Melissa Guyllette

Belle Chasse,LA

Summary

Experienced Billing and Collections Specialist with 5+ years in healthcare finance. Proficient in Epic, insurance verification, and payment reconciliation. Recognized for streamlining revenue cycles, reducing claim denials, and maintaining HIPAA compliance

Overview

years of professional experience

Work History

Payment Specialist

LCMC

05.2024 - Current

Generates routine reports summarizing the current status of accounts receivable and collections activity.
Maintains up-to-date knowledge of all applicable federal, state, and local laws related to healthcare billing practices.
Conducted bi-monthly audits, identifying 20+ payment discrepancies monthly and correcting them within 48 hours.
Utilizes knowledge of insurance plans and medical billing codes to accurately and efficiently post payments.
Efficiently posted payments and adjustments to patient accounts, ensuring accuracy, seamless workflow, and data integrity.
Identifies trends and provides feedback regarding billing issues and uncollectible accounts.
Communicated effectively and professionally with providers regarding billing matters via phone or email.

Billing and Collections Specialist

LHC Group

09.2020 - 04.2024

Communicated with insurance providers to resolve denied claims and resubmitted.
Posted and adjusted payments from insurance companies.
Communicated effectively and extensively with other departments to resolve claims issues.
Located errors and promptly refiled rejected claims.
Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services.
Increased monthly revenue recovery by 15% through proactive follow up on unpaid claims.

Customer Service Representative

Dexcom

07.2019 - 09.2020

Managed challenging situations effectively, maintaining professionalism under pressure while resolving disputes and conflicts.
Resolved customer complaints with empathy, resulting in increased customer retention.
Demonstrated excellent communication skills, both verbal and written, in order to effectively interact with clients.
Maintained knowledge of company products to provide helpful suggestions and recommendations to clients.
Utilized problem-solving techniques and critical thinking skills to identify solutions for complex customer inquiries.
Monitored and exceeded daily performance metrics such as call volume, wait times, resolution times, etc.
Navigated multiple computer systems and applications while utilizing search tools to locate information.

Education

High School Diploma -

Jefferson Chamber Foundation Academy

Harvey, LA

01.2011

Skills

Technical & Software: Epic, Microsoft Suite, Typing 55 WPM

Customer Service: Conflict Resolution, Retention, Call Management

Healthcare & Billing: Insurance Verification, HIPAA, Payment Posting, Claims Management

Timeline