Melissa Wells
Indianapolis,IN
Summary
Experienced with insurance verification processes, ensuring accurate and timely handling of patient information. Utilizes strong analytical skills to identify and resolve discrepancies, maintaining seamless operational flow. Knowledge of industry regulations and best practices, contributing to overall efficiency and reduced claim rejections.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Insurance Verification Specialist
Administrative Strategies
Westfield, IN
12.2019 - Current
Reviews patient information and verifies medical benefits.
Explains deductible, Co-pays, Out of pocket and Lifetime maximum.
Communicate with providers of applicable benefits, coverage and authorization requirements.
Knowledge of CPT and ICD10 codes,
The ability to respond timely and accurately.
Senior Claims Examiner/Auditor
International Medical Group
Indianapolis, IN
08.2013 - 07.2019
- Review and provide comments on the adequacy of documents and take necessary steps to correct.
- Planned and executed cross training within the department.
- Monitor multiple databases to keep track of inventory.
Claims Adjuster
Xerox Insurance Services
Indianapolis, IN
10.2009 - 08.2013
- Extensive research to locate refunds due to providers.
- Organized and coded documents for department manager.
- Planned and executed training for new associates.
Education
Business
Indiana University-Purdue University Indianapolis
Indianapolis, INSkills
- Documentation review
- Microsoft Office
- Blue Cross
- Basic math
- Medical Office Experience
- Microsoft Word
- Auditing
- Communication skills
- Epic
- Medical terminology
- Medical Scheduling
- Insurance Verification
- BENEFITS (Less than 1 year)
- Computer skills
- Customer service
- EXCEL (Less than 1 year)
- Microsoft Excel
- Research
- AUDITING (Less than 1 year)
- Medical Receptionist
- Medical records
- Medical Records
- Attention to detail
- Patient confidentiality
- HIPAA compliance
- Insurance coverage verification
- Data entry proficiency
- Eligibility determination
Certification
Life and Health Insurance
Timeline
Insurance Verification Specialist
Administrative Strategies
12.2019 - Current
Senior Claims Examiner/Auditor
International Medical Group
08.2013 - 07.2019
Claims Adjuster
Xerox Insurance Services
10.2009 - 08.2013
Business
Indiana University-Purdue University Indianapolis
Additional Information
- Skills
- Research and apply benefits
- Client focused
- Contract auditing
- Computer proficient
- Excel in accuracy