Melissa R. Ewart
Rocky Point,NY
Summary
Efficient Medical Billing and Claims Resolution Specialist with 13 years of experience. Productive and diligent with passion for resolving discrepancies through attention to detail and creative problem-solving. Passionate about perpetuating company values through impeccable work ethic and drive.
Overview
13
13
years of professional experience
Work History
Medical Billing & Claims Resolutions Specialist
Clinical Practice Management Plan
Setauket, NY
2010.10 - 2023.08
- Review, process, prepare and appeal payer rejections.
- Update and enter patient insurance and medical information into electronic medical records system.
- Prepare billing error corrections, refunds and itemized bills for patients and attorneys.
- Review monthly reports to identify coding trends and discrepancies.
- Interact with third party payers for verification of reimbursement benefits; claim status.
- Complete special department projects for physicians and or management.
- Skilled at working independently and collaboratively in a team environment.
Education
AAAHP Certificate - Medical Coding Specialist
Eastern Suffolk BOCES, Brookhaven Technical Center
Bellport, NY06.2009
High School Diploma -
Ward Melville High School
East Setauket, NY06.1989
Skills
- CMS Guidelines, policies, and procedures
- Health Insurance Industry Knowledge
- Work Organizing and Prioritizing
- Insurance Claims
- Electronic Claims Processing
- Knowledge of HIPAA Regulations
- Medical Terminology
- ICD-10 Coding Medical Billing and Coding
- Healthcare Terminology
Timeline
Medical Billing & Claims Resolutions Specialist
Clinical Practice Management Plan
2010.10 - 2023.08
AAAHP Certificate - Medical Coding Specialist
Eastern Suffolk BOCES, Brookhaven Technical Center
High School Diploma -
Ward Melville High School
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