Meltisha Quartimon
Knightdale,NC
Summary
Positive, proactive, and detail-focused with a passion problem-solving. Understanding of insurance policies and medical terminology, coupled with skills in data entry and administrative support. Committed to ensuring efficient precertification, coding, and medical billing processes to enhance patient care and optimize workflow.
Overview
1
1
year of professional experience
Work History
Precertification Specialist
Hughston Sports Medicine Clinic
08.2004 - 09.2005
- Secured necessary pre-authorizations from insurance companies for various medical services, including inpatient admissions, procedures, and other treatments.
- Ensured smooth communication between healthcare providers, patients, and insurance companies, resulting in timely approvals and positive experiences.
- Developed comprehensive knowledge of various insurance plans, policies, and coverage limitations to provide accurate guidance to patients and providers.
- Conducted thorough follow-ups with insurance companies, ensuring timely receipt of authorization numbers for approved services.
- Answered phone calls and messages an Orthopedic medical facility, scheduling appointments, and handling patient inquiries.
Medial Coder
Hughston Sports Medicine Clinic
08.2004 - 09.2005
- Examined patient charts, physician notes, lab reports, and other records to understand the provided medical services.
- Verified the completeness and accuracy of coded information for insurance claims and data analysis.
- Organized and retrieved medical records for billing, research, and other purposes.
- Used coded data for various analyses related to patient care and healthcare operations.
- Interacted with healthcare professionals and other staff regarding coding issues and documentation.
Medical Biller
Hughston Sports Medicine Clinic
08.2004 - 09.2005
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
- Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
- Implemented quality control measures to identify potential errors before submitting claims, reducing rejections significantly.
- Liaised between patients, insurance companies, and billing office.
- Verified insurance of patients to determine eligibility.
Education
No Degree - Biology
Albany State University
Albany, GA08-2001
Skills
- Prior authorization
- Effective verbal communication
- HIPAA compliance awareness
- Strong communication skills
- Medical billing
- Organizational skills
- Patient scheduling
Timeline
Precertification Specialist
Hughston Sports Medicine Clinic
08.2004 - 09.2005
Medial Coder
Hughston Sports Medicine Clinic
08.2004 - 09.2005
Medical Biller
Hughston Sports Medicine Clinic
08.2004 - 09.2005
No Degree - Biology
Albany State University
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