MELISSA KONOP
St Charles,MI
Summary
Collaborative leader with dedication to partnering with coworkers to promote engaged, empowering work culture. Documented strengths in building and maintaining relationships with diverse range of stakeholders in dynamic, fast-paced settings.
Overview
28
28
years of professional experience
Work History
Sr.Manager, Priority Claims
Hanger Clinic
Remote , MI
03.2017 - Current
- Priority Claims (CMS & Commercial Payor Audits and Reimbursement)
- Responsible for development, training, and monitoring of Supervisors and support staff (including large off shore support staff) from entry level through ALJ Hearing resolution
- Responsible for all Payor Audits, Medicare High $ Accounts Receivable, monitoring and training off shore support team.
- Established team priorities, maintained schedules and monitored performance.
- Assisted in organizing and overseeing assignments, planning and coordinating in-house and outsourced resources.
- Effectively supervised staff of 32 personnel by implementing company policies, protocols, work rules and disciplinary action.
- Established performance goals for employees and provided feedback on methods for reaching those milestones.
- Cultivated positive rapport with fellow employees to boost company morale and promote employee retention.
- Complied with established internal controls and policies.
- Identified improvement changes regarding key processes for internal controls and accounting procedures.
- Supported Compliance and Finance with special projects and additional job duties.
- Created plans and communicated deadlines to complete projects on time
- Maintained excellent attendance record, consistently arriving to work on time
- Led projects and analyzed data to identify opportunities for improvement
Sr.Manager Priority Claims & AAM Ohio Valley
Hanger Clinic
04.2016 - 03.2017
- Priority Claims (CMS & Commercial Payor Audits and Reimbursement)
- Work with SLT to try to create tracking system for all CMS audits for that would allow visibility and tracking of audits
- The system should have measurable metrics for accountability and reporting
- Work with SLT to create virtual department with dedicated staff, including creation of job descriptions and staffing needs based upon the current known volumes
- Establish standardized communications and ensure all staff has appropriate training as well as access to necessary resources to complete daily duties accurately and efficiently.
- Created plans and communicated deadlines to complete projects on time
Area Administrative Manager / Central Zone, Audit Lead
Hanger Prosthetics & Orthotics OH/MI
, KY
01.2015 - 03.2017
- Received Hanger Collaboration Award for work with CMS Audit and Business Development
- Supervise, manage, and provide continued training and support for AOM’s, front office staff for up to 40 locations
- Perform annual SOX audits and re-train and re-audit as necessary
- Manage EDI and payer issues to ensure that they do not affect monthly collections and revenue for all Clinic’s
- Ensure corporate and local collection and revenue goals are met and maintained
- Oversee all local payor audits and payment discrepancies for compliance and accuracy
- Review local contracts and identify any discrepancies to bring to contracting department
- Identify contracts that are in need of additional clinics by expansion of payor market and notifying contracting of these needs
- Identify new payors and obtain contracts and fee schedules to submit to contracting for review
- Maintain good communications with Practice Managers to ensure proper work flow in office and coordinate staff discipline and additional training requirements
- Perform semi-annual performance reviews for all administrative staff
- Work with Regional Vice President to identify opportunities for growth and expansion
- Work with DO and Zone VP to ensure compliance with audit processes
- Maintain communication with all Regional Audit representative to ensure standard responses and compliance
- Ensure standard communication between all 3 zones to Regional representatives to ensure compliance and proper Hanger protocol and follows proper procedures.
Area Office Manager
Hanger Prosthetics & Orthotics
, MI
03.2008 - 04.2016
- Hire, train, supervise and manage front office staff for up to 10 locations
- Perform annual SOX audits and re-train and re-audit as necessary
- Manage EDI and payer issues to ensure that they do not affect the monthly collections and revenue for all Clinic’s
- Ensure corporate and local collection and revenue goals are met and maintained
- Oversee all local payor audits and payment discrepancies for compliance and accuracy
- Review local contracts and identify any discrepancies to bring to contracting department
- Identify contracts that are in need of additional clinics by the expansion of the payor market and notifying contracting of these needs
- Identify new payors and obtain contracts and fee schedules to submit to contracting for review
- Maintain good communications with Practice Managers to ensure proper work flow in the office and coordinate staff discipline and additional training requirements
- Perform semi-annual performance reviews for all administrative staff
- Work with Regional Vice President to identify opportunities for growth and expansion.
Office Administrator
Hanger Prosthetics & Orthotics
Lansing , MI
09.2005 - 03.2008
- Verify and monitor all daily collections and billing practices are performed accurately and timely
- Complete all billing and claim submissions as well as patient collections based upon payor requirements
- Ensure all documentation is on file and compliant per payor requirements prior to claim submissions
- Monitor all aspects of the Clinic SOX compliancy for accuracy, audit annually and re-train and re-audit when necessary
- Manage monthly collections and revenue
- Oversee any and all local payor audits and payment discrepancies
- Efficiently work with Practice Manger and all practitioners to ensure proper work flow in the office and coordinate staff discipline and additional training when required.
Office Administrator / Area Office Manager
Hanger Prosthetics & Orthotics
Sarasota , FL
07.2002 - 09.2005
- Hire, train, supervise and manage front office staff for 5 locations
- Over see material costs compared to reimbursements to ensure a clear profit margin
- Maintain health and safety per OSHA standards
- Organize all local workshops and continuing education courses
- Perform chart audits for compliance
- Oversee and provide direction for AR for all locations to ensure prompt resolution
- Assist with contract negotiations with SNF/Hospitals
- Assist with computer software conversions and implementation of new OPS software in the field.
Business Office Manager
Kennedy – White Orthopaedic Center
Sarasota , FL
10.1996 - 04.2002
- Manage daily billing activity for 2 locations including AR, claim submission and daily and month end reports
- Handle all insurance contracting and physician credentialing
- Code and bill all surgeries, medication, MRI’s, DME, and PT for 11 physicians and 3 assistants
- Implement policies and procedures for all workers compensation billing and reimbursement
- In House MRI
- MME/IME evaluations
- Consultations
- Prescription Medication dispensing
Education
Medical Assistant - Medical Assisting
Ross Medical Education Center
Brighton, MI01.2006
Skills
- Staff Management
- Decision Making
- Training and Development
- Planning and Coordination
- Problem-Solving
- Team building
- Cultural Awareness
- Data Entry
- Critical Thinking
- Investigations skills
- Federal and state regulations
- Teamwork and Collaboration
- Attention to Detail
- Critical Thinking
Timeline
Sr.Manager, Priority Claims
Hanger Clinic
03.2017 - Current
Sr.Manager Priority Claims & AAM Ohio Valley
Hanger Clinic
04.2016 - 03.2017
Area Administrative Manager / Central Zone, Audit Lead
Hanger Prosthetics & Orthotics OH/MI
01.2015 - 03.2017
Area Office Manager
Hanger Prosthetics & Orthotics
03.2008 - 04.2016
Office Administrator
Hanger Prosthetics & Orthotics
09.2005 - 03.2008
Office Administrator / Area Office Manager
Hanger Prosthetics & Orthotics
07.2002 - 09.2005
Business Office Manager
Kennedy – White Orthopaedic Center
10.1996 - 04.2002
Medical Assistant - Medical Assisting
Ross Medical Education Center
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