Melissa Grass
Medina,OH
Summary
Dedicated administrative professional with successful experience in fast-paced office settings. Hardworking team player with expertise in completing various clerical tasks and offering staff support. Responsible, punctual and productive professional when working with little to no supervision.
Overview
12
12
years of professional experience
Work History
Hospital Office Associate
Summa Health
02.2024 - Current
- Responded to inquiries from callers seeking information.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Maintained strict confidentiality of patient information, adhering to HIPAA regulations and medical office policies.
- Provided compassionate customer service, creating a welcoming atmosphere for patients and their families.
- Maintained current and accurate medical records for patients.
- Transcribed phone messages and relayed to appropriate personnel.
Dental Receptionist
Dr. Dennis Gaishauser
04.2023 - Current
- Scheduled, rescheduled, and canceled appointments for dental patients 20-30 customer calls per day.
- Provided excellent customer service to create positive experiences and build patient trust.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Prepared insurance claim forms, explained benefits, and outlined pricing details for procedures and services.
- Processed medical insurance claims and payments.
- Organized and maintained patient chart filing system to promote quick data finding for staff.
Prior Authorization Specialist
Crystal Arthritis Center
03.2022 - 04.2023
- Reached out to insurance carriers to obtain prior authorization for Jcodes.
- Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
- Tracked referral submission during the facilitation of prior authorization issuance.
- Reviewed applications for different aid programs and determined which qualification criteria for individuals.
- Reviewed insurance coverage for patients to determine which party was liable for payment.
- Verified eligibility and compliance with authorization requirements for service providers.
- Input all patient data regarding claims and prior authorizations into the system accurately
Medical Receptionist
Cleveland Clinic
11.2020 - 03.2022
- Answers phones in a prompt and courteous manner. Prioritizes and processes calls as appropriate. Assists callers or takes accurate phone messages.
- Greets patients, and update all information including verifying insurance information.
- Helps maintain patient flow by tracking patient processes. Notifies appropriate parties if patients have been waiting past the established time frames.
- Schedules patient appointments and tests (e.g. Lab, radiology, special procedures, specialist appointments).
- Checks routing slip for completeness at patient departure. Summarizes charges and collects payments, including insurance co-payments.
- Orients incoming residents of front desk policies and procedures.
- Fills out referral requests, lab requisitions, and all appropriate
- Adhered to strict HIPAA guidelines to protect patient privacy.
Medical Insurance Specialist
Advanced Spine Joint And Wellness Center
05.2019 - 03.2020
- Called Insurance companies to verify insurance covered.
- Maintained updated deductible knowledge through thestart of care and end of care.
- Performed Pre-authorization for durable medical equipment and physical therapy and chiropractic visits.
- Responded to correspondence from insurance companies.
House Cleaner
Merry Maids
11.2018 - 04.2019
- Created spotless surfaces by dusting, sweeping, vacuuming and mopping.
- Disinfected and mopped bathrooms to keep facilities sanitary and clean.
- Mopped hardwood, laminate, ceramic, vinyl, glass and wood surfaces.
- Hand-dusted and wiped down office furniture, fixtures, and window sills to keep areas clean and comfortable.
- Adhered to professional house cleaning checklist.
Call Center Agent
Synchrony Financial
06.2017 - 10.2018
- Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
- Adhered to company policies and scripts to consistently achieve call-time and quality standards.
- Responded to customer calls and emails to answer questions about products and services.
- Analyzed and escalated complaints, issues and grievances to designated departments for investigation and response.
- Maintained and managed customer files and databases.
Quality Assurance Technician
Kraft Heinz
11.2015 - 03.2017
- Evaluated samples against standards by completing measurements, visual inspections and other established tests.
- Performed thorough inspections of incoming materials and outgoing products.
- Helped uncover and fix production problems in order to reduce overall defect rates.
- Educated employees on specific QA standards and confirmed maintenance of standards.
Quality Technician
Shearers Snacks LLC
03.2015 - 10.2015
- Sampled materials and products to conduct in-depth measurements and tests.
- Made recommendations on ways to improve testing procedures, production processes and training.
- Evaluated results against design standards and compliance requirements.
- Helped uncover and fix production problems in order to reduce overall defect rates.
Packer and Floater
Shearers Snacks LLC
03.2013 - 02.2015
- Completed daily orders with expert picking and packing of shipments.
- Protected materials for transport by correctly packaging products in boxes and crates.
- Complied with safety, health and environmental regulations as prescribed by law.
- Performed required housekeeping to keep work areas clean such as sweeping floors, putting trash in trash containers and picking up product from floor.
- Operated pallet jacks and material moving equipment to receive and transport items from various warehouse locations.
Education
High School Diploma -
Fairless High School
Navarre, OH05.2009
High School Diploma - Business Administration
R.G Drage Career Technical Center
Massillon, OH05.2009
Skills
- Medical Terminology
- Referral Tracking
- Benefit Coverage
- Data Entry
- Insurance Procedures
- Diagnostic Codes
- Explaining Patient Benefits
- Benefits Verifications
- Specialist Procedures
- Authorizations
- Treatment Documentation
- Billing Department Support
Timeline
Hospital Office Associate
Summa Health
02.2024 - Current
Dental Receptionist
Dr. Dennis Gaishauser
04.2023 - Current
Prior Authorization Specialist
Crystal Arthritis Center
03.2022 - 04.2023
Medical Receptionist
Cleveland Clinic
11.2020 - 03.2022
Medical Insurance Specialist
Advanced Spine Joint And Wellness Center
05.2019 - 03.2020
House Cleaner
Merry Maids
11.2018 - 04.2019
Call Center Agent
Synchrony Financial
06.2017 - 10.2018
Quality Assurance Technician
Kraft Heinz
11.2015 - 03.2017
Quality Technician
Shearers Snacks LLC
03.2015 - 10.2015
Packer and Floater
Shearers Snacks LLC
03.2013 - 02.2015
High School Diploma -
Fairless High School
High School Diploma - Business Administration
R.G Drage Career Technical Center
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