Melva Allen
Precertification Specialist
Summary
Supportive Eligibility Specialist with extensive application engagement and dedicated service skills. Bilingual professional with skill to maintain accurate records, schedule appointments and handle various administrative responsibilities. Astute medical administrative professional trained in appointments, front desk management and recordkeeping. Helps staff maintain office operations at optimal levels with great organizational and multitasking abilities. Skilled at typing correspondence and managing files. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
40
40
years of professional experience
Work History
Precertification Specialist
Center For Pain/clearway Pain Solutions
Montgomery, Alabama
08.2018 - Current
- Communicated with people from various cultures and backgrounds on the prcertification process.
- Documented all communication with patients and input information into system using Athena.
- Verifies all insurance benefits for all procedures.
- coordinates with insurance providers,physicians and patients to obtain pre-authorizations on all specified procedures and specialty medications.
- document in patient chart.
- work with other departments to ensure prior authorization are done in a timely maner.
Cashier
Dollar Tree
Wetumpka, AL
11.2012 - Current
- Operated cash register for cash, check and credit card transactions with excellent accuracy levels.
- Worked flexible schedule and extra shifts to meet business needs.
- Helped customers complete purchases, locate items and join reward programs.
- Restocked and organized merchandise in front lanes.
- Answered questions about store policies and addressed customer concerns.
- Promoted customer loyalty and consistent sales by delivering friendly service and knowledgeable assistance.
- Maintained secure cash drawers, promptly resolving discrepancies in daily totals.
- Replenished sales floor merchandise and organized shelves, racks and bins for optimal appearance.
- Reconciled cash drawer at start and end of each shift, accounting for errors and resolving discrepancies.
Assistant Manager
Dollar Tree
Wetumpka, AL
11.2012 - Current
- Monitored cash intake and deposit records, increasing accuracy and reducing discrepancies.
- Helped with planning schedules and delegating assignments to meet coverage and service demands.
- Offered hands-on assistance to customers, assessing needs and maintaining current knowledge of consumer preferences.
- Completed regular inventory counts to verify stock levels, address discrepancies and forecast future needs.
- Generated repeat business through exceptional customer service and responded to customer concerns with friendly and knowledgeable service.
Billing Representative
Physicians Professional Management
Montgomery, Alabama
08.1998 - 02.2015
- Reviewed and solved account and billing discrepancies.
- Assessed accounts for payment status and reached out to customers.
- Received incoming information and entered into database system.
- Coordinated with intermediate parties to obtain payments and resolve issues.
- Performed quality assurance evaluations of processes and previous bills.
- Identified, researched and resolved billing variances to maintain system accuracy and currency.
- Generated and submitted invoices based upon established accounts receivable schedules and terms.
Education
Associate of Science - Medical Assisting
South College
Montgomery, AL05.1990
High School Diploma -
Carver Senior High School
Montgomery, AL05.1983
Skills
- Customer Accounts Management
- Cleaning and Sterilizing
- Applicant Support and Service
- Resource Information
- Data Entry Software
- Paperwork and Documentation
- Effective Communication Skills
Timeline
Precertification Specialist
Center For Pain/clearway Pain Solutions
08.2018 - Current
Cashier
Dollar Tree
11.2012 - Current
Assistant Manager
Dollar Tree
11.2012 - Current
Billing Representative
Physicians Professional Management
08.1998 - 02.2015
Associate of Science - Medical Assisting
South College
High School Diploma -
Carver Senior High School
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