Summary
Overview
Work History
Education
Skills
Timeline
SalesAssociate
Melissa Godwin

Melissa Godwin

Clinton,NC

Summary

Results-driven Billing Specialist with strong attention to detail and desire to help transform business operations. Dedicated to quickly increasing profitability and reducing expenditures through general ledger entries and account reconciliations. Expert in processing payments to minimize outstanding debt, excess fees and interest. Knowledgeable in verifying information within accounting ledger against vendor information to maintain payment accuracy.

Overview

25
25
years of professional experience

Work History

Medical Billing Specialist

WellCare Health & Hospice
Wilmington, NC
09.2021 - Current
  • Located errors and promptly refiled rejected claims.
  • Identified and resolved patient billing and payment issues.
  • Communicated effectively and extensively with other departments to resolve claims issues.
  • Precisely completed appropriate claims paperwork, documentation and system entry.
  • Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
  • Printed and reviewed monthly patient aging report and solicited overdue payments.
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Collected payments and applied to patient accounts.
  • Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
  • Managed billing calendar and scheduled claims for payments.

Medical Biller

Sampson Home Health
Clinton, NC
07.2006 - 09.2021
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Posted payments and collections on regular basis.
  • Filed and updated patient information and medical records.
  • Collected payments and applied to patient accounts.
  • Reviewed patient records, identified medical codes and created invoices for billing purposes.
  • Prepared billing statements for patients and verified correct diagnostic coding.
  • Adhered to established standards to safeguard patients' health information.
  • Delivered timely and accurate charge submissions.
  • Reviewed patient diagnosis codes to verify accuracy and completeness.
  • Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
  • Trained new employees on multiple medical billing programs and data entry software.
  • Prepared accounts with past due balances and transferred those cases to collection agency.
  • Liaised between patients, insurance companies and billing office.
  • Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
  • Gathered information from multiple sources to simplify billing and organize accounts.
  • Orchestrated medical coding, payment posting, accounts receivables and collections.
  • Translated and interpreted medical billing codes with strong accuracy to enable swift payment from insurance agencies.
  • Set up and maintained new electronic billing system.
  • Managed billing calendar and scheduled claims for payments.

Telecommunications Operator

Sampson Regional Medical Center
Clinton, NC
05.1998 - 09.2000
  • Directed incoming calls to internal personnel and departments, routing to best-qualified department.
  • Performed clerical work such as sorting mail, restocking supplies and typing documents.
  • Connected callers with appropriate professional, department or business.
  • Maintained up-to-date knowledge of emergency call procedures.
  • Supported customers by managing numerous calls per day efficiently while maintaining professionalism and upbeat tone.
  • Received incoming calls and paged individuals and departments over PA system.
  • Attended safety training meetings to learn procedures for handling medical and fire emergency calls.
  • Managed telephone switchboard of 600+ personnel and routed internal and external calls to provide quick connection.
  • Operated digital paging system to notify recipients of incoming calls.
  • Managed 24-line switchboard system for busy hospital.
  • Searched relevant directories to find contacts, business addresses, and various information for customers and employees.
  • Installed and configured new devices and system components.

Receptionist / Accounts Payable

Prothro Chevrolet
Manning , SC
08.2000 - 08.2006
  • Matched purchase orders with invoices and recorded necessary information.
  • Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.
  • Exhibited high energy and professionalism when dealing with clients and staff.
  • Maintained up-to-date knowledge of product and service changes.
  • Answered many calls, emails and faxes per day, addressing customer inquiries, solving problems and providing product information.

Education

Nursing Assistant II

Sampson Community College
Clinton, NC

Medical Insurance Billing & Coding

Central Carolina Technical College
Sumter, SC

Clinton High School
Clinton, NC
06.1997

Skills

  • Teamwork and Collaboration
  • Verbal and Written Communication
  • Time Management
  • Multitasking and Organization

Timeline

Medical Billing Specialist

WellCare Health & Hospice
09.2021 - Current

Medical Biller

Sampson Home Health
07.2006 - 09.2021

Receptionist / Accounts Payable

Prothro Chevrolet
08.2000 - 08.2006

Telecommunications Operator

Sampson Regional Medical Center
05.1998 - 09.2000

Nursing Assistant II

Sampson Community College

Medical Insurance Billing & Coding

Central Carolina Technical College

Clinton High School

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Melissa Godwin