Melissa Jesberger
Dagus Mines,PA
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
31
31
years of professional experience
Work History
Billing Coordinator
Hope Pediatrics
2015.01 - Current
- Streamlined medical billing procedures for increased efficiency, resulting in faster reimbursement rates for the healthcare facility.
- Increased revenue collection by diligently following up on outstanding payments and negotiating payment plans with patients when necessary.
- Developed a comprehensive understanding of medical terminology and coding systems.
- Collaborated with insurance providers to expedite claims processing and secure timely payments for services rendered.
- Maintained detailed knowledge of various payer requirements, facilitating smoother interactions between healthcare providers and insurance companies during claims processing efforts.
- Ensured compliance with regulations by staying current on changes in medical coding guidelines.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Verified insurance of patients to determine eligibility.
- Posted payments and collections on a regular basis.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Monitored outstanding invoices and performed collections duties.
- Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.
- Sending the claims to the clearinghouse and daysheet at the end of the day.
- Take care of the insurance credentialing, contracts.
- Maintain the physician's CAQH.
- Payroll and Finances.
- Transcription
Medical Biller and Coder
Hearing On Main
2018.08 - Current
- Code and bill medical claims for the clinic.
- Posting payments to the patient charts.
- Follow-up on denials, rejections.
Medical Biller and Coder
Penn Highlands Healthcare
2008.01 - 2014.10
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Reduced claim denials through meticulous verification of patient eligibility and coverage benefits prior to claim submission.
- Worked closely with physicians to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates from insurance companies.
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Contributed to team efficiency by maintaining organized records of patient accounts, billing statements, and payment statuses.
- Increased accuracy in medical claims submissions by conducting thorough reviews of patient records and insurance information.
- Communicated with insurance companies to research and resolved coding discrepancies.
- Utilized electronic medical record systems to store, retrieve and process patient data.
- Scanned and uploaded medical records into electronic medical records system.
- Transcribed and entered patient medical information into electronic medical records systems.
Medical Assistant
Dr. Udarbe
1993.05 - 2008.08
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Updated patient information and insurance details for accurate electronic medical records.
- Provided prompt, polite and professional in-person and telephone customer service.
- Gathered forms and copied insurance cards to collect patient information for billing and insurance filing.
- Reconciled daily payments received and prepared deposits for smooth office finances.
- Supported efficient claim processing by accurately coding services for billing.
Education
Associate of Business Administration - Medical Secretarial
DuBois Business College
Dubois, PA03.1993
Skills
- ICD-10 Proficiency
- CMS-1500 Form Completion
- CPT knowlege
- Patient account management
- Medicare and Medicaid Billing
- Claim submission
- Diagnostic Coding
- Appeals processing
- Procedural Coding
- Commercial Insurance Billing
- Workers' Compensation Billing
- Denial Management
- Medical Terminology
- Medical Billing
- Insurance claims analysis
- Coding Error Resolution
- Past Due Account Management
- Medical Transcription
Timeline
Medical Biller and Coder
Hearing On Main
2018.08 - Current
Billing Coordinator
Hope Pediatrics
2015.01 - Current
Medical Biller and Coder
Penn Highlands Healthcare
2008.01 - 2014.10
Medical Assistant
Dr. Udarbe
1993.05 - 2008.08
Associate of Business Administration - Medical Secretarial
DuBois Business College
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