MELISSA J. HOEKSEMA
Kalamazoo
Summary
STRONG INTERPERSONAL AND COMMUNICATION SKILLS WITH THE ABILITY TO WORK EFFECTIVELY WITH A WIDE RANGE OF PEOPLE, TEAMS, MANAGERS, SUPERVISORS AND PATIENTS ENCOURAGES TEAMWORK BY ENERGETICALLY MOTIVATING TEAMS AND INDIVIDUALS EXCELLENT KNOWLEDGE OF HEALTHCARE BILLING PROCEDURES, DOCUMENTATION AND STANDARD HCPCS, ICD-9 AND ICD-10 CODING ABILITY TO EVALUATE AND MAKE SOUND JUDGEMENTS; STRONG ORGANIZATION AND PROBLEM SOLVING SKILLS WORKING KNOWLEDGE OF CASH MANAGEMENT PRINCIPALS AND PROCEDURES WORKING KNOWLEDGE OF APPROPRIATE BILLING AND PAYMENT CYCLES FOR MEDICAL ACCOUNTS WORKS CLOSELY AND KNOWLEDGEABLE ABOUT OPERATIONAL CHARACTERISTICS AND PROCEDURAL REQUIREMENTS OF THIRD PARTY MEDICAL INSURANCE PAYERS PROFICIENT WITH MEDICAL BILLING SOFTWARE APPLICATIONS ENSURES PROCEDURAL REQUIREMENTS ARE FOLLOWED AND ETHICAL STANDARDS FOR FOLLOW-UP OF OVERDUE ACCOUNTS ARE MAINTAINED MANAGES CREDIT AND COLLECTIONS PRINCIPLES, PROCESSES, REGULATIONS AND STANDARDS
Overview
20
20
years of professional experience
Work History
Claims Supervisor
Beacon Kalamazoo Cancer Center
02.2021 - Current
- Supervisor of the billing/claims department.
- Supervisor of the coding and chemo authorization department
- Responsible for all chemo claims.
Referral/Billing Specialist
West Michigan Cancer Center
12.2010 - 02.2021
- Authorizations for all high-tech radiology services
- Benefit checks for radiation services
- Posting of all Medicare advantage plans
- Patient payments and calls
- Medicare billing
Office Billing Manager
Oncology and Hematology, PC (Office closed)
09.2006 - 12.2010
- Manage the submission and reimbursement of claims billed under Oncology and Hematology PC’s provider numbers totaling $3.5 million annually
- Develop and implement mechanisms and controls to ensure appropriate billing and payment cycles
- Assuring accurate and timely billing in accordance with established internal third party payer requirements- Following up on third party approvals and collections of overdue accounts.
- Monitor charge posting, billing and collection operations for compliance with established policies, regulations, procedures and standards.
Office Billing Manager
Kalamazoo Hematology & Oncology
05.2006 - 09.2010
- Compiled and tracked outstanding balances owed
- Maintained payment records for all patients
- Made payment arrangements and collected on past due accounts
- Operated as the liaison between collection agencies, medical facilities and patients
- Initiated claims for unpaid bills against the estates of deceased debtors
- Maintained compliance within the billing department with local, state and federal regulations
- Maintained all patient information
- Receptionist duties as needed including answering phones and greeting patients.
Education
High School Diploma - undefined
Parchment High School
01.1991
Skills
- KNOWLEDGE OF PAYOR WEBSITES (CHAMPS, WEB DENIS, CSNAP, MEDICARE, ETC)
- CUSTOMER SERVICE
- ASSURING CLAIMS ARE PAID IN A TIMELY MANNER
Timeline
Claims Supervisor
Beacon Kalamazoo Cancer Center
02.2021 - Current
Referral/Billing Specialist
West Michigan Cancer Center
12.2010 - 02.2021
Office Billing Manager
Oncology and Hematology, PC (Office closed)
09.2006 - 12.2010
Office Billing Manager
Kalamazoo Hematology & Oncology
05.2006 - 09.2010
High School Diploma - undefined
Parchment High School