Melissa Mehok
Baltimore,MD
Summary
Results-driven professional with over 19 years of experience in Revenue Cycle Management. Demonstrates strong adaptability and exceptional interpersonal skills, thriving in remote work environments. Proficient in Excel and Microsoft Word, with extensive software experience in Nextgen, EFR, Athena IDX, Med Connect, Invision, Realmed, and Trizetto. Quickly masters new skills to meet evolving challenges and requirements.
Overview
25
25
years of professional experience
Work History
Patient Account Specialist
MedStar Health
Baltimore, MD
04.2024 - Current
- Provided timely follow-up on unpaid claims to ensure prompt resolution of issues causing delays in reimbursement.
- Validated policyholder eligibility for coverage of services rendered.
- Interpreted Explanation of Benefits documents from various insurers.
- Submitted appeals to insurance companies when necessary.
- Submitted electronic and paper claims to insurance companies for payment.
- Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
- Regularly exceeded daily invoice processing quota and passed quarterly audits with a 93% or higher.
- Reviewed monthly aging reports to determine which accounts are past due or require follow up action.
AR Specialist III
Nextgen Healthcare
Hunt Valley , MD
03.2007 - 02.2024
- Experience in verifying patient insurance information and understanding different insurance plans and coverage.
- Ability to prepare and submit claims to insurance companies, ensuring accuracy and compliance with regulations.
- Understanding of the complete revenue cycle, including charge entry, payment posting, and denial management.
- Effective written and verbal communication skills to interact with healthcare providers and insurance companies.
- Understanding of various payer policies, including Medicare, Medicaid, and private insurances, to navigate and address denials effectively.
- Experience in preparing and resubmitting denied claims, including correcting errors and providing additional documentation as needed.
- Recorded insurance and patient payments from bank statements to report daily averages and projections to clients.
- Demonstrated expertise in navigating and resolving clearinghouse rejections.
Payment Posting Specialist
Nextgen Health Care
Hunt Valley, MD
03.2007 - 02.2013
- Balanced daily cash postings with deposits to ensure accuracy of information entered into the system.
- Maintained accurate records of all payments posted in an organized filing system.
- Assisted in training new team members on proper procedures for posting payments and reconciling accounts receivable ledgers.
- Handled all electronic and manual payments and adjustments, ensuring that data was accurately posted.
Charge Entry & Payment Posting Specialist
Clinical Associates
Towson , MD
07.2000 - 03.2007
- Entered data regarding patient demographics, diagnoses, treatments, procedures, and charges accurately into billing systems.
- Answered questions from internal staff members regarding charge entry policies and procedures.
- Provided support to other teams within the billing department when needed.
- Performed quality assurance checks on all charge entries before submission to payers.
Education
Career Building - Excel- Essential Training & Advanced Formulas
LinkedIn Learning
Career Building - Medical Terminology I & II
CCBC
Essex, MD07.2000
High School Diploma -
Chesapeake High School
Baltimore, MD05.1998
Skills
- Claims Processing
- Investigative Research
- Billing Dispute Resolution
- Payment Management
- Medical Billing and Collections
References
References available upon request.
Timeline
Patient Account Specialist
MedStar Health
04.2024 - Current
AR Specialist III
Nextgen Healthcare
03.2007 - 02.2024
Payment Posting Specialist
Nextgen Health Care
03.2007 - 02.2013
Charge Entry & Payment Posting Specialist
Clinical Associates
07.2000 - 03.2007
Career Building - Excel- Essential Training & Advanced Formulas
LinkedIn Learning
Career Building - Medical Terminology I & II
CCBC
High School Diploma -
Chesapeake High School
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