Melisa Renae Benefield
La Habra,CA
Summary
Expert in full cycle billing and operations management within healthcare services, specializing in ICD coding, insurance verification, and accounts receivable processes to drive revenue cycle optimization. Proven leadership in team coordination and implementation of system operating procedures across various medical environments, resulting in improved operational efficiency and enhanced customer service.
Overview
10
10
years of professional experience
Work History
Remote Billing Specialist/Operations Manager
Premier Reimbursement Solutions
09.2020 - Current
- Managed billing operations in offices, hospitals, and urgent care facilities.
- Handled coding and AR tasks for various specialties such as Nephrology, Cardiology, OB, primary care, geriatrics, and urgent care.
- Insurance verification and AR for all types of payer. Medicare, Medi-cal, Commercial, IPAs, HMO, Government, and Workers Compensation.
- Facilitated necessary training for team members.
- Conducted regular one-on-one meetings with team members.
- Developed and implemented system operating procedures.
- Executed daily, weekly, and monthly tasks efficiently.
- Coordinated project activities and resources.
- Facilitated ERA and EFT enrollments, ensuring seamless transactions.
Medical AR Specialist (Pain Management)
Lags Spine and Sportscare Medical Center
12.2019 - 10.2020
- Executed full cycle billing for professional services in office and physician-owned laboratory.
- Collaborated directly with Blue Cross Provider Relations during laboratory audits.
Remote Medical Billing Specialist (Cardiology and Primary Care)
Global Medical Billing
01.2018 - 02.2020
- Executed full cycle billing, ensuring accurate processing and timely payments.
- Completed prior authorizations for cardiac procedures and tests, facilitating patient care.
- Appealed cardiac surgery denials successfully, securing necessary approvals.
Medical Billing Specialist (Nephrology)
Colorado Kidney Care
02.2019 - 11.2019
- Executed full cycle billing for professional services in offices, hospitals, and dialysis facilities.
- Conducted insurance follow-ups with primary payers, including Kaiser and Colorado Medicaid.
- Collaborated directly with Kaiser Provider Relationship representative to resolve system issues causing invalid denials.
Team Lead / Medical Billing Specialist (Geriatrics)
Chase Grant Billing
04.2016 - 10.2017
- Full Cycle Billing
- Reviewed teams completed task to ensure all steps had been followed and give feedback to anything that needs to be corrected or addressed.
- Train all new employees and current team members as needed. Made myself available at all times.
Medical Billing Specialist/Billing Manager (Chiropractic)
Extreme Health Chiropractic
05.2015 - 04.2016
- Full Cycle Billing
- Responsible for accurate record keeping of claims billing, personal injury accounts, and collections.
- The lead in the transition from ICD-9 to ICD-10.
Education
Associates of Science - Insurance Billing and Coding Specialist
Herzing University
12.2013
Skills
- ICD-10-CM and ICD-9-CM
- CPT and HCPCS
- Medical terminology
- Insurance follow-up and verification
- Patient care reporting
- Customer service and communication
- Microsoft Office suite
- Excel and PowerPoint
- Outlook management
- Medly and eClinicalWorks
- Office Ally and Navicure
- AS400 proficiency
- Advanced claims processing
- Medisoft and Smart Cloud
- AdvancedMD and Athena
- Tebra and Jopar
- NextGen expertise
- Team leadership and training
- Delegation skills
- Performance evaluation
- Meeting coordination
Timeline
Remote Billing Specialist/Operations Manager
Premier Reimbursement Solutions
09.2020 - Current
Medical AR Specialist (Pain Management)
Lags Spine and Sportscare Medical Center
12.2019 - 10.2020
Medical Billing Specialist (Nephrology)
Colorado Kidney Care
02.2019 - 11.2019
Remote Medical Billing Specialist (Cardiology and Primary Care)
Global Medical Billing
01.2018 - 02.2020
Team Lead / Medical Billing Specialist (Geriatrics)
Chase Grant Billing
04.2016 - 10.2017
Medical Billing Specialist/Billing Manager (Chiropractic)
Extreme Health Chiropractic
05.2015 - 04.2016
Associates of Science - Insurance Billing and Coding Specialist
Herzing University
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