Summary
Overview
Work History
Education
Skills
Timeline
Generic

MELISSA PILALUISA

Woodbridge,VA

Summary

Healthcare professional with extensive experience in ophthalmology ensuring seamless patient care. Proven ability to collaborate with multidisciplinary teams to achieve optimal patient outcomes. Known for adaptability and reliability in dynamic clinical settings, possessing strong organizational and interpersonal skills.

Overview

14
14
years of professional experience

Work History

Patient Support/ Insurance Verification Specialist

NAPA Anesthesia
08.2021 - 04.2025
  • Managed high call volumes while providing exceptional customer support and maintaining professional composure.
  • Reviewed and clarified billing statements for patients to ensure understanding and resolution of any discrepancies.
  • Assured timely verification of insurance benefits prior to patient procedures or appointments.
  • Processed payments and coordinated patient-friendly payment plans, providing financial support and improving collections.
  • Made contact with insurance carriers to discuss policies and individual patient benefits.
  • Ensured compliance with HIPAA regulations.
  • Increased patient satisfaction by promptly addressing concerns regarding insurance coverage or billing issues.
  • Participated in weekly zoom meetings to stay aligned with team goals and updates.
  • Managed high-volume insurance verifications within pressured timeframes for claim processing.
  • Proficient in verifying insurance eligibility and benefits through major insurance portals.
  • Updated patient records with accurate, current insurance policy information.
  • Optimized productivity within the department by prioritizing tasks according to urgency and importance levels.

Ophthalmic Technician

Northern VA. Ophthalmology
06.2011 - 08.2021
  • Assisted multiple doctors in patient care.
  • Performed complete ophthalmic history and preliminary examinations.
  • Provided exceptional customer service to all patients, addressing concerns promptly and compassionately.
  • Assisted with minor surgical and laser in-office procedures.
  • Educated patients/guardians on eye anatomy and pre and post surgical care.
  • Triaged phone calls from patients and outside contacts and handled in order of importance.
  • Collected copays and balances
  • Trained new ophthalmic technicians on clinic protocols, fostering teamwork within the practice.
  • Enhanced clinic operations by assisting with patient scheduling, billing, and recordkeeping.
  • Used Lensometer to measure and record lens power of existing prescriptive spectacles.
  • Conducted OCT and Visual Field Testing.
  • Skillfully performed tonometry tests to measure intraocular pressure, assisting in the early detection of glaucoma.

Education

Workday Learning Courses -

HIPPA/Leadership/Cyber Security
06.2023

Skills

  • Insurance verification
  • Customer services
  • Attention to detail
  • Medical Terminology
  • Exceptional Communication skills
  • Leadership
  • Problem solving
  • Adaptability
  • HIPPA compliance
  • Proficient in Athena Systems
  • Proficient in Word/Excel
  • Proficient in Workday Systems
  • Proficient in Epic Systems
  • Proficient in Cedar Systems

    • LANGUAGES

  • Bilingual (English-Spanish)

Timeline

Patient Support/ Insurance Verification Specialist

NAPA Anesthesia
08.2021 - 04.2025

Ophthalmic Technician

Northern VA. Ophthalmology
06.2011 - 08.2021

Workday Learning Courses -

HIPPA/Leadership/Cyber Security

Similar Profiles

CREATE PROFILE