MELISSA BEEN
Greensboro,NC
Summary
Compassionate Hospice Care Consultant with experience in providing end-of-life care and support for patients and families, while growing market share and census. Possess strong interpersonal skills, adept at building trusting relationships with patients while effectively coordinating with medical teams. Have made significant contributions to enhancing patient quality of life through personalized care plans. Known for compassionate nature, sensitivity during difficult times, and strategic planning skills.
Compassionate Hospice Care Consultant known for high productivity and efficient task completion. Skilled in patient advocacy, end-of-life care planning, and emotional support techniques. Excel in communication, empathy, and critical thinking to navigate complex healthcare environments effectively. Ready to leverage specialized skills for meaningful patient and family support during challenging times.
Overview
28
28
years of professional experience
Work History
Hospice Care Consultant
Community Home Care and Hospice
Burlington, NC
04.2019 - Current
- I am responsible to educate and build referral based relationships with Physicians, Discharge Planners, Social Workers, Facilities and Referring Decision Makers while growing Market Share
- I am responsible to meet with Patients and their Families and educate the on the benefits of Hospice.
Community Care Program Manager
Encompass Home Health
Lexington, NC
08.2018 - Current
- I currently market Assisted Living Communities in Forsyth County
- The Community Care Program assists communities with census retention by utilizing home health to prevent Hospital stays.
- I market 27 communities and meet with their Management staff to develop plans to help their Residents age in place.
Community Relations Manager
Richland Place
Greensboro, NC
11.2018 - 04.2019
- I was responsible or census growth by forming relationships with Physicians, Skilled Nursing Facilities, Medical Agencies and Families in the Greensboro area.
Liaison
Gateway Hospice
Pittsburgh, PA
04.2014 - 07.2018
- I met with families to explain the benefit of hospice
- I also marketed to Personal Care Homes, Assisted Living Communities, Skilled Nursing facilities, Hospitals, Guardians, Placement Agents, Private Duty Agencies and Community Centers to gain census
- I assessed Patients that were referred to Gateway Hospice for eligibility
- I assisted facilities in discharge planning to ensure that the Patient has a comfortable transition home from the hospital or skilled nursing setting
- I provided education and communication to the facilities I marketed
- I grew census and referring relationships in my territory considerably at Gateway Hospice.
Community Relations Director
Juniper Village Communities
North Huntingdon, PA
12.2011 - 03.2014
- I was responsible for marketing both buildings on the Juniper Village campus
- I marketed Wellspring, a 50 bed Secured Memory Facility, specializing in Alzheimer’s and Dementia Care
- I also marketed Juniper Village at Huntingdon Ridge, an 84 bed Senior Living Facility
- I marketed these facilities to Hospitals, Doctors, Social Workers, Skilled Nursing Facilities, Hospice Companies, and Home Health Companies
- I also planned, budgeted, and facilitated networking events and community outreach
- I also worked directly with families, by giving tours of the community and explaining the fees associated
- I was ultimately responsible for the resident move in
- The interaction that I had with Families, led to an excellent move in percentage, as I grew the census of new residents at Juniper Village.
Hospice, Home Health, and Palliative Care Billing Manager
Cedars Hospice of Monroeville and Cedars Home Health
Monroeville, PA
06.2010 - 11.2011
- My responsibilities included ensuring insurance eligibility and proper authorization processes for Hospice, Home Health, and Palliative Care patients
- I also ensured that the diagnosis for the referral was appropriate for the referred care
- I was responsible for tracking the total census of patients by running reports for the Board of Directors, by market area and by company
- While tracking the patient census, I was responsible to report and track daily referrals to the Board of Directors
- I also managed the data entry aspect of admissions, deaths, and discharges to ensure correct reporting in the Medical Software as well as the information that would be transmitted electronically to Medicare and other Insurance Companies
- I successfully billed each and every insurance claim for the Hospice, Home Health, and Palliative Care Census
- I managed and tracked denials, as well as wrote appeals to ensure proper payment on claims
- I was personally responsible for working accounts receivables, and posting all of the insurance reimbursement checks for Hospice, Home Health, and Palliative Care
- I acted as a liaison between our Medical Director, clinical staff, and financial staff to ensure clear communication for successful claim processing
- My performance at The Cedars ensured higher reimbursement collections rates than in previous years by my predecessor.
Orthotic and Prosthetic Billing Manager
Central Orthotic & Prosthetic Co., Inc.
Johnstown, PA
02.2009 - 06.2010
- My job responsibilities included reviewing and entering patient demographics, scheduling patients, requesting authorizations, requesting prescriptions, billing insurance carriers, posting payments, sending patient statements, working denials, working AR… Aging Report and oversee day to day business.
Orthotic Billing Manager
Tristate Orthopaedics and Sports Medicine
Pittsburgh, PA
06.2006 - 02.2009
- I was responsible for DME supplies and billing for two Orthopedic Groups in the Pittsburgh Market area
- The Orthopedic Groups that I managed were Tristate Orthopaedics and Sports Medicine and Three Rivers Orthopedics
- My responsibilities included daily interaction and positive relationships with Patients, Physicians, Clinicians, and Major Insurance carriers
- I scheduled patients to visit with Orthopedic Surgeons
- I then entered the Patient’s demographics into Two Medical Software Programs
- I reviewed benefits and eligibility and requested and also submitted authorizations to major insurance carriers, such as Health America/Health Assurance/Advantra, UPMC Commercial, UPMC for Life, UPMC for You, Highmark, Aetna, Cigna, Gateway, Medical Assistance, Medicare, Worker’s Compensation, Auto and more
- I billed for authorized items
- When the medical item was not covered at 100%, I called the patient to educate them on their benefit limitations
- I billed for the item that was prescribed and then followed through by working the Advanced Collections Module until payment was received by the insurance carrier or the patient
- I managed Inventory Reports that controlled ordering as well as shrink in several outside locations
- I managed a large amount of data which was used to create and maintain reports; such as a monthly cost of goods reports
- I managed and tracked invoices and payments from outside vendors in a report module that prevented the duplication of invoices and payments
- I managed the fabricating time guideline for Custom Orthotics by controlling the timeline of when an item was entered into the fabrication process and when it would be completed for delivery.
Orthotic Billing Manager
DeLaTorre Orthotics and Prosthetics, INC.
Pittsburgh, PA
08.2002 - 02.2009
- I was employed by both Tristate Orthopaedics and Sports Medicine and DelaTorre Orthotics
- I was responsible for billing and scheduling 2 Full Time Orthotic Clinicians, who were employed by Tristate Orthopaedics and Sports Medicine as well as DeLaTorre Orthotics
- My responsibilities included daily interaction and positive relationships with Patients, Physicians, Clinicians, and Major Insurance carriers
- I scheduled patients to be seen by Orthotic Clinicians
- I then entered the Patient’s demographics into Medical Software
- I reviewed benefits and eligibility and requested and also submitted authorizations to major insurance carriers, such as Health America/Health Assurance/Advantra, UPMC Commercial, UPMC for Life, UPMC for You, Highmark, Aetna, Cigna, Gateway, Medical Assistance, Medicare, Worker’s Compensation, Auto and more
- I billed for authorized items
- When the medical item was not covered at 100%, I called the patient to educate them on their benefit limitations
- I billed for the item that was prescribed and then follow through by working the Advanced Collections Module until payment was received by the insurance carrier or the patient
- I managed Inventory Reports that controlled ordering as well as shrink in several outside locations
- I managed a large amount of data which was used to create and maintain reports; such as a monthly cost of goods reports
- I managed and tracked invoices and payments from outside vendors in a report module that prevented the duplication of invoices and payments
- I managed the fabricating time guideline for Custom Orthotics by controlling the timeline of when an item was entered into the fabrication process and when it would be completed for delivery.
Prosthetics Billing Representative
Tristate Orthopaedics and Sports Medicine
Pittsburgh, PA
08.2002 - 06.2003
- My responsibilities included entering patient demographics, scheduling patients, requesting authorizations; which required knowledge of DME billing codes as well as diagnosis codes
- And managing advanced collections at the insurance level as well as patient level.
Territory Sales Manager
PHILIP MORRIS U.S.A.
Berwyn, PA
01.1997 - 06.2000
- I was responsible for the management of a large sales territory, making over two hundred sales calls per month in a highly competitive market
- I launched new products; sold existing products, monthly promotions and ideas; and signed wholesale, chains and independent stores to contracts paying the accounts for volume and share gain
- I maintained existing accounts and actively pursued new accounts while ensuring fresh product throughout the territory
- I also sought prime visibility and accessibility of product and displays in every contracted account.
Education
Bachelor of Arts - Public Relations/English Communications
SAINT FRANCIS UNIVERSITY (Formally SAINT FRANCIS COLLEGE)
06.1996
Skills
- Relationship Building
- Effective Communication
- Organizational Goal Development
- Organizational Skills
- Reliability
- Time Management
- Conflict Resolution
Timeline
Hospice Care Consultant
Community Home Care and Hospice
04.2019 - Current
Community Relations Manager
Richland Place
11.2018 - 04.2019
Community Care Program Manager
Encompass Home Health
08.2018 - Current
Liaison
Gateway Hospice
04.2014 - 07.2018
Community Relations Director
Juniper Village Communities
12.2011 - 03.2014
Hospice, Home Health, and Palliative Care Billing Manager
Cedars Hospice of Monroeville and Cedars Home Health
06.2010 - 11.2011
Orthotic and Prosthetic Billing Manager
Central Orthotic & Prosthetic Co., Inc.
02.2009 - 06.2010
Orthotic Billing Manager
Tristate Orthopaedics and Sports Medicine
06.2006 - 02.2009
Orthotic Billing Manager
DeLaTorre Orthotics and Prosthetics, INC.
08.2002 - 02.2009
Prosthetics Billing Representative
Tristate Orthopaedics and Sports Medicine
08.2002 - 06.2003
Territory Sales Manager
PHILIP MORRIS U.S.A.
01.1997 - 06.2000
Bachelor of Arts - Public Relations/English Communications
SAINT FRANCIS UNIVERSITY (Formally SAINT FRANCIS COLLEGE)
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