Summary
Overview
Work History
Education
Skills
Timeline
Generic

ROIANN MARRELLI

Saratoga Springs,UT

Summary

Attentive Advanced Medical Support Assistant with a 20-year background working in the medical field. Excellent patient scheduling and medical billing abilities. In-depth understanding of privacy regulations.

Versatile professional serves as first point of contact for patients by verifying insurance, handling paperwork and preparing records. Patient-oriented and helpful candidate familiar with MS Office and EHR systems coupled with thorough knowledge of medical terminology. Committed to providing personalized service and quality patient care.

Overview

6
6
years of professional experience

Work History

Member Advocate

INTERMOUNTAIN HEALTH
10.2021 - 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
  • Answered phone calls and messages for twelve-physicians Family Practice and Pediatric medical facility, scheduling appointments, and handling patient inquiries.

Lab Client Support Tech

ARUP LABORATORIES
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
11.2019 - 08.2020
  • Patient Scheduling
  • Medical Insurance Claims
  • Customer Service
  • Medical Billing and Coding
  • Knowledge of Medical Terminology
  • Patient Care and Monitoring
  • 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
09.2019 - 11.2019
  • Operated a keyboard and navigated a variety of computer applications to perform various office duties

Medical Billing Specialist

MYRAID GENETICS
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

Medical Assistant - Medical Assistant

Intermountain Health PEAK Program
Salt Lake City, UT
10-2024

Skills

  • Cross-cultural communication
  • Patient check-in
  • Patient identity verification
  • Registration management
  • Patient scheduling
  • Patient care coordination
  • Patient communication
  • Patient appointment management

Timeline

Member Advocate

INTERMOUNTAIN HEALTH
10.2021 - 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

Medical Assistant - Medical Assistant

Intermountain Health PEAK Program
ROIANN MARRELLI