Summary
Overview
Work History
Education
Skills
Timeline
Generic

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
01.2015 - 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
08.2018 - 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
01.2008 - 10.2014
  • 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
05.1993 - 08.2008
  • 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, PA
03.1993

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
08.2018 - Current

Billing Coordinator

Hope Pediatrics
01.2015 - Current

Medical Biller and Coder

Penn Highlands Healthcare
01.2008 - 10.2014

Medical Assistant

Dr. Udarbe
05.1993 - 08.2008

Associate of Business Administration - Medical Secretarial

DuBois Business College

Similar Profiles

CREATE PROFILE
Melissa Jesberger