Melody Wallace
Pittsburgh,PA
Summary
Operations Lead specializing in ambulance billing and coding with extensive experience in verifying patient demographics, managing claims, and handling AR. Proficient in HIPAA compliance, Medicare/Medicaid, and commercial insurance procedures. Strong problem-solving skills, effective team guidance, and excellent client relations.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Operations Lead
Quick Med Claims
10.2009 - Current
- Certified Ambulance Billing/ Coder
- Verify patient Demographics and Insurance Information
- Bill Ground/Air ambulance transportation
- Manage Claim Submissions, both paper and electronic
- Front end rejections with clearinghouse
- Billing Resolution
- AR Management -Follow up claims/denials
- Collections calls
- Incoming/outgoing patient calls
- Client Meetings
- Tracking team members productivity
- Guidance with team member tasks
- Month end account preparation with reporting
- Collections/Batch Write offs
Education
Associate of Arts - Advanced Medical Billing And Coding
Career Training Academy
Pittsburgh, PA10-2009
Skills
- Time management
- HIPAA knowledge /PHI
- Able to maintain speed with proficiency
- Problem Solving
- Understanding both Inpatient and Outpatient services
- Medical /Hospital records-Writing appeals-Medical Terminology
- Excellent Customer service skills
- Training
- Knowledgeable with Medicare/Medicaid and Commercial insurances in several states Online submissions
- Able to maintain good relationships both internal and external
Certification
- Certified Ambulance Coder Since 2011
Timeline
Operations Lead
Quick Med Claims
10.2009 - Current
- Certified Ambulance Coder Since 2011
Associate of Arts - Advanced Medical Billing And Coding
Career Training Academy
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