Melissa Haynes
Hurricane,WV
Summary
Competent Medical Billing Clerk with 29 years of experience in handling wide variety of medical coding and billing tasks. Sophisticated and hardworking individual with excellent analytical and multitasking abilities. Coordinates with insurance companies and expedites claims processes. Expertise in accurately inputting procedure and diagnosis codes into billing software to generate invoices. Familiar with preparing and distributing customer statements, maintaining thorough and compliant records and resolving customer issues. Positive and upbeat when answering questions and offering information. First-rate oral and written, multitasking and decision-making abilities.
Overview
29
29
years of professional experience
Work History
Medical Billing Clerk
R. Edward Hamrick, Jr., M.D.
Charleston, WV
05.1993 - Current
- Updated patient financial information to guarantee accuracy.
- Reviewed patient records, identified medical codes and created invoices for billing purposes.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Collected payments and applied to patient accounts.
- Filed and updated patient information and medical records.
- Posted payments and collections on regular basis.
- Delivered timely and accurate charge submissions.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Adhered to established standards to safeguard patients' health information.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Trained new employees on multiple medical billing programs and data entry software.
- Prepared accounts with past due balances and transferred those cases to collection agency.
- Liaised between patients, insurance companies and billing office.
- Orchestrated medical coding, payment posting, accounts receivables and collections.
- Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
- Gathered information from multiple sources to simplify billing and organize accounts.
- Translated and interpreted medical billing codes with strong accuracy to enable swift payment from insurance agencies.
- Managed billing calendar and scheduled claims for payments.
- Set up and maintained new electronic billing system.
- Posted surgical charges for practice providers.
Education
DIPLOMA - MEDICAL ASSISTING
WV JUNIOR COLLEGE
CHARLESTON, WV09.2001
Skills
- Error Revision
- Insurance Claim Requirements
- Chart Auditing
- Sales Tickets
- Financial Documentation
- Equipment Monitoring and Troubleshooting
- Professional Development
- Clerical Support
- Billing Data Verification
- Invoice Documentation Management
- Reviewing Patient Information
- Fee and Charge Computation
- Information Confidentiality
- Statement Distribution
- Charge Slips
- Claim Processing
- Discrepancy Resolution
- Adding, Calculating and Billing Machines
- Account Posting
- Multitasking and Organization
- Itemized Statement Preparation
- Commercial and Private Insurance
- Client Inquiries
- Account Reconciliation
- Customer Contact
- Medical Terminology
- Time Management
- Billing and Collections Procedures
- Verbal and Written Communication
- Work Prioritization
- Statement Billings
- Accounts Payable and Accounts Receivable
- Diagnostic Codes
- Obtaining Authorizations
- Speaking Clearly
- Office Supplies and Inventory
- Information Updates
- Physician Interaction
- Word Processing
- Medicare and Medicaid Knowledge
- CMS-1500 Billing Forms
- Correspondence Writing
- Electronic Claims
- Past Due Balance Management
- System Updates
- Patient Collections
- Benefits Verifications
- Payer Contracts
- Inquiry Handling
- 10-Key Data Entry
- ICD-10
- ICD-9
Timeline
Medical Billing Clerk
R. Edward Hamrick, Jr., M.D.
05.1993 - Current
DIPLOMA - MEDICAL ASSISTING
WV JUNIOR COLLEGE
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