Melissa Flores
Independence
Summary
Dynamic claims assistant at Saif Corporation with a proven track record in customer service and claims processing. Adept at managing multiple deadlines while maintaining accuracy and attention to detail. Recognized for exceptional communication skills and a strong ability to adapt in fast-paced environments, ensuring seamless operations and client satisfaction.
Overview
11
11
years of professional experience
Work History
claims assistant
Saif corporation
Salem, OR
04.2023 - Current
- Provide outstanding customer service while taking a high volume of incoming and outgoing calls and meeting the company standard for being in the call log
- Successfully manage following up on multiple claim documents with deadlines including attorney updates, records request, and many more other documents
- Knowledgeable on claim information and documents
- Audit claim files for closure
- Assist claim adjuster by completing out daily task, while paying close attention to detail for accuracy
- Follow company Protocols
- Serve as a Pathfinder to new hires, providing guidance support, and resources
- Assistant work projects as needed to help identify opportunities for change, for example, phone systems, and IME documents.
Intake Specialist
Salem Radiology Consultants
Salem, OR
07.2017 - 04.2023
- Greet Patients, answer the phone in professional manner
- Collect copies of insurance cards, and obtain current demographics
- Follow HIPAA, compliance, privacy, and confidential standards
- Interacts with internal departments, and outside healthcare providers, and insurance companies
- Inputs new referral orders in the system
- Collects co pays and balances, and schedules appointments, and confirms authorization verification prior to exams
- Scheduled x-rays and CT’s
Office Manager
Amazing Treatment
Salem, OR
03.2015 - 07.2017
- Provide information about services
- Trained new hires
- Assisted clients with all questions regarding treatment, and billing question
- Maintain records to ensure compliance, file all documents
- Schedule patient appointments
- Manage large number of group meetings
Education
High School Diploma -
Dallas High School
Dallas, OR06.2012
Skills
- Customer Service Oriented
- Computer knowledge
- Organized
- Proper Telephone Etiquette
- Training and Mentoring
- Listening and communication skills
- Public speaking skills
- Critical thinker
- Managing records
- Claims processing
- Works well under pressure
- Flexible and adaptable
- Medical terminology knowledge
Timeline
claims assistant
Saif corporation
04.2023 - Current
Intake Specialist
Salem Radiology Consultants
07.2017 - 04.2023
Office Manager
Amazing Treatment
03.2015 - 07.2017
High School Diploma -
Dallas High School