Melissa Muzila
MAGNA,UT
Summary
Results-driven Accounts Receivable Specialist with over 10 years of extensive experience in medical billing & financial account management. Expert in claims processing and discrepancy resolution, ensuring compliance and accuracy. Committed to optimizing accounts management with intuitive & an efficient mindset while also improving collection efforts for sustainable financial health.
Overview
10
10
years of professional experience
Work History
Accounts Receivable Specialist
Lighthouse Behavioral Health Solutions
Remote
01.2026 - Current
- Coordinated billing and collection efforts with Medicare, Medicaid, and commercial payers in Ohio.
- Researched past due accounts and initiated collection efforts in a timely manner.
- Investigated billing discrepancies and implemented solutions to resolve issues.
- Maintained accounts receivable tracking database with current client billing information.
- Assisted in audit preparations by providing necessary documentation and reports.
Behavioral Health Biller
Summit Community Counseling
Remote
01.2020 - 01.2024
- Processed patient billing and insurance claims efficiently and accurately.
- Communicated with insurance companies to verify coverage and resolve discrepancies.
- Researched and resolved high volume accounts and complex, suspended claims.
- Post payments and accurately transfer to supplemental insurance or beneficiary per EOB.
- Reviewed clinical group documentation for accurate coding & billing.
Appeal Specialist
Lineagen, Inc.
Salt Lake City, Utah
04.2016 - 01.2020
- Managed appeals process for genetic testing services and patient insurance claims.
- Reviewed and analyzed documentation to support appeal submissions efficiently.
- Collaborated with healthcare providers to gather necessary patient information.
- Maintained accurate records of appeal outcomes and follow-up actions diligently.
- Analyzed medical records to determine if further information was needed for appeals.
Education
Behavioral Health Coding Certificate -
The American Academy of Professional Coders (AAPC)
05-2021
High School Diploma -
East Hollywood High School
05-2013
Skills
- Adaptability
- ICD-10 & CPT Knowledge
- Claim Entry
- Communication
- Attention to Detail
- EHR Software
- Microsoft Suite
- Google Sheets
- Claims processing
- Audit preparation
- Accounts management
- Healthcare compliance
- Time management
- Problem solving
- Team collaboration
- Accurate payment posting
- Audit procedures
Accomplishments
- Overcoming Adversity Award, 05/31/13, Graduated high school early with the Overcoming Adversity Award
- Overachiever Award, 05/31/13, Graduated high school early with the Overachiever Award
Timeline
Accounts Receivable Specialist
Lighthouse Behavioral Health Solutions
01.2026 - Current
Behavioral Health Biller
Summit Community Counseling
01.2020 - 01.2024
Appeal Specialist
Lineagen, Inc.
04.2016 - 01.2020
Behavioral Health Coding Certificate -
The American Academy of Professional Coders (AAPC)
High School Diploma -
East Hollywood High School