Melinda Tyson
Spring Hope,NC
Summary
Over 24 years of experience in high volume Medical Office as Referral Coordinator/Surgery Scheduler and Patient Account Representative. Well -developed communication,time management and problem-solving abilities, versed in medical coding. Results-driven and proactive team player.
Overview
10
10
years of professional experience
Work History
Patient Account Representative
Nash OB-GYN ( Temp Position )
Rocky Mount, NC
08.2024 - Current
- Insurance verification
- Checking In/Out patients
- Collecting Copayments, account balances
- Balancing daily cash drawer
- Benfits/Eligibility
- Authorization/Pre-Certification using CPT, ICD-10 Codes.
- Patient estimates
- Entering patient demographics
- Scheduling appointments
- Assist Patient regarding billing inquires and account questions
Care Coordinator (Hybrid)
DaVita
Denver, CO
03.2024 - 07.2024
- Conducted initial assessments and evaluations of patient's needs.
- Provided case management services to ensure the delivery of quality care.
- Coordinated with other health professionals to develop individualized plans of care for patients.
- Collaborated with physicians, social workers, and other healthcare providers to provide comprehensive care for patients.
- Facilitated referrals to community resources such as housing, transportation, employment opportunities.
- Attended meetings with families and other members of the interdisciplinary team to discuss patient progress and plan for future interventions.
- Educated clients on available resources and services within their communities.
- Scheduled appointments for clients with appropriate medical specialists.
- Provided emotional support to patients dealing with difficult health issues.
- Maintained communication between the family and caregiver and other involved parties regarding the patient's condition.
- Actively participated in staff meetings discussing best practices in patient care coordination.
- Communicated with patients with compassion while keeping medical information private.
- Established solid relations with leadership and staff by attending board meetings and coordinating interdepartmental information exchanges
- Authorization/Pre-Certification for testing
- Assisting Nurse Practitioner chair side with Complete Comprehensive Evaluations
- Complete Patient Activation Measurements
- Scheduling Patient Comprehensive Evaluations
- Logging of daily care activities
- Verification of Benefits/Eligibility
Referral Coordinator/Surgery Scheduler
UNC Ears Nose and Throat at Nash
Rocky Mount, NC
07.2014 - 02.2024
- Scheduling surgeries and office procedures for 5 providers.
- Coding all surgeries and office procedures.
- Posting all surgeries and procedures.
- Scheduling all pre-op and post-op appointments.
- Going over surgery instructions with patients.
- Obtaining preoperative clearance for all surgeries and office procedures.
- Scheduling all incoming and outgoing referrals.
- Pre-Certification/Authorization for CT, MRI, PET Scans, Ultrasounds, etc.
- Scheduling all CT, MRI, PET scans, ultrasound, etc.
- FMLA paperwork.
- Collecting surgery payments, copayment balances.
- Working insurance denials.
- Answering multiple phone lines.
- Returning phone messages in a timely manner.
- Answering/Responding to emails in a timely manner.
- Maintained accurate records of all referrals, including contact information and follow-up activities.
- Assisted in the development of referral processes and procedures.
- Answered questions and resolved concerns raised by both patients and specialists.
- Completed weekly/monthly close the loop reports
Education
GED -
Nash Community College
Rocky Mount, NC09-1989
Skills
- Coding CPT/ICD-10
- Medical Billing
- Insurance Verification
- Medical terminology knowledge
- Physicians' orders
- Insurance practices
- Scheduling
- Organizational Skills
- Conflict resolution
- Problem Solving
- Time Management
- Epic
- Athena
- CWOW
- Cerner
- Microsoft Excel/Word 360
- MCD/Medicare-gov
- Patient Care
- HIPAA understanding
- HIPAA Compliance
References
- Bridget Hathaway 252-314-2030
- Dr. Amy Stinson 479-409-4478
- Karen Hunter 252-904-3087
Timeline
Patient Account Representative
Nash OB-GYN ( Temp Position )
08.2024 - Current
Care Coordinator (Hybrid)
DaVita
03.2024 - 07.2024
Referral Coordinator/Surgery Scheduler
UNC Ears Nose and Throat at Nash
07.2014 - 02.2024
GED -
Nash Community College