Open To Work
Melissa Jenkins
Midwest Vision Partners
Jackson,MI
Work Preference
Job Search Status:
Open to work
Work Type
Full Time
Location Preference
RemoteOn-SiteHybrid
Open to relocation:
No
Minimum Desired Compensation
$60000/hr
Important To Me
Work-life balanceCompany CultureFlexible work hoursPersonal development programsHealthcare benefitsWork from home optionPaid time offCareer advancement
1
Language
29
years of professional experience
Detail-oriented claims processing professional with extensive experience handling surgery and Lasik claims. Skilled in claims processing software, verbal communication, and payer guidelines. Known for verifying eligibility, correcting rejected submissions, and supporting compliance through accurate documentation and confidential recordkeeping.
Work History
Claims Processing Specialist
28 Years 8 Months- Processed surgery and lasik claims with accuracy, verifying eligibility, benefits, and authorization details.
- Collaborated with billing and provider teams to clarify coverage and claim issues.
- Maintained organized records in claims systems, ensuring compliance with documentation standards.
- Processed vision claims with accuracy, verifying eligibility, benefits, and authorization details.
- Tracked claim status, following up on pending items and correcting rejected submissions.
- Interpreted payer requirements, applying policy guidelines to complex claim files.
- Analyzed historical data from past cases when evaluating new incoming claims this helps improve accuracy during decision-making processes.
Check in and Out Receptionist
5 Years 3 Months- Managed front-desk reception, greeting visitors and directing patient inquiries with professionalism and discretion.
- Answered multi-line phones, routed calls accurately, and relayed messages promptly to appropriate departments.
- Scheduled appointments, confirmed bookings, and coordinated daily calendars to support smooth office flow.
- Maintained patient records, contact details, and visit logs with accuracy and confidentiality.
- Supported billing and payment processing, ensuring complete documentation and accurate transaction records.
- Coordinated with clinical and administrative staff to resolve scheduling conflicts and service requests.
- Trained front-desk personnel on reception procedures, communication standards, and office systems.
- Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
Education
High School Diploma
Skills
Claims adjudication
Claims management
Claims review
Claims software
Insurance regulations
Medical terminology
Data entry
Transaction reconciliation
Confidentiality
Verbal communication
Office Occupations Jackson Area Career Center Completion
I attended JACC from 1994 to 1996 focusing on office regulations and policies learned to handle collection and patient calls regarding billing and account discrepencines payment posting for account payments reviewing accounts that were denied thru insurance processing and correcting and rebilling claims for payment
Languages
English
Full Professional
Timeline
Check in and Out Receptionist
Medplus
03.1999 - 06.2004Read More
Claims Processing Specialist
Midwest Vision Partners
01.1998 - 09.2026Read More
Western High School
High School Diploma
Read More