ROIANN MARRELLI
Lehi,Utah
Summary
- Detail-oriented medical professional with 20 years of progressive experience across a broad range of medical industry classifications; proven ability to provide excellent customer service, strong verbal skills, and the ability to establish strong patient rapport providing great patient care; this includes extraordinary multitasking ability and the capability to work alone or within a team environment complementing the other areas of competence. Areas of expertise include:
- Patient Scheduling
- Medical Insurance Claims
- Customer Service
- Medical Billing and Coding
- Knowledge of Medical Terminology
- Patient Care and Monitoring
Overview
6
6
years of professional experience
Work History
Patient Services Representative
INTERMOUNTAIN HEALTH
Salt Lake City, UT
09.2021 - Current
- Corresponded with members using chat, email, and live phone calls to address any concerns about medical claims, billing issues, and other problems
- Utilized excellent customer service skills to assist members and medical providers with resolving healthcare concerns and problems
Lab Client Support Tech
ARUP LABORATORIES
Salt Lake City, UT
09.2020 - 07.2022
- Answered inbound calls to coordinate flow of essential information between physicians and laboratory technicians; advised clients of relevant pricing and test information and provided supportive links to other areas of the company; ordered and shipped medical supplies and competently utilized processing track and special equipment to complete duties; assisted with triage of specimens; Prioritize urgent or emergent specimens
- Demonstrated understanding of health care and insurance policies
- Interacted with patients, clinicians, insurers, Reimbursement Supervisor and Billing management in a timely and professional manner
- Complied with applicable CLIA and HIPAA regulations with the purpose of maintaining confidentiality of electronic, written, and/or verbal patient information
- Attended and contributed to team meetings to facilitate team camaraderie and growth
Medical Biller
AETNA
Salt Lake City, UT
11.2019 - 08.2020
- Applied medical necessity guidelines, determined coverage, completed eligibility verification, identified discrepancies, and applied all cost containment measures to assist in the claim adjudication process; routed and triaged restricted claims to Senior Claim Benefits Specialist; proofed claim or referral submission to determine, review, or apply appropriate guidelines, coding, member identification processes, provider selection processes, claim coding, including procedure, diagnosis and pre-coding requirements; identified and eliminated claims processing errors; researched and obtained information necessary to process and complete claims
- Communicated with external stakeholders using clear and concise language for the purpose of resolving claim errors
- Facilitated training when considered topic subject matter expert
- Analyzed and approved routine claims that could not be auto adjudicated
Client Services Member Representative
HEALTH EQUITY
Salt Lake City, UT
09.2019 - 11.2019
- Operated a keyboard and navigated a variety of computer applications to perform various office duties
Medical Billing Specialist
MYRAID GENETICS
Salt Lake City, UT
12.2018 - 08.2019
- Responsible for assisting Reimbursement Supervisor and Reimbursement Specialists in obtaining and submitting medical records and/or other forms and correspondence as needed for payors and healthcare providers; processed appeals, returned mail and fax correspondence, routed phone calls, resolved claim errors and initiated bills for patient copays and deductibles; posted explanations of benefits, electronic remittances and patient checks to individual accounts in the billing system
- Interacted with patients, clinicians, insurers, Reimbursement Supervisor and Billing management in a timely and professional manner and participated in the Quality Assurance plan
- Complied with applicable CLIA and HIPAA regulations
Education
Phlebotomy -
UTAH SCHOOL OF PHLEBOTOMY
Salt Lake City, UT04.2009
Skills
- Patient Scheduling
- Medical Insurance Claims
- Customer Service
- Medical Billing and Coding
- Knowledge of Medical Terminology
- Patient Care and Monitoring
Timeline
Patient Services Representative
INTERMOUNTAIN HEALTH
09.2021 - Current
Lab Client Support Tech
ARUP LABORATORIES
09.2020 - 07.2022
Medical Biller
AETNA
11.2019 - 08.2020
Client Services Member Representative
HEALTH EQUITY
09.2019 - 11.2019
Medical Billing Specialist
MYRAID GENETICS
12.2018 - 08.2019
Phlebotomy -
UTAH SCHOOL OF PHLEBOTOMY
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