Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Melissa Duree

Saint Joseph,MO

Summary

I have been in office management for over 20 years. I was also a Kansas state certified Daycare Director/Teacher for over 11 years, I am a self-starter, Detailed oriented, Hardworking individual. . I work well on my own or with a team I have worked hard to achieve impossible task, and learn the necessary things in order to accomplish the tasks at hand.

Overview

29
29
years of professional experience
1
1
Certification

Work History

Credentialing Specialist

Northwest Health Services
07.2023 - Current
  • Conducted background checks on potential providers utilizing various resources including state licensing boards, OIG and GSA Exclusion List, NPDB.
  • Assisted in developing and implementing departmental procedures related to provider enrollment and maintenance activities.
  • Served as a resource person for staff members seeking assistance in understanding complex regulatory requirements related to provider enrollment processes.
  • Provided support in responding to inquiries from external parties regarding credentialing information.
  • Collaborated with internal teams regarding provider contracts and agreements.
  • Maintained detailed records of provider data in the credentialing database system.
  • Prepared correspondence for various departments concerning credentialing updates or requests for additional information.
  • Validated primary source documents such as licenses, diplomas, certifications and other related credentials.
  • Participated actively in special projects or initiatives pertaining to improvement of operational efficiency within the department.
  • Reviewed and processed credentialing applications to ensure accuracy, completeness, and compliance with all accreditation standards.
  • Attended meetings and seminars related to healthcare industry regulations and trends.
  • Ensured timely completion of credentialing processes by providing guidance to providers on required documentation.
  • Interacted regularly with representatives from health plans and commercial payers regarding credentialing matters.
  • Participated in periodic audits of credentialing files to maintain compliance with applicable regulations and policies.
  • Processed re-credentialing applications for existing providers according to contractual requirements.
  • Researched discrepancies between submitted provider data and verified sources when necessary.
  • Monitored expiration of licenses and certifications, notifying providers of renewal requirements.
  • Processed documents and status-change requests, conducting followup assessment regarding enrollment inquiries.
  • Liaised with insurance companies to complete provider enrollment and ensure billing capabilities.
  • Prepared and submitted detailed reports on credentialing progress to management.
  • Provided guidance and support to new providers throughout the credentialing process.
  • Maintained up-to-date records of credentialing statuses in database systems.
  • Facilitated communication between departments to resolve credentialing issues efficiently.
  • Coordinated with healthcare professionals to collect necessary documentation for credentialing.
  • Assisted in the accreditation process by gathering and submitting required documentation.
  • Set up NPI numbers for providers and facilities and updated current profile information.
  • Confirmed facility and user credentials to initiate and maintain registration and enrollment processes.
  • Addressed and resolved discrepancies in provider documentation during credentialing.
  • Performed primary source verifications such as criminal histories, licenses and board certifications.
  • Ensured strict confidentiality of provider information in accordance with HIPAA regulations.
  • Organized records to prepare for site visits by representatives and associated audits.
  • Conducted regular audits of credentialing files to ensure accuracy and completeness.
  • Completed enrollments into Medicaid, Medicare and private insurance plans.
  • Checked applications for missing information and organized all paperwork.
  • Managed end-to-end provider credentialing process, ensuring compliance with industry standards.
  • Responded to verification inquiries from other healthcare organizations and insurance companies.
  • Analyzed employment-related data and prepared reports.

Billing Specialist

Northwest Health Services
12.2021 - 07.2023
  • Reviewed medical records to ensure accuracy of billing information and patient data.
  • Generated periodic reports summarizing account balances and collection activities.
  • Tracked changes in legislation that could affect billing procedures.
  • Provided support to other departments within the organization as needed.
  • Resolved discrepancies between customers' remittances and invoices received.
  • Verified insurance coverage and identified third-party payers for billing purposes.
  • Investigated incorrect billings and processed refunds as necessary.
  • Performed data entry into accounting software programs such as QuickBooks.
  • Answered customer inquiries regarding billings, payments, account status.
  • Assisted with year-end closing tasks including preparing journal entries.
  • Monitored accounts receivable activity to ensure timely payment of invoices.
  • Developed financial reports detailing accounts receivable aging status.
  • Performed additional duties as assigned by management team.
  • Managed all payments processing, invoicing and collections tasks.
  • Expedited payments by verifying accuracy and currency of vendor information.
  • Participated in workshops, seminars, and training classes to gain stronger education in industry updates and federal regulations.
  • Reviewed aging assigned codes and modifiers to update and verify accuracy.
  • Executed account updates and noted account information in company data systems.
  • Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
  • Gathered information to produce accounts payable reports for review.
  • Eliminated inaccuracies in accounts payable payments by verifying information prior to generating checks and electronic payment transfers.
  • Assessed billing statements for correct diagnostic codes and identified problems with coding.
  • Input statement information, reconciled accounts and resolved discrepancies.
  • Checked claims coding for accuracy with ICD-10 standards.
  • Submitted claims to insurance companies.
  • Processed invoice payments and recorded information in account database.

Customer Service Representative

City Of Saint Joseph
05.2021 - 10.2021
  • Identified opportunities for upselling additional products or services based on customer needs.
  • Provided excellent customer service to resolve customer complaints in a timely manner.
  • Provided exceptional customer service to ensure customer satisfaction.
  • Answered customer inquiries via phone, email, and chat.
  • Maintained a high level of professionalism when dealing with difficult customers.
  • Developed strong relationships with customers by providing personalized assistance and support.
  • Provided accurate information about products and services to customers.
  • Resolved customer complaints promptly and efficiently.
  • Resolved complex problems by working with other departments to provide solutions that meet customer needs.
  • Developed positive relationships with customers through friendly interactions.
  • Informed customers about billing procedures, processed payments, and provided payment option setup assistance.
  • Answered inbound calls, chats and emails to facilitate customer service.
  • Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
  • Remained calm and professional in stressful circumstances and effectively diffused tense situations.
  • De-escalated problematic customer concerns, maintaining calm, friendly demeanor.
  • Answered incoming calls and emails, providing frontline customer support or assistance with product and service transactions.
  • Updated databases with new and modified customer data.
  • Updated system with order specifics and customer details, preferences, and billing information.
  • Collected deposits or payments and arranged for billing.

Bank Customer Service Representative

Postal and Community Credit Union
04.2019 - 05.2021
  • Provided assistance with opening new accounts such as savings or checking accounts.
  • Created reports summarizing daily transactions for review by senior management staff.
  • Processed wire transfers for both incoming and outgoing funds as requested by customers.
  • Ensured compliance with all applicable federal regulations regarding banking operations.
  • Processed deposits, withdrawals, transfers, check cashing, loan payments, and other financial transactions for customers.
  • Researched customer accounts as requested by customers or management staff.
  • Trained new employees on operational procedures related to customer service activities.
  • Reviewed all paperwork associated with each transaction prior to approving it for processing.
  • Developed strong relationships with existing customers through regular follow-up calls.
  • Assisted customers with online banking services including account set up and password resets.
  • Processed customer transactions accurately and efficiently.
  • Provided customer service to bank customers, addressing questions and concerns in a professional manner.
  • Monitored customer accounts for suspicious activity according to established protocols.
  • Assisted customers with safe deposit boxes providing access when appropriate.
  • Responded to customer inquiries via phone, email, and in-person transactions.
  • Maintained current knowledge of bank products and services offered at branch location.
  • Performed daily balancing of cash drawer and reconciled discrepancies as needed.
  • Assisted with training new staff members on proper customer service techniques.
  • Initiated stop payments on checks when required by customers.
  • Verified customer identification information with the applicable documents according to bank policies.
  • Cashed checks and paid out money after verifying correct signatures.
  • Assisted customers in person and via telephone to reorder checks and provide bank statements and account balances.
  • Assisted members in managing online services and achieving daily banking needs.
  • Calculated daily transactions with adding machines and calculators.
  • Created friendly connections and developed rapport with customers by providing outstanding, personalized service.
  • Balanced currency, coin, and checks in cash drawers at end of shifts.
  • Opened customer accounts by recording account information into job-related software.
  • Issued and redeemed money orders, cashier checks and traveler's checks.
  • Maintained confidentiality of customer information in compliance with privacy regulations.
  • Attracted potential customers by answering product and service questions and suggesting information about other offerings.
  • Ordered supplies and materials, verifying sufficient on-hand inventory and securing sensitive and propriety items.
  • Offered every customer exceptional service levels by remaining friendly and professional during every transaction.
  • Identified transaction errors when debits and credits did not balance.
  • Received and counted daily inventories of cash, drafts and checks.
  • Received mortgage and other loan payments, verifying payment dates and amounts due.
  • Verified amounts and integrity of every check or funds transfer.
  • Resolved problems or discrepancies concerning customers' accounts.
  • Fulfilled diverse duties to provide customer service, operate money counters, balance and replenish ATMs, maintain accounts and open new accounts.
  • Balanced daily cash deposits and vault inventory with zero error rate.
  • Counted currency, coins and checks received to prepare for deposit or shipment to branch banks or Federal Reserve Bank.
  • Processed term deposits, retirement savings plan contributions and mail deposits within processing time limits.
  • Performed special services for customers, ordering bank cards and checks.
  • Transmitted orders to supply cash to meet daily needs.

Office Manager/Owner Operator

Heavenly Scent Janitorial
01.2000 - 04.2020
  • Tracking payments
  • Manage all accounting transactions
  • Prepare budgets
  • Reconcile accounts payable and receivable
  • Ensure timely bank deposits/transactions
  • Compute taxes and prepare tax returns
  • Manage balance sheets/ profit and loss
  • Work with accounting software
  • Experience in general ledger functions
  • Process tax payments and returns

Daycare Director/Owner/Teacher

ABC Daycare
07.1996 - 04.2007
  • Ensured safety of children by enforcing strict health and safety guidelines in compliance with state regulations.
  • Managed administrative tasks such as record-keeping, billing, and reporting to ensure efficient operation of the daycare center.
  • Implemented ongoing professional development opportunities for staff members, improving overall quality of care provided at the facility.
  • Enhanced children''s emotional and social development by implementing age-appropriate programs and activities.
  • Coordinated special events such as holiday parties or field trips that enriched children''s experiences at the daycare center.
  • Brought center into full compliance with licensing and safety regulations for fire and disaster preparedness, Department of Public Health codes and USDA nutritional guidelines.
  • Maintained a clean, organized, and welcoming environment for children to feel comfortable exploring their surroundings.
  • Developed strong relationships with families, fostering a sense of community within the daycare center.
  • Engaged with parents and families to build positive relationships for children to thrive.
  • Operated under licensing guidelines to protect health, safety and well-being of children.
  • Monitored and observed child progress, interactions and behavior and reported findings to parents.
  • Monitored child progress through regular assessments, adjusting care plans accordingly to address individual strengths and areas for improvement.

Education

High School Diploma - undefined

Hosanna Christian School
Saint Joseph, MO

Skills

  • Application management Solo practitioner credentialing
  • Report Generation Regulatory Compliance
  • Application coordination Proofreading
  • Credential verification Insurance procedures
  • Employee Onboarding License verifications
  • Document Review HIPAA Compliance
  • Debits & Credits
  • Provider Relations Facility credentialing
  • Data Management
  • Data Acquisition Management collaboration
  • Accounts Payable
  • Willingness to learn
  • Teamwork
  • Child safety protocols
  • Parent communication

Certification

BLS

Timeline

Credentialing Specialist

Northwest Health Services
07.2023 - Current

Billing Specialist

Northwest Health Services
12.2021 - 07.2023

Customer Service Representative

City Of Saint Joseph
05.2021 - 10.2021

Bank Customer Service Representative

Postal and Community Credit Union
04.2019 - 05.2021

Office Manager/Owner Operator

Heavenly Scent Janitorial
01.2000 - 04.2020

Daycare Director/Owner/Teacher

ABC Daycare
07.1996 - 04.2007

High School Diploma - undefined

Hosanna Christian School

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