Summary
Overview
Work History
Education
Skills
Clinical Experience
Certification
Timeline
Generic

Melissa Mattice

Cudahy,California

Summary

Experienced Healthcare Administrator managing day-to-day operations of medical facilities and managed healthcare organizations to provide high-quality care. Encourages staff to develop quality relationships with patients, clients, and community members. Develops solution-based frameworks to increase productivity and maintain quality of care.

Overview

12
12
years of professional experience
1
1
Certification

Work History

Medical Records Coordinator

Bixby Knolls Towers
Bixby Knolls, California
07.2022 - 07.2023
  • Created new patient charts, including entering data into electronic health record system.
  • Compiled and sorted documents such as medical history reports, examination results, laboratory test results, diagnoses, treatment plans and insurance information.
  • Reviewed patient charts for accuracy in accordance with HIPAA regulations.
  • Monitored physician orders to ensure that all required forms were completed accurately and completely prior to filing in the chart.
  • Performed daily audits to ensure accuracy and completeness of medical records.

Financial Clearance Specialist

USC Keck Medical Center
Alhambra, CA
12.2020 - 06.2022
  • Ensure on a daily basis that patients have updated insurance eligibility, benefit verification, and authorizations documented to optimize reimbursement from payer and pre-arrival process.
  • Determine patient liability based on benefit verification and communicate and collect from patient prior to service to financially clear patient and streamline claim process.
  • Responsible for interpreting division of financial responsibility and creating Letters of Agreement, both for cash patients and non-contracted payers to facilitate appropriate fiduciary responsibility. Communicate and collect from self pay patients prior to service.

Patient Care Coordinator

WellPsyche Medical Group
Hermosa Beach, California
04.2019 - 12.2019
  • Verified patient benefits, conducted elegibility screenings for patients, and processed requests for Prior Authorizations for outpatient treatments and medication.
  • Served as initial point of contact for various patient practices such as patient intake, scheduling, follow up appointments, and refill requests.
  • Acted as liaison between patients and providers to improve relations, mediate complaints and grievances, and provide extensive personalized customer service.

Medical Front Office Receptionist

Comprehensive Wellness Center Inc
Pasadena, California
09.2018 - 12.2018
  • Oversaw client eligibility screening by verifying insurances and patient benefits, process requests for authorizations, and manage databases with required insurance information for patient records and financial accuracy.
  • Established a patient oriented workflow system through courteous and informative communication, scheduling, filing, and maintaining patient records.
  • Improve patient satisfaction and provider productivity through timely patient registration, appointment scheduling, collecting co-payments, and resolving patient grievances.

Physician Advocate Liaison / Provider Services Coordinator

SynerMed
Monterey Park, California
10.2015 - 04.2017
  • Served as a liaison between Synermed providers and health plans to provide resolutions for issues, disseminate important information to providers, and to ensure all contracted services were provided and met company standards of care.
  • Verified insurance eligibility for patients, including benefits, referrals, and prior authorizations, as well and maintained all required insurance information for patients in our network.
  • Assisted in passing quarterly and annual audits by tracking and maintaining all new providers in our network and updating Policies and Procedures for accuracy.
  • Coordinated successful marketing projects with physicians and medical groups within our network, and organized communi- ty events to provide ongoing education and ensure continuity of care.

Administrative Assistant

UCSB Housing and Residential Services
Santa Barbara, California
04.2011 - 04.2012
  • Updated and maintained UC Santa Barbara's equipment and building information through TMA Enterprise software.
  • Ensured that residents' issues regarding housing were resolved by creating the flow of work orders and campus housing information solutions.
  • Managed all office filing, date organization, and paperwork for all campus housing data.

Education

Bachelors of Arts - Global and International Studies

University of California Santa Barbara
08-2024

Vocational Nursing

Platt College
Alhambra, CA
09.2023

Skills

  • Software knowledge: EMR Systems, Quickbooks, N-Thrive, Passport, Availity, Practice Fusion, Microsoft Works
  • Medical Coding and billing knowledge
  • Medical Records maintenance and audits
  • Proficiency in medical terminology, procedures, and documentation/charting
  • Healthcare laws and insurance policies
  • Bilingual: English and Spanish
  • Patient care and assessments
  • Medication Administration
  • Long Term care and Outpatient care
  • Patient advocacy and bedside manner
  • Communication and team work skills

Clinical Experience

Los Angeles General Medical Center  | 03/2023- 09/2023

  • Medical-Surgical, Maternity, Labor and Delivery, Pediatrics, Oncology Clinic

Silverado The Huntington Memory Care Community  | 11/2022-08/2023

  • Skilled Nursing and Rehabilitation-Long Term Care

                 

Certification

  • Licensed Vocational Nursing Certification | CA State Board of Nursing, 03/02024
  • California Basic Life Support (BLS) | American Heart Association, 08/2022

Timeline

Medical Records Coordinator

Bixby Knolls Towers
07.2022 - 07.2023

Financial Clearance Specialist

USC Keck Medical Center
12.2020 - 06.2022

Patient Care Coordinator

WellPsyche Medical Group
04.2019 - 12.2019

Medical Front Office Receptionist

Comprehensive Wellness Center Inc
09.2018 - 12.2018

Physician Advocate Liaison / Provider Services Coordinator

SynerMed
10.2015 - 04.2017

Administrative Assistant

UCSB Housing and Residential Services
04.2011 - 04.2012

Bachelors of Arts - Global and International Studies

University of California Santa Barbara

Vocational Nursing

Platt College
Melissa Mattice