Melissa Andrews
Pacific,MO
Summary
Medical billing professional with deep understanding of healthcare reimbursement systems and regulations. Proven success in optimizing billing processes and enhancing operational efficiency. Reliable team collaborator focused on achieving results and adapting to changing industry needs. Expertise in revenue cycle management and regulatory compliance.
Overview
15
15
years of professional experience
Work History
Medical Billing Manager
Cherry Hills Family Eye Care
Wildwood, MO
02.2025 - Current
- Submitted insurance charges via Trizetto and dedicated websites to ensure timely reimbursement.
- Reviewed and resolved rejected and suspended claims to ensure timely reimbursement.
- Oversaw insurance collection operations and implemented refund protocols. Led initiatives to enhance client satisfaction through effective resolution of billing issues. Coordinated with cross-functional teams to optimize collection efficiency.
- Oversaw the processing of insurance Electronic Funds, checks, and credit card payments to enhance financial accuracy. Led efforts to resolve credit issues, improving overall account management. Streamlined payment processes to optimize operational efficiency.
- Delivered successful outcomes in patient collections and credit management.
- Facilitated Electronic payments and statement enrollments to enhance financial efficiency and accuracy.
- Performed essential front desk duties when necessary to maintain efficient office workflow.
- Utilized payor portals and Microsoft Excel to enhance operational efficiency and facilitate accurate reporting.
- Oversaw billing operations, ensuring compliance with healthcare regulations and industry standards.
- Managed medical coding accuracy, collaborating with coders to enhance documentation and billing practices.
- Analyzed billing data to identify trends, presenting findings to the Doctor for strategic decision-making.
- Developed training materials for new staff, enhancing onboarding processes and knowledge retention.
- Coordinated cross-departmental communication to streamline billing procedures and resolve discrepancies efficiently.
- Worked with patients to develop payment plans and bring accounts current.
Payment Poster (Hybrid)
Esse Health
11.2023 - 02.2025
- Maintained adherence to remote position standards to enhance operational efficiency and team collaboration.
- Oversaw insurance claim processing and patient payment posting to enhance financial accuracy. Coordinated with team members to streamline payment workflows. Fostered a collaborative environment to improve overall efficiency.
- Executed daily updates of spreadsheets to enhance data accuracy and support operational efficiency.
- Leveraged advanced Excel functionalities within PMS to streamline remit processing workflows.
- Processed and posted payments accurately to patient accounts, ensuring timely updates in billing systems.
- Resolved discrepancies in payment records through thorough research and effective communication with stakeholders.
Customer Representative
Total Access Urgent Care
08.2023 - 11.2023
- Handled incoming calls to facilitate prompt assistance and enhance customer satisfaction.
- Facilitated timely processing and posting of patient credit card payments to enhance financial operations.
- Facilitated adherence to meeting call standards to enhance communication effectiveness.
- Managed patient intake process, ensuring accurate information collection and efficient service delivery.
- Resolved customer inquiries and complaints, enhancing overall patient satisfaction and experience.
Payment Poster
KSL Billing + Management
05.2011 - 06.2016
- Managed electronic funds transfer postings and facilitated lockbox payment processing to enhance cash flow. Delivered accurate financial transactions through diligent posting of electronic funds transfers and lockbox payments.
- Facilitated resolution of customer credits and processed refunds to enhance customer satisfaction.
- Facilitated eft/era enrollments to enhance financial operations and improve cash flow.
- Oversaw the integration of Centricity PMS and Excel to streamline data management processes. Coordinated team communications via Microsoft email to enhance collaboration. Managed Epic systems to optimize operational efficiency.
- Facilitated communication between insurance providers and patients to streamline account reconciliation.
- Maintained accurate and organized records to support data management processes.
- Processed and reconciled electronic payments for accuracy and compliance with company policies.
- Maintained payment posting logs to ensure timely updates and reporting of financial transactions.
Education
Certificate of Completion - Anatomy and Physiology, Medical Coding, Practice Management System
Sanford Brown College
02.2011
Highschool Diploma - General Studies
Eureka Highschool
05.2007
Skills
- Claims processing proficiency
- HIPAA compliance
- Effective communication
- Patient confidentiality practices
- Team leadership qualities
- Electronic health records experience
- Continuous improvement mindset
- Conflict resolution strategies
- Revenue cycle management
- Denial management strategies
- Analytical thinking capacity
- Training and mentoring
Accomplishments
- Nominated "New Employee of the Year" 2011
Timeline
Medical Billing Manager
Cherry Hills Family Eye Care
02.2025 - Current
Payment Poster (Hybrid)
Esse Health
11.2023 - 02.2025
Customer Representative
Total Access Urgent Care
08.2023 - 11.2023
Payment Poster
KSL Billing + Management
05.2011 - 06.2016
Certificate of Completion - Anatomy and Physiology, Medical Coding, Practice Management System
Sanford Brown College
Highschool Diploma - General Studies
Eureka Highschool