NextGen
Hi, I’m
Melody Josey
Statesville,NC
“The will of God will never lead you where the grace of God will not protect you.”
Billy Graham
Summary
Detail-oriented individual with exceptional communication and project management skills. Proven ability to handle multiple tasks effectively and efficiently in fast-paced environments. Recognized for taking proactive approach to identifying and addressing issues, with focus on optimizing processes and supporting team objectives.
Overview
33
years of professional experience
Work History
PHC-Piedmont Bone & Joint
Office Manager
09.2023 - 09.2024
Job overview
- Overseeing all staff, daily operations, submitting invoices, handling patient issues, working in front office and clinical areas as needed, payroll, employee evaluations, ordering supplies.
Carolina Specialty Care, PA
Assistant Practice Manager
04.2021 - 08.2023
Job overview
- Overseeing all staff, daily operations, submitting invoices, assisting with patient issues, payroll, adding employees on health/dental/vision insurance, supplemental insurance management, meeting weekly with providers to discuss issues, research new avenues of business, employee evaluations, ordering supplies, provider license renewals, CAQH management, PECOS management, DEA renewals, malpractice for new providers & renewals.
Carolina Specialty Care, PA
Billing Manager
02.2012 - 08.2023
Job overview
- Managing all aspects of the billing process from charge entry, denials and aging for Rheumatology, Internal Medicine-Primary Care, Pain Management & Interventional Pain Management
- Looked for trends or problems which could impact daily revenue and find a solution to correct the issue
- Worked claim rejections on Availity and made necessary changes in the office to eliminate unnecessary denials
- Checked insurance eligibility on websites
- Checked for updated policies on insurance company's websites for procedures related to our specialties
- Posted electronic and manual insurance & patient payments
- Month end processes and reports
- Created and maintained Excel Spreadsheets to breakdown individual providers and departments monthly and Year-To-Date charges, revenue and aging
- Sending patient statements
- Working Bad-Debt and sending appropriate accounts to collections
- Ensured department maintained 80% collections in aging buckets 0-60 days
- Provider credentialing, approving contracts with new insurance companies, researching new infusions for profits, check insurance allowable to ensure profit of infusion drugs.
Carolina Family Medicine & Urgent Care, PA
Office Manager
12.2003 - 12.2011
Job overview
- Overseeing all staff, daily operations, submitting invoices, handling patient issues, payroll, adding employees on health/dental/vision insurance, supplemental insurance management, meeting weekly with providers to discuss issues, research new avenues of business, employee evaluations, provider license renewals, CAQH management, PECOS management, DEA renewals, malpractice for new providers & renewals, managing lab, ensuring QC's of machines daily and monthly, meeting with lab director monthly, ordering supplies, paying invoices.
Foot & Ankle Associates, PA
Office Manager
04.2001 - 12.2003
Job overview
- Managing staff, daily operations, submitting invoices, overseeing patient issues, ensured all aspects of the billing process from aging, denials, charge entry were done correctly to ensure revenue cycle was complete
- Posted insurance and patient payments
- Month end reports.
Carolina Primary & Urgent Care, PA
Head Coder
06.1998 - 04.2001
Job overview
- Over see charge entry department, coded approximately 5oo encounters adding modifiers, diagnosis and units to each procedure to ensure clean claims were submitted.
Carolina Primary & Urgent Care, PA
Charge Entry
06.1994 - 06.1998
Job overview
- Entered charges in Medical Manager for patients seen at the office
- Approximately 250 patients daily.
Carolina Primary & Urgent Care, PA
Front Desk Receptionist
04.1991 - 06.1994
Job overview
- Checked patients in and out, answered phone calls, scheduled appointments, collected copays, coinsurance & balances.
Education
West Iredell High SchoolStatesville, NC
High School Diploma
06.1992
Skills
- Calm Under Pressure
- Self-Directed
- Supervision and leadership
- Analytical and Critical Thinking
- Excellent Communication
- Friendly, Positive Attitude, Relationship Building
- Problem-Solving
- Staff Training and Development
- MS Office, Word, Excel
- Revenue Cycle Management
- Claims Processing
- Collections experience, understanding
Accomplishments
- Used Microsoft Excel to develop infusion profit/loss tracking spreadsheets.
- Used Microsoft Excel to develop Month-End spreadsheets to monitor monthly aging per provider, department, and overall company.
- Used Microsoft Excel to develop spreadsheets for profit analysis for ancillary services provided.
- Supervised font office, care coordination, and billing teams of 15 staff members.
- Supervised font office, clinical, and PA/NP team of 19 staff members.
Availability
See my work availability
Not Available
Available
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Work Preference
Work Type
Full TimeLocation Preference
RemoteImportant To Me
Company CultureWork-life balanceWork from home optionHealthcare benefitsPaid time off401k matchTeam Building / Company RetreatsPersonal development programsFlexible work hoursStock Options / Equity / Profit SharingSoftware
AllScripts
MS Word
MS Excel
OneDrive
Languages
English
Interests
Crafting
Reading
Spending time with my family.
Watching my son play baseball at college.
Serving at church.
Timeline
Office Manager
PHC-Piedmont Bone & Joint
09.2023 - 09.2024
Assistant Practice Manager
Carolina Specialty Care, PA
04.2021 - 08.2023
Billing Manager
Carolina Specialty Care, PA
02.2012 - 08.2023
Office Manager
Carolina Family Medicine & Urgent Care, PA
12.2003 - 12.2011
Office Manager
Foot & Ankle Associates, PA
04.2001 - 12.2003
Head Coder
Carolina Primary & Urgent Care, PA
06.1998 - 04.2001
Charge Entry
Carolina Primary & Urgent Care, PA
06.1994 - 06.1998
Front Desk Receptionist
Carolina Primary & Urgent Care, PA
04.1991 - 06.1994
West Iredell High School
High School Diploma
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