Melissa Harrold, CCS-P
Greater Orlando Area ,FL
Summary
Experienced Revenue Cycle Manager with a decade of expertise in medical billing administration and revenue optimization. Possess in-depth knowledge as a Revenue Specialist, adept at maximizing revenue streams while ensuring compliance with industry regulations. CCS-P certified professional committed to delivering exceptional results in revenue cycle management.
Overview
15
15
years of professional experience
1
1
Certification
Work History
CONSULTANT
MHCONSULT
10.2021 - Current
- Developed and implemented customized strategies to meet client needs
- Assisted in developing new methods for data collection and analysis techniques
- Created comprehensive reports on project progress and results for clients
- Provided advice on operational processes, business development initiatives, organizational changes and other areas of improvement.
Practice Manager
Port Orange Gynecology
02.2014 - 09.2021
- Manage and oversee the business affairs of healthcare practices
- Developed and implemented new patient registration processes to streamline workflow
- Maintained financial records, including billing and accounts receivable and payable
- Coordinated staff recruitment, training, and scheduling activities
- Assessed medical office operations, identified areas of improvement, and developed plans for corrective action
- Monitored compliance with HIPAA regulations concerning patient privacy rights
- Created reports that tracked key performance indicators such as revenue growth and efficiency metrics
- Oversaw all aspects of day-to-day practice operations including front desk reception, appointment scheduling, billing and coding, insurance verification.
Revenue Cycle Manager
Shores Medical Center
10.2012 - 02.2014
- Implementing a system to ensure that accurate billing information is entered into the billing system
- Supervising the revenue cycle department in various duties, such as account management, communications with insurance providers, collections, cash posting, contract analysis, and billing
- Managing staff performance by providing regular feedback, performance reviews, and one-on-one meetings
- Reviewing financial hardship applications
- Overseeing the hiring and training of staff
- Efficiently managing patient complaints in respect of billing and collections
- Planning and structuring the department workflow and staffing
- Correctly coding diagnoses and procedures.
Billing/Coding Specialist
New Smyrna Beach Urgent Care
02.2012 - 10.2012
- Reviewed patient records to verify accuracy of billing information and coding
- Prepared accurate claims for submission to insurance companies, including Medicare and Medicaid
- Processed payments from insurance companies, patients, and other third-party payers in a timely manner
- Resolved discrepancies between billed amounts and payment received from insurance companies or patients
- Verified medical codes with physicians and other healthcare providers to ensure accuracy of billing information
- Assisted with research on denied claims, identifying corrective action needed for resubmission
- Maintained current knowledge of applicable rules, regulations, laws, standards, and guidelines related to healthcare billing and coding procedures
- Provided customer service support to patients regarding billing inquiries or issues.
Office Assistant/Billing Specialist
Florida Memorial Medical Center
12.2009 - 02.2012
- Generated and submitted invoices based upon financial schedule
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances
- Oversaw financial operations, producing invoices, processing payments and preparing deposits
- Performed monthly inventory and maintained office and medical supply counts which reduced re-ordering costs
- Created and maintained computerized record management systems to record and process data and generate reports
- Trained new staff on quality control procedures by following a step-by-step process.
Education
Bachelor of Science Health Service Administration -
University of Central Florida
Orlando, FLBachelor of Science Health Information and Informatics Management -
University of Central Florida
Orlando, FLSkills
- Revenue Cycle Management
- Code validation specialist ICD-10-CM
- Denial specialist
- Insurance expert (federal, state, and commercial)
- HIPAA Compliance
- Claims review
- Financial Counseling
- Business Development
- Statistical Analysis
- Medical Billing
- Analytical Problem Solving
- Healthcare Administration Specialist
Certification
Certified Coding Specialist-Physician, AHIMA, 2023
Timeline
CONSULTANT
MHCONSULT
10.2021 - Current
Practice Manager
Port Orange Gynecology
02.2014 - 09.2021
Revenue Cycle Manager
Shores Medical Center
10.2012 - 02.2014
Billing/Coding Specialist
New Smyrna Beach Urgent Care
02.2012 - 10.2012
Office Assistant/Billing Specialist
Florida Memorial Medical Center
12.2009 - 02.2012
Bachelor of Science Health Service Administration -
University of Central Florida
Bachelor of Science Health Information and Informatics Management -
University of Central Florida
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