Melissa Tallent
Insurance Specialist
Vale,NC
Summary
Dynamic Medical Insurance Specialist with extensive experience at Cherryville Eyecare, excelling in claims processing and payment reconciliation. Proven ability to resolve complex insurance issues while maintaining HIPAA compliance. Recognized for exceptional customer service and effective communication skills, ensuring accurate and timely processing of medical claims and enhancing patient satisfaction. Resourceful Medical Insurance Specialist known for high productivity and efficient task completion. Specialize in claims processing, policy interpretation, and patient advocacy, ensuring accuracy and compliance with healthcare regulations. Excel in communication, problem-solving, and teamwork, leveraging these skills to navigate complex insurance landscapes and support both healthcare providers and patients effectively. Knowledgeable insurance representative promoting several years' expertise successfully working for organizations. Courteous and cordial with a desire to take on challenges at a new company. Hardworking employee with customer service, multitasking, and time management abilities. Devoted to giving every customer a positive and memorable experience.
Overview
11
11
years of professional experience
Work History
Medical Insurance Specialist
Cherryville Eyecare
Cherryville, NC
12.2017 - Current
- Processed payments for services rendered in accordance with the terms of the policy or contract.
- Performed administrative tasks such as filing paperwork, preparing reports, answering phones, scheduling appointments.
- Resolved complex insurance issues by communicating with providers, patients, and third-party payers.
- Accurately processed large volume of medical claims every shift.
- Reconciled patient accounts with insurance companies to ensure accuracy of payments.
- Researched and resolved payment posting discrepancies.
- Provided support to customers regarding payment inquiries.
- Reviewed and processed credit card transactions in a timely manner.
- Processed electronic payments from insurance companies, patients and other sources.
- Performed monthly reconciliations of cash receipts against bank statements.
- Generated daily, weekly, monthly reports on payment activity.
- Created new accounts in the system according to established guidelines.
- Maintained detailed records of all payments posted in the system.
- Processed invoice payments and recorded information in account database.
Technician Specialist
Cherryville Eyecare
Cherryville, NC
12.2017 - Current
- Handled sensitive information in a confidential manner.
- Entered new patient information into computer system accurately.
- Updated outdated patient information to maintain current records.
- Documented all patient information according to established standards.
- Verified patient information, including insurance coverage and medical history.
- Documented patient information accurately into electronic health records.
- Organized patient information in accordance with HIPAA regulations.
- Recorded patient information into database accurately and efficiently.
Front Desk Receptionist
Cherryville Eyecare
Cherryville, NC
12.2017 - Current
- Explained policies and procedures to visitors.
- Scheduled and confirmed appointments for clients and staff.
- Maintained a clean and organized reception area to uphold company image.
- Performed basic bookkeeping tasks and issued invoices as needed.
- Compiled and prepared reports and documents as requested.
Receptionist Assistant
Gaston College
Dallas, NC
05.2014 - 12.2017
- Transcribe documents for the instructors for the daily classes.
- Assist students in helping with classes and problems.
- Worked closely with human resources to support employees.
- organizational planning.
- Maintained records of all activities related to various projects.
- Worked well in team environment as well as independently.
- Worked with teams to support goals and build experience.
- Identified needs of students promptly and efficiently.
- I worked directly under the Dean and four instructors in the Arts and Sciences Department.
Education
Associate of Applied Science - Office Administration
Gaston College
Dallas, NC05-2015
Associate of Applied Science - Medical Office Administration
Gaston College
Dallas, NC05-2015
High School Diploma -
Hunter Huss High School
Gastonia, NC06-1997
Skills
- Medical coding
- Payment reconciliation
- Claims processing
- Insurance verification
- HIPAA compliance
- Customer service
- Data entry
- Organizational skills
- Time management
- Effective communication
- Payment posting
- ICD-10 proficiency
- Medical billing
- HIPAA
References
References available upon request.
Timeline
Medical Insurance Specialist
Cherryville Eyecare
12.2017 - Current
Technician Specialist
Cherryville Eyecare
12.2017 - Current
Front Desk Receptionist
Cherryville Eyecare
12.2017 - Current
Receptionist Assistant
Gaston College
05.2014 - 12.2017
Associate of Applied Science - Office Administration
Gaston College
Associate of Applied Science - Medical Office Administration
Gaston College
High School Diploma -
Hunter Huss High School
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