Melissa Harris
XBP Global
Lancaster,KY
13
years of professional experience
Detail-oriented professional with extensive experience in claims processing and document management. Proven ability to maintain compliance and drive operational efficiency, ensuring high-quality service delivery. Skilled in policy enforcement and relationship building, dedicated to streamlining operations and enhancing workflow efficiency for improved organizational performance.
Work History
General Clerk
4 Years- Follow security and privacy policies, protecting informational assets of the (VA) company, while processing documents timely and accurately according to job specifications and priority, ensuring workflow efficiency
- Compile, consistently and maintain to verify accuracy of documents and concerns promptly with maximal workflow of production, with high quality standards to improve adaptability and performance completed for audit readiness
- Perform assigned responsibilities, duties, and all tasks with established time frames while demonstrating attention to detail of data integrity and process of documents as scanned batches captured concisely for processing
Office Manager
2 Years 4 Months- Managed day-to-day branch operations and assisted with hiring processes for Toyota-Georgetown, Ky & Conduent-Lexington, Ky.
- Collaborated with employees to set performance goals, expectations, and development plans, driving accountability for agreed-upon commitments, increasing reliability and productivity within work skills and employer needs
- Executed workflow strategy by sourcing and developing solutions to fulfilling client growth by organizing operations and procedures, for safety, and associate needs based on client relationships
- Prepared and processed weekly payroll for timely compensation without delay to secure efficiency and compliance with company policies as well as individual recompense
- Evaluated and identified ineffective workflow processes, implementing solutions to improve productivity and personnel performance
Claims/Support Representative Specialist
3 Years 9 Months- Marketed Medicare and Marketplace Medical Plans Insurance policies through one-on-one phone interactions, enrolling consumers and families into health programs per Affordable Care Act regulations by verifying government compliance and ensuring accurate coverage.
- Accessed and reviewed billing information processed by Medicare A & B claims statements for self-pay, Medicare, or secondary payers with third party ensuring proper reimbursement with complaints through administrative contractors
- Enrolled consumers with collection of HIPAA information of assured validity entered with plan enrollments or charges related to claims billing, corrections, adjustments, resubmissions, and appeals of coverage upon admission or remittance of ongoing advice of verification eligibility and coverage basis based on discrepancies
- Managed Accounts Receivable aging reconciling balances and analyzing accounts, performing daily accountability transactions in compliance with Medicare regulations and guidelines
Education
High School Diploma
Skills
Claims processing
Document management
Spreadsheet management
Document scanning
Microsoft Office Suite
Office technology
Operations support
Confidentiality handling
Policy enforcement
Telephone communication
Team collaboration
Relationship building
Financial transactions
Timeline
General Clerk
XBP Global
08.2022 - CurrentRead More
Office Manager
MBC Staffing
09.2018 - 01.2021Read More
Claims/Support Representative Specialist
General Dynamics
08.2013 - 05.2017Read More
Knox Central High School
High School Diploma
Read More