Community College
Lincoln , NE
08.1996 - 06.2004

Skills

  • Revenue cycle management
  • Workflow optimization
  • Denial management
  • Reimbursement recovery
  • Charge review
  • Revenue integrity
  • Accounts receivable
  • Billing support
  • Patient estimates
  • Collections
  • Regulatory compliance
  • HIPAA
  • Reporting
  • Excel analysis
  • Microsoft Office
  • Process documentation
  • Workflow optimization
  • Process improvement
  • Staff supervision
  • Team leadership
  • Coaching
  • Staff training
  • Problem solving
  • Effective communication
  • Team collaboration
  • Customer relationship management
  • Team collaboration
  • Customer relationship management
  • Staff training

Timeline

Purchasing Administrator

Kawasaki Motors Manufacturing
12.2022 - Current

Medical Billing Supervisor

Advanced Medical Imaging
11.2020 - 11.2022

Revenue Integrity Liaison

Bryan Medical Center
08.2018 - 11.2020

Certificate - Medical Billing and Coding

Purdue University Global
08.2017 - 06.2019

Master of Arts - Healthcare Administration

Kaplan University
08.2014 - 06.2016

Reimbursement Recovery Specialist

Bryan Medical Center
06.2014 - 08.2018

Bachelor of Arts - Graphic Design

Bellevue University
08.2011 - 06.2013

Patient Billing Associate

Bryan Medical Center
11.2002 - 06.2014

Associate of Applied Science - Administrative Office Technology

Southeast Community College
08.1996 - 06.2004

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MELANIE G WHEELER