Melissa Phinney
Gastonia,NC
Summary
Forward-thinking professional bringing more than 18 years of experience working for fast-paced professional offices. Exceptional success driving financial improvements and revenue increases for large specialty practices.
Overview
12
12
years of professional experience
Work History
Practice Manager
Psychiatric Services Of Carolinas
11.2020 - Current
- Managed daily practice operations to optimize appointment scheduling, patient records management and billing functions.
- Provided outstanding support to entire staff which helped improve process flow and boosted efficiency.
- Ordered all office supplies and kept check on inventory levels.
- Provided supervision and management to team of support personnel.
- Boosted staff morale by offering constructive feedback and specific direction.
- Addressed and remedied all patient or team member issues.
- Developed policies and procedures for effective practice management.
- Created and implemented organizational policies and procedures.
- Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
- Conducted routine facility inspections, identifying areas needing improvement and eliminating hazards posed to staff and residents for continued compliance with associated regulations.
Prior Authorization Specialist
Psychiatric Services Of Carolinas
09.2017 - 11.2020
- Input all patient data regarding claims and prior authorizations into system accurately.
- Analyzed medical records and other documents to determine approval of requests for authorization.
- Provided prior authorization support for physicians, healthcare providers and patients in accordance with payer guidelines.
- Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
- Responded to inquiries from healthcare providers regarding prior authorization requests.
- Verified eligibility and compliance with authorization requirements for service providers.
- Developed and maintained productive working relationships with healthcare providers.
- Fielded telephone inquiries on authorization details from plan members and medical staff.
Quality Analyst
AmerisourceBergen
08.2011 - 03.2017
- Analyzed quality and performance data to support operational decision-making.
- Collaborated with management to provide training on improved processes and assisted with creation and maintenance of quality training.
- Compiled and distributed weekly feedback to team leaders and managers to improve service time and quality while increasing productivity.
- Recorded findings of inspection process, collaborating with quality team to implement corrective actions.
Education
High School Diploma -
Pemberton Township High School
Pemberton, NJ06.1999
Skills
- Policy Development
- Budget Oversight
- Managing Practice Operations
- Customer Satisfaction
- Managing Files and Records
- Policy and Procedure Development
- Resource Management
- Supply Ordering
- New Hire Training
- Workflow Planning
- Client Consulting
- Policy Implementation
Timeline
Practice Manager
Psychiatric Services Of Carolinas
11.2020 - Current
Prior Authorization Specialist
Psychiatric Services Of Carolinas
09.2017 - 11.2020
Quality Analyst
AmerisourceBergen
08.2011 - 03.2017
High School Diploma -
Pemberton Township High School
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