Melissa Spillers
Spring Hill,FL
Summary
Medical billing professional with extensive experience in managing billing operations and ensuring compliance with healthcare regulations. Known for collaborative team leadership and results-driven approach to improving billing efficiency. Recognized for adaptability and reliability in dynamic environments, with expertise in claims processing and reconciliation.
Overview
26
26
years of professional experience
1
1
Certification
Work History
Dental and Medical Billing Supervisor
Oralfacial Reconstruction & Implant Center
04.2009 - Current
- Submitted electronic and paper claims to insurance companies, to collect medical payments.
- Analyzed medical records to satisfy insurance company mandates.
- Maintained current accounts through aged revenue reporting.
- Led patient account reconciliations by identifying and rectifying discrepancies within patient accounts, ensuring accurate billing and collection processes.
- Reduced claim denials by maintaining up-to-date knowledge of insurance policies and regulations.
- Verified proper ICD-9 coding on claims.
- Managed a team of medical billers, providing guidance and support for their professional development.
- Collected payments and applied to patient accounts.
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
Authorization Coordinator
Pediatric Associates Physician's Office
03.1999 - 03.2011
- Collaborated with multidisciplinary teams to ensure timely submission of documentation required for insurance approval.
- Improved patient care by efficiently coordinating authorizations for medical procedures and treatment plans.
- Facilitated timely renewals of ongoing authorizations by closely monitoring expiration dates and initiating renewal processes proactively.
- Calculated estimated copay based on current insurance benefits.
- Decreased processing time for authorizations by establishing strong relationships with insurance representatives and case managers.
- Provided exceptional customer service to patients, addressing their concerns related to insurance coverage and authorizations promptly and empathetically.
Education
Associate of Science - Legal Secretary
Broward College
Fort Lauderdale, FL01-1998
Certificate - Computer And Information Systems
Sheridan Technical College
Hollywood, FL01-1996
High School Diploma -
Cooper City High School
Cooper City, FL01-1991
Skills
- Team leadership and supervision
- Prior authorization
- ICD-10 knowledge
- Strong communication skills
- Claims processing proficiency
- Insurance verification expertise
- Electronic health records experience
- Effective time management
- Accounts receivable management
- CPT coding
- Multitasking
Certification
Expert Skills Professional Registered Education Provider-Medial Billing and Coding -Certification #: 2200253102195 (February 2025)
Timeline
Dental and Medical Billing Supervisor
Oralfacial Reconstruction & Implant Center
04.2009 - Current
Authorization Coordinator
Pediatric Associates Physician's Office
03.1999 - 03.2011
Expert Skills Professional Registered Education Provider-Medial Billing and Coding -Certification #: 2200253102195 (February 2025)
Associate of Science - Legal Secretary
Broward College
Certificate - Computer And Information Systems
Sheridan Technical College
High School Diploma -
Cooper City High School
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