Melissa Mercado
San Antonio
Summary
Experienced with medical billing and coding, ensuring accurate and timely submission of claims. Utilizes strong analytical skills to resolve billing discrepancies and manage patient accounts. Knowledge of insurance regulations and compliance requirements, contributing to smooth billing operations.
Overview
11
11
years of professional experience
Work History
MEDICAL BILLING ADMINISTRATOR
Ross Family Clinics
02.2025 - Current
- Managed patient accounts, resolving discrepancies and optimizing revenue cycle efficiency.
- Implemented process improvements that reduced claim denial rates and expedited reimbursement timelines.
- Oversaw billing processes, ensuring compliance with healthcare regulations and standards.
- Led training sessions for staff on billing software and best practices in coding procedures.
Fraud Representative
Conduent-TX
01.2023 - 02.2025
- Fraudulent customer service
- Managed difficult customer calls to resolve issues effectively
- Provided specialized customer service to address fraud inquiries
- Processed and created disputes for fraudulent transactions
- Managed and responded to customer emails promptly.
- Collaborated with team members using Microsoft Teams for project coordination.
- Managed multiple screens and tabs to streamline workflow and increase efficiency.
Sales Associate Manager
Express
11.2016 - 01.2024
- Assisted customers on sales floor and at register
- Led sales team to exceed monthly targets through strategic product placement and upselling techniques.
- Mentored new associates, enhancing their product knowledge and customer engagement skills.
- Analyzed sales data to identify trends, informing inventory management and promotional strategies.
Medical Assistant
Internal Medicine Specialists
08.2015 - 06.2016
- Managed front and back office operations to ensure smooth workflow.
- Scheduled and canceled appointments to optimize patient flow
- Take patients to the back, Recorded patient vitals accurately during medical consultations.
- Managed prescription processes by handling and faxing prescriptions to pharmacy for timely patient care
- Organize and print faxes
Education
High school diploma - Medical Assistant
Career Point College
San Antonio, TX01-2015
High school diploma - undefined
Navarro Academy
San Antonio, TX01-2010
Skills
- Claims processing
- Insurance verification
- Medical terminology
- Clinical laboratory experience
- Microsoft Excel
- Microsoft Word
- Office suite
- ERP systems
Timeline
MEDICAL BILLING ADMINISTRATOR
Ross Family Clinics
02.2025 - Current
Fraud Representative
Conduent-TX
01.2023 - 02.2025
Sales Associate Manager
Express
11.2016 - 01.2024
Medical Assistant
Internal Medicine Specialists
08.2015 - 06.2016
High school diploma - undefined
Navarro Academy
High school diploma - Medical Assistant
Career Point College