Melissa Charlton
Meyersdale,PA
Summary
With a proven track record at Medical Billing and Management Services, I excel in strategic planning and client relationship management, boosting revenue growth through innovative solutions. My leadership fosters team collaboration and continuous improvement, achieving significant process enhancements and sales increases without exceeding a 55-word limit. Talented professional with several years of experience and successful career in planning, developing, and executing events and initiatives to achieve maximum potential. Creative and highly strategic with excellent leadership and client relations abilities. Professional and outgoing with success in building relationships and attracting new clients.
Overview
22
22
years of professional experience
Work History
Assistant Regional Vice President
Medical Billing and Management Services
Somerset, PA
05.2022 - Current
- Identified opportunities for process improvement initiatives across various departments.
- Assisted with resolving customer complaints or disputes in a timely manner.
- Established performance metrics that tracked progress toward goals across multiple regions.
- Facilitated communication between team members in different geographic locations.
- Provided organizational leadership and collaborated with executive partners to establish long-term goals, strategies and company policies.
- Ensured compliance with all applicable laws, regulations, policies, procedures.
- Monitored competitor activity to stay abreast of industry trends and developments.
- Analyzed financial data and prepared comprehensive reports for executive review.
- Developed long-range plans for business growth, resulting in increase in annual sales.
- Built strong relationships with corporate leadership teams at head office level.
- Drove revenue by cultivating successful client relations.
- Fostered collaboration and development of new practices by business leaders.
- Established multiple improvements to key functions.
- Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
Medical Billing Administrator
Medical and Billing Mangement Services
Somerset, PA
04.2013 - 05.2022
- Communicated with insurance representatives to complete claims processing or resolve problem claims.
- Handled billing, waivers and claims for private and commercial clients.
- Compiled statistical data from multiple sources into comprehensive reports on a regular basis.
- Mentored junior team members and managed employee relationships.
- Entered patient insurance, demographic and health information into software and confirmed records.
- Compiled and coded patient data using standard classification systems.
- Proofread documents carefully to check accuracy and completeness of all paperwork.
- Completed and submitted appeals for denied claims.
- Developed internal controls and procedures that improved efficiency in the billing process.
- Purged inactive files and destroyed obsolete files following procedures.
- Provided customer service support to patients regarding their medical bills or payment options.
- Located and retrieved files, assisting public with general information.
- Set up patient charts and documented information in various company software.
- Maintained positive working relationship with fellow staff and management.
- Ensured compliance with HIPAA regulations related to patient privacy rights.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Investigated rejected claims using payer websites or by contacting third-party payers directly.
- Evaluated employee performance relative to billing goals set by management team.
- Performed periodic audits of coding accuracy according to established protocols.
- Answered questions and fulfilled requests with friendly and knowledgeable service.
- Coordinated communications between patients, billing personnel and insurance carriers.
- Utilized various software programs such as Microsoft Excel, Word, Outlook. for data entry purposes.
- Determined and implemented techniques to improve medical records retrieval process.
- Monitored reimbursement from managed care networks and insurance carriers to verify consistency with contract rates.
- Processed incoming payments from insurance companies or patients.
- Adhered to all applicable laws, regulations, policies, and procedures related to medical billing processes.
- Analyzed trends in claim processing times and worked closely with staff members to reduce delays.
- Verified record copies before handing each over to check for and remove unnecessary details.
- Input details into accounts and tracked payments.
- Maintained billing software by updating rate change, cash spreadsheets and current collection reports.
- Reviewed claims for coding accuracy.
- Handled incoming calls and directed callers to appropriate department or employee.
- Responded promptly to inquiries from insurance providers regarding claim status or discrepancies.
- Reviewed account information to confirm patient and insurance information is accurate and complete.
- Streamlined day-to-day office processes to meet long-term goals.
- Transmitted information or documents to customers through email, mailings or facsimile machine.
- Prepared and submitted claims to insurance companies for reimbursement.
- Assisted with the preparation of monthly financial reports related to billing activities.
- Initiated contact with clients and patients via phone or mail concerning unpaid balances due on account statements.
- Maintained accurate accounts receivable records and updated patient files accordingly.
- Resolved billing disputes with insurance companies in a timely manner.
- Organized information for past-due accounts and transferred to collection agency.
- Submitted appeals using provider portals and phone communication.
- Distributed or posted financial data to appropriate accounts and prepare simple reconciliations.
- Utilized advanced technical skills and expertise to troubleshoot complex problems and implement solutions.
- Maintained updated knowledge through continuing education and advanced training.
- Approached customers and engaged in conversation through use of effective interpersonal and people skills.
- Utilized various software and tools to streamline processes and optimize performance.
- Completed day-to-day duties accurately and efficiently.
- Prioritized and organized tasks to efficiently accomplish service goals.
- Exceeded customer satisfaction by finding creative solutions to problems.
- Managed time effectively to ensure tasks were completed on schedule and deadlines were met.
Front Desk Manager
Highlands Family Medicine
Somerset, PA
07.2003 - 10.2012
- Developed systems for tracking customer preferences to improve customer satisfaction ratings.
- Received incoming calls and coordinated with staff to fulfill customer requests.
- Provided administrative support to coworkers, taking on additional tasks during high-volume periods.
- Adhered to company policies regarding confidentiality of sensitive information.
- Computed balances, totals or commissions to support accounting team.
- Provided assistance with payroll processing when needed.
- Scheduled appointments and maintained calendars for staff members.
- Guided employees in handling difficult or complex problems.
- Answered incoming phone calls, routing to appropriate parties throughout office.
- Performed data entry and other administrative tasks to support departments.
- Provided leadership, insight and mentoring to newly hired employees to supply knowledge of various company programs.
- Screened and responded to emails, messages and other correspondence, freeing up senior management.
- Issued work schedules, duty assignments and deadlines for office or administrative staff.
Education
Associate Degree Medical Office Assistant - Medical Office Assistant
ICM School of Business
Pittsburgh, PA06-1992
High School Diploma -
Somerset Area High School
Somerset PA05-1991
Certificate - Medical Office Assistant
Somerset Area Technology Center
Somerset PA05-1991
Skills
- Implementation oversight
- Program oversight
- Strategic Decision-making
- Staff leadership
- Leadership auditing
- Process updates
- Process improvements
- Innovation and creativity
- Business forecasting
- Implementation management
- Operational planning
- Budget administration
- Excellent communication
- Team building
- Multitasking Abilities
- Risk management
- Professionalism
- Client engagement
- Sales growth
- Consulting
- Account management
- Financial management
- Client relationship management
- Board oversight
- Change and growth management
- Marketing expertise
- Adaptable and flexible
- Ethical leadership
- Business consulting
- Staff management
- Strategic planning
- Adaptability and flexibility
- Revenue growth
- Innovation management
- Team collaboration
- Problem-solving aptitude
- Balanced work ethic
- Approachable leader
- Client relationship building
- Turnaround management
- Continuous improvement
Timeline
Assistant Regional Vice President
Medical Billing and Management Services
05.2022 - Current
Medical Billing Administrator
Medical and Billing Mangement Services
04.2013 - 05.2022
Front Desk Manager
Highlands Family Medicine
07.2003 - 10.2012
Associate Degree Medical Office Assistant - Medical Office Assistant
ICM School of Business
High School Diploma -
Somerset Area High School
Certificate - Medical Office Assistant
Somerset Area Technology Center
Similar Profiles
Gil Tordilla JrGil Tordilla Jr
Revenue Cycle Coordinator at Medical Billing Management Inc.Revenue Cycle Coordinator at Medical Billing Management Inc.
Jennifer AebischerJennifer Aebischer
Claims Analyst at Agera Medical Billing And ManagementClaims Analyst at Agera Medical Billing And Management
Debra DenisonDebra Denison
Patient Account Representative at Professional Billing And Management Services, Inc.Patient Account Representative at Professional Billing And Management Services, Inc.