Melinda Brianne Turner
Vernon
Summary
Experienced medical biller and accounts receivable specialist with a recently obtained certified coding specialist credential. Proficient in inpatient and outpatient coding, specializing in ICD-10-PCS, ICD-10-CM, and CPT guidelines. Committed to delivering accurate and efficient coding services to healthcare facilities, ensuring proper documentation and billing processes to support the smooth functioning of healthcare facilities.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Accounts Receivable Specialist
Rehab Medical Billing Services, Inc.
01.2024 - Current
- Work denied claims, underpaid claims, overpaid claims, and rejections from insurance and our clearing house
- Review eligibility and benefits to determine that proper co pays, coinsurance, and deductibles have been processed correctly to patient responsibility
- Research issues with various payers to determine specific trends that need to be addressed with management
- Relentlessly follows up on denied claims to appeal with proper documentation or initiate the claim correction process
- Sends claim inquiries investigations to third-party payers
- Rebill claims that have been corrected or rejected to prevent timely filing denials
- Provides exceptional customer support for billing questions and/or discrepancies
Revenue Cycle Specialist
Upstream Rehabilitation
10.2021 - 12.2023
- Worked on denied claims, underpaid claims, overpaid claims, and rejections from insurance and our clearing house
- Reviewed eligibility and benefits to determine that proper co-pays, coinsurance, and deductibles have been processed correctly to patient responsibility
- Requested authorizations for our patient visits through various provider portals and via phone from insurance companies
- Followed up on denied claims to appeal with proper documentation or initiate the claim correction process
- Sent investigations to third-party payers for review and reprocessing of claims and verified that claims have been processed per the member’s eligibility and benefits
- Re-billed claims that have been corrected or rejected to prevent timely filing denials
- Provided exceptional customer support for billing questions and/or discrepancies
Medical Biller
Lamar Medical Clinic
05.2021 - 12.2021
- Created and billed insurance claims for reimbursement purposes
- Worked on aged reports and claims that needed to be corrected or appealed with proper coding guidelines
- Reviewed eligibility and benefits
Accounts Receivable Representative
Vernon Dental Clinic
07.2018 - 07.2020
- Collected money for previous and current patients, posted payments, made deposits, and maintained patient statements
- Verified insurance and eligibility
- Used CDT procedure codes and insurance breakdowns to code procedures performed and give accurate estimates
Customer Service Representative
Oxycare Plus Inc
02.2016 - 07.2018
- Greeted patients, answered phones, scheduled appointments verified insurance, and collected patient records from medical offices to verify that the patient was eligible for the prescribed equipment
- Coordinated input of patient data with insurance companies, processed pre-authorizations, assisted in fitting and demonstrating proper prescribed equipment, collected payments, and calculated daily deposits
Server/Hostess
House of Seafood
01.2012 - 01.2015
- Greeted customers, completed orders, maintained a clean workstation and delivered proper and timely service
Education
Certificate in HIT/Medical Coding -
Shelton State Community College
Tuscaloosa, AL08.2024
Certificate in Medical Billing & Coding -
Shelton State Community College
Tuscaloosa, AL02.2021
GED -
Bevill
Fayette, AL02.2010
Skills
- Accounts Receivable
- Insurance Verification
- Medical Records
- Medical Coding
- Office Administration
- Microsoft Word
- Data entry
- Customer Service
- Patient Collections
- Payment Processing
- Revenue Cycle Management
- Documentation review
- Medical Billing
- EMR Systems
- Commercial Insurance
- Anatomy Knowledge
- Physiology Knowledge
- Medical Terminology
- Medicare
- Appeals
- ICD-10-CM
- CPT
- ICD-10-PCS
- Negotiation
- Multitasking
- HIPAA
Certification
Certified Coding Specialist (CCS)
Awards
- Excellence in Health Information Technology, SSCC, 2024
- Outstanding AAHIM Student Award, SSCC, 2024
- Phi Theta Kappa honor society
Timeline
Accounts Receivable Specialist
Rehab Medical Billing Services, Inc.
01.2024 - Current
Revenue Cycle Specialist
Upstream Rehabilitation
10.2021 - 12.2023
Medical Biller
Lamar Medical Clinic
05.2021 - 12.2021
Accounts Receivable Representative
Vernon Dental Clinic
07.2018 - 07.2020
Customer Service Representative
Oxycare Plus Inc
02.2016 - 07.2018
Server/Hostess
House of Seafood
01.2012 - 01.2015
Certificate in Medical Billing & Coding -
Shelton State Community College
GED -
Bevill
Certified Coding Specialist (CCS)
Certificate in HIT/Medical Coding -
Shelton State Community College
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