Melinda Lyons
Versailles,KY
Summary
Dynamic professional with extensive experience at the University of Kentucky, excelling in patient services and insurance management. Proven ability in claims processing and effective communication, enhancing patient satisfaction and operational efficiency. Recognized for meticulous attention to detail and exceptional customer service, ensuring seamless coordination and support for diverse healthcare teams.
Overview
20
20
years of professional experience
Work History
Instructional Assistant
Southside Elementary School
Versailles, Kentucky
08.2023 - Current
- Supports students with learning and behavioral challenges in both academic and social settings.
- Help students follow classroom routines and schedules.
- Assist students with assignment completion and to maintain focus.
- Implement behavior intervention plans developed by special education staff.
- De-escalate challenging behavior/ supervise students during emotional outburst.
- Monitor and document student behavior and triggers.
- Provide positive reinforcement and redirection when necessary.
Insurance Specialist
University of Kentucky - Ophthalmology
Lexington, KY
07.2017 - 06.2023
- Responsible for managing all aspects of insurance verification and authorizations related to ophthalmic services.
- Verified benefits for ophthalmology services and procedures including surgeries and in-office treatments.
- Obtain prior authorizations and referrals as required by insurance plans.
- Ensured accurate and timely processing of insurance claims, working closely with clinical and administrative staff to support smooth revenue cycle operations.
- Review medical documentation and apply correct CPT, ICD-10 codes based on ophthalmology guidelines.
- Communicate with insurance companies, patients and internal staff to resolve billing issues.
Patient Services Coordinator
University of Kentucky- Kentucky Neurosciences
Lexington, KY
07.2008 - 06.2017
- Supported pediatric neurology patients and their families by coordinating appointments, managing communication between providers and caregivers.
- Served as the first point of contact for patients, families, and referring providers.
- Scheduled and coordinated patient appointments, follow-ups, diagnostic testing and procedures.
- Verified insurance eligibility, obtained prior authorizations and ensured referrals are in place.
- Ensured timely and accurate documentation in the EHR system.
- Helped triage patient and caregivers concerns to the appropiate clinical staff.
Administrative Support Associate
University of Kentucky - Neurosurgery
Lexington, KY
10.2007 - 06.2008
- Assistant to Dean of Neurosurgery
- Provided high-level administrative support to ensure the effective functioning of the Dean's office.
- Managed the Dean's calendar, including scheduling meetings, appointments, and travel arrangements.
- Served as the liaison between the Dean's office and internal faculty.
- Drafted, edited and prepared correspondences, reports, presentations and other professional documents.
- Coordinated department meetings, faculty events an d academic conferences.
- Performed general office duties, including answering phones, managing email, and organizing files.
Nursing Care Technician
University of Kentucky - Emergency Room
Lexington, KY
05.2005 - 09.2007
- Provided direct hands-on patient care and supported nursing staff.
- Worked under the supervision of a RN assisting with trauma response, vital sign monitoring, procedures and phlebotomy.
- Assisted with trauma activation, rapid assessments and patient stabilization.
- Obtained vital signs, intake/output measurements.
- Assisted with patient hygiene, positioning, transport and mobility.
- Set up/clean up trauma bays, ensuring cleanliness and readiness of equipment and supplies.
- Collaborated with interdisciplinary trauma teams to ensure quality efficient care.
Education
Bachelor of Science - Biology
University of Kentucky
Lexington, KY05-2005
Skills
- Effective verbal and written communication
- Customer Service Excellence
- Time Management
- Knowledge of Insurance Policies
- Claims processing
- Medical Billing & Coding
- Detailed orientated
Timeline
Instructional Assistant
Southside Elementary School
08.2023 - Current
Insurance Specialist
University of Kentucky - Ophthalmology
07.2017 - 06.2023
Patient Services Coordinator
University of Kentucky- Kentucky Neurosciences
07.2008 - 06.2017
Administrative Support Associate
University of Kentucky - Neurosurgery
10.2007 - 06.2008
Nursing Care Technician
University of Kentucky - Emergency Room
05.2005 - 09.2007
Bachelor of Science - Biology
University of Kentucky
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