Melissa Haase
Midlothian,TX
Summary
I have expertise in providing exceptional customer service and ensuring a positive patient experience in healthcare settings. I possess extensive knowledge of medical terminology, insurance processes, ICD-9 and CPT codes, insurance verification, and patient demographics. My track record demonstrates that I efficiently and accurately complete paperwork. I have strong time management, organizational and multitasking abilities. I am a dedicated healthcare professional with over 20 years of experience, exceptional communication skills, and the ability to build strong relationships with clinical teams and patients.
Overview
31
31
years of professional experience
1
1
Certification
Work History
Medical Referral Coordinator
Franciscan Digestive Care Associates
09.2012 - Current
- Called insurance companies to get precertification and other benefits information on behalf of patients.
- Completed up to 40 referral requests each day for medical provider of Gastroenterology services.
- Weighed patient need, provider availability and insurance coverage to determine optimal scheduling.
- Trained staff on referral and intake process.
- Organized clinical documentation, treatment plans, and referrals.
- Handled calls to address customer inquiries and concerns.
- Work situations require an ability to interpret medical guidelines, benefits, policies and procedures, in support of their objective to expedite the referral process
- Experience with CPT and ICD-9 coding
- Microsoft Office applications and computer literacy.
- Epic, Medical Manager, Allscripts
- Respond to patient questions regarding routine billing and insurance matters
- Experience with One Healthport, Health Help, Availity, Aim, and many more.
- Check eligibility and benefits verification for treatments and procedures.
- Trained 3 staff on referral and intake process.
Patient Account Representative
Tacoma Digestive Disease Center
09.1997 - 08.2012
- Electronically submitted bills according to compliance guidelines.
- Posted payments and processed refunds.
- ICD-10 & CPT coding, charge and payment posting, insurance reimbursement, and collections
- Exceptional customer service
- Check eligibility and benefits verification for treatments and procedures.
- Preparing, reviewing and sending both electronic and paper claims.
- Checking each insurance payment for accuracy and compliance with contract discount.
- Followed up on unpaid claims within standard billing cycle time frame.
- Reviewed accounts to ensure accuracy of insurance information/account set up.
- Researched and appealed denied claims.
- Set up patient payment plans.
- Other duties as assigned.
- Allscripts, Medical Manager
Medical Biller
Auburn Regional Medical Center
06.1993 - 09.1997
- Orchestrated day-to-day operations of billing department, including medical coding, payment posting, accounts receivables and collections.
- Entered CPT codes and patient information into billing software
- Reviewed and validated accuracy of charges including date of service, location and provider signature.
- Completed and submitted cms-1500 Forms.
- Connected with insurance companies to work denied claims
- Refunds
- Charge posting
- Appeals
- Worked aging accounts
- Collections
- Answered phones and assisted patients with billing questions regarding their statements.
Education
No Degree - Associates Degree
Pierce College
Puyallup, WAHigh School Diploma -
Cheney High School
Cheney, WASkills
- Medical Terminology
- Medical Coding
- Insurance Knowledge
- Insurance coding (ICD-9 and CPT)
- Pre-authorizations
- Insurance Verification
- Goal Setting
- Medical Billing
- Multi-Line Phone Proficiency
- Attention to Detail
- Strong Communications
- Planning
- Troubleshooting
- Accurate Documentation
- Problem Solving
- Schedule follow up appointments
Certification
- Certified Professional Association Of Healthcare Coding Specialists
- Certified Gastroenterology Coding Specialist, CGCS
Timeline
Medical Referral Coordinator
Franciscan Digestive Care Associates
09.2012 - Current
Patient Account Representative
Tacoma Digestive Disease Center
09.1997 - 08.2012
Medical Biller
Auburn Regional Medical Center
06.1993 - 09.1997
No Degree - Associates Degree
Pierce College
High School Diploma -
Cheney High School
- Certified Professional Association Of Healthcare Coding Specialists
- Certified Gastroenterology Coding Specialist, CGCS
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