Melissa Calderon
Goodyear,AZ
Summary
Detail-oriented bilingual healthcare professional with 6+ years of experience in patient services, insurance verification, and medical office support. Skilled in maintaining accurate EMR records, verifying insurance eligibility, and assisting with billing-related documentation. Committed to efficient workflow management and delivering exceptional customer service in fast-paced clinical settings.
Overview
8
8
years of professional experience
Work History
Senior Customer Experience Representative (CER)
Banner Health
Phoenix, USA
07.2022 - Current
- Verified patient insurance eligibility and updated account information to support accurate billing.
- Collect copays and maintain patient records in EMR systems while ensuring HIPAA compliance.
- Enter and update patient records in PowerChart and RevCycle to support billing accuracy and proper claim submission.
- Coordinate appointment scheduling for a high-volume clinic
- Train and onboard 25+ new employees on scheduling systems and insurance verification procedures.
- Assist with patient account inquiries, payment questions, and billing-related documentation while maintaining HIPAA compliance
Third Key Optician / Optometry Technician
America's Best Contacts & Eyeglasses
Chandler, USA
04.2021 - 02.2022
- Performed diagnostic tests using autorefractors, fundus cameras, and visual field machines, ensuring accurate results while adhering to HIPAA compliance
- Educated patients on lens options based on prescriptions and provider recommendations, contributing to high patient satisfaction and exceeding commission expectations
- Verified insurance eligibility, collected copays, and outstanding balances, enhancing overall payment collection efficiency
Receptionist
America's Best Contacts & Eyeglasses
San Fernando, USA
03.2018 - 03.2021
- Managed front desk operations and high call volume, scheduled appointments, and coordinated provider availability to enhance clinic workflow
- Dispensed and adjusted eyeglasses per patient needs, ensuring accuracy in insurance verification and compliance with front office documentation audits
- Transitioned clinic from physical charting to partial electronic systems for improved patient intake process
Education
High School Diploma -
John H. Francis Polytechnic High School
Sun Valley, CASkills
- Medical Billing Support & Documentation Accuracy
- Insurance Verification & Copay Processing
- Claims Documentation & Patient Account Management
- Electronic Medical Records (EMR/EHR) Data Entry
- Microsoft Office Suite & Healthcare Systems (Revenue Cycle, PowerChart, Experian)
- HIPAA compliance
- High-Volume Patient Communication & Phone Support
- Bilingual Communication: English (Fluent), Spanish (Native)
Timeline
Senior Customer Experience Representative (CER)
Banner Health
07.2022 - Current
Third Key Optician / Optometry Technician
America's Best Contacts & Eyeglasses
04.2021 - 02.2022
Receptionist
America's Best Contacts & Eyeglasses
03.2018 - 03.2021
High School Diploma -
John H. Francis Polytechnic High School