Melissa Diane Callahan
Peabody,MA
Summary
Health Claims Specialist seeking a position where I can utilize my strong customer service, medical billing, and coding skills, along with my in-depth knowledge of health records, to contribute to the success of a medical claims company, by Increasing revenue and decreasing rejected claims.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Health Claims Specialist (contract)
Complete Staffing Solutions/ Pro medical
10.2024 - 03.2025
- Activated new worker comp claims.
- Verified claim information, and health ins coverage for patients.
- Reviewed EOBs and denials, take next best action in a timely manner.
Claims Specialist
The Outsource Group
06.2014 - 10.2024
- Create, update UB, and HICFA forms.
- Obtain payments for Workman's Comp claims.
- Verify health Insurance coverage for patients, obtaining EOR and denials for claims.
- Excellent customer service skills.
- Organized and thorough.
- Very professional.
- Detail and goal oriented.
Health Claims Specialist (Externship)
McGovern Physical Therapy
01.2014 - 12.2014
- Following up on unpaid and rejected claims.
- EOB forms/submission of claims.
- Analyzed physical therapy notes from WEBPT CMS-1500 forms.
- Managed auto and workers' compensation claims.
Certified Home Health Aide
Freedom Home Care
01.2011 - 12.2013
Education
Certificate - Certified Nursing Assistant (CNA)
Salter School
Malden, MA01.2014
Certificate - Medical Assisting
Everest Institute
Chelsea, MA01.2009
Skills
- CPR/First Aid Certified
- HIPAA Regulations
- Medical Billing and Coding (ICD-9-CM, CPT-4, HCPCS)
- Anatomy & Physiology
- EHR - Electronic Health Records
- EMR - Electronic Medical Records
- E-Clinical Works
- Medisoft
Certification
Billing and Coding
Timeline
Health Claims Specialist (contract)
Complete Staffing Solutions/ Pro medical
10.2024 - 03.2025
Claims Specialist
The Outsource Group
06.2014 - 10.2024
Health Claims Specialist (Externship)
McGovern Physical Therapy
01.2014 - 12.2014
Certified Home Health Aide
Freedom Home Care
01.2011 - 12.2013
Certificate - Medical Assisting
Everest Institute
Certificate - Certified Nursing Assistant (CNA)
Salter School
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