Melissa Barefoot
Darlington,SC
Summary
Looking for an exciting and rewarding career where I can not only advance my experiences and knowledge but use them as a great asset for my employer.
Overview
15
15
years of professional experience
Work History
Claims Associate
BCBS of SC
Florence, SC
07.2021 - 10.2021
- Supported efficient handling of complex claims and followed up on open, denied or suspended claims to complete required line items.
- Handled modification and updating of policies.
- Processed claims for payment or forwarded to appropriate personnel for further investigation
- Indexed claims to provide claim number.
- RELOCATED TO SOUTH DAKOTA AFTER MY HUSBAND WAS LAID OFF DUE TO COVID-19 FOR A GOOD JOB OPPORTUNITY.
Teacher's Assistant and Substitute Teacher
Emmanuel Baptist Church/School
Hartsville, SC
09.2018 - 05.2021
- Assisted teachers with instruction and provided clerical support for diverse needs.
- Adapted teaching methods and materials to meet students' varying needs and interests.
- Tutored and assisted children individually and in small groups to help master assignments and reinforce learning concepts.
- Prepared lesson materials, bulletin board displays, exhibits and demonstrations to assist teachers in classroom preparation.
- Monitored students in class, hallways and cafeteria to enforce school rules.
- Graded assignments and tests and documented results into filing systems.
- Conducted special assessments and tutoring sessions to support individual student needs.
- Provided classroom instruction outlined in teacher's lesson plans.
- Provided notes and reports on school day activities to primary teacher.
- Established and enforced rules for behavior and procedures to maintain order among students.
- Maintained student attendance and assignment records to prevent lapses during teacher absences.
- Tutored struggling students individually and in small groups to reinforce learning concepts.
- LAID OFF AT THE END OF THE 2020-2021 SCHOOL YEAR BECAUSE OF LOW ENROLLEMNT FOR UPCOMING 2022 YEAR DUE TO COVID-19
Technical Associate - Pathology Billing
Pathology Service Associates - Change Health Care
Florence, SC
12.2006 - 03.2012
- Investigated and resolved issues to maintain billing accuracy.
- Executed account updates and noted account information in company data systems.
- Submitted claims to insurance companies.
- Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
- Performed insurance verification, pre-certification and pre-authorization.
- Ran RAW DATA files in Test to catch and fix any errors before submitted to LIVE WORK FLOW.
- Contacted medical facilities for correct or missing patient demographics, CPT/ICD9 Codes.
- Set up RULES for certain clients and insurance companies to exclude certain CPT Codes, Insurance Codes or Clinical Charges.
- Pick up hospital files from their web site through secure VPN connection.
- Adhered to all HIPAA Privacy and Security Regulations.
- LEFT BEFORE THE BIRTH OF MY SON TO BE A STAY AT HOME MOM UNTIL HE STARTED SCHOOL.
Education
Diploma With Highest Honors - Sex Abuse And Drug Counseling
Stratford Career Institute
Washington, DC08.2003
GED -
Alamance Community College
Graham, NC07.2001
Skills
- Elementary Education
- Banking Services
- Customer Service
- Data Entry
- Proficiency in MS Office
- 10-key Touch
- Legal Secretary with Dictation
Timeline
Claims Associate
BCBS of SC
07.2021 - 10.2021
Teacher's Assistant and Substitute Teacher
Emmanuel Baptist Church/School
09.2018 - 05.2021
Technical Associate - Pathology Billing
Pathology Service Associates - Change Health Care
12.2006 - 03.2012
Diploma With Highest Honors - Sex Abuse And Drug Counseling
Stratford Career Institute
GED -
Alamance Community College