Melissa Daniel

• Review and follow up on denied or underpaid oncology claims to ensure timely resolution.

• Prepare, submit, and track insurance appeals as needed.

• Navigate and work within multiple insurance company platforms to resolve claim issues.

• Post adjustments to patient accounts in accordance with policy and payer guidelines.

• Provide excellent customer service by addressing inquiries from patients, insurance companies, and internal departments.

• Analyze and resolve Explanation of Benefits (EOB) denials accurately and promptly.

• Maintain detailed documentation of all account activity in the billing system.

• Collaborate with clinical and billing staff to obtain necessary documentation for appeals and claims processing.

• Monitor accounts receivable aging and escalate complex issues as appropriate.

• Ensure compliance with HIPAA and all regulatory requirements.

• Responsible for overseeing all platform for EDI Portal Billing.
• Analyzed customer accounts and identified discrepancies in invoices, payments, credits, and deductions.
• Worked with customers to resolve billing disputes in a timely manner.
• Process rebills and compose correspondence to customers. Monitor rebills for open balances and take appropriate action.
• Monitor and review account aging reports to ensure timely collection.
• Prepare and distribute periodic reports on AR and past due accounts for upper management and clients.
• Participated in process improvement initiatives to increase efficiency within the department.
• Manage 10 billing specialists. Monitored productivity to ensure daily goals are met.
• Schedule and distributes work to meet strict deadlines and facilitate workflow.

• Supervised 108 million in cash and stayed withing goals of unapplied cash.
• Reconciles, researches resolves all medical center daily deposit packets variances.
• Generate and review all necessary reports for month-end close.
• Research unidentified deposit transactions.
• Timely follow-up on all pending issues and validate and perform data corrections.
• Perform various weekly audits.
• Monitored staff performance and addressed issues.
• Enforced customer service standards and resolved customer problems to uphold quality service.
• Coached, mentored and trained team members in order to improve their job performance.

• Supervised 8 million in cash.
• Managed and reconciled customer accounts.
• Audits and productivity reporting.
• Resolved customer complaints in a timely manner while ensuring customer satisfaction.
• Directed and supervised team of employees in daily operations. Provided guidance and direction regarding job duties and responsibilities.
• Monitored employee productivity levels on a regular basis to identify areas of improvement.
• Complied with company policies, objectives and communication goals.

• Responsible for posting and reconciling cash batches.
• Work with Patient Account Representative and Management team to reconcile accounts.
• Resolve issues with misapplied cash issues and post unapplied cash.
• Resolved customer complaints in a timely manner while ensuring customer satisfaction.
• Assist cash team members on applying of payment and reading EOB.
• Direct and manage team of 10 Cash Specialist in daily operations.
• Test software for auto post with WebMD.

• Decrease unapplied cash total within six months from $2.7 million to under $13K. Ensure all cash applied within 48 hours. Implemented unapplied cash tracking procedure to ensure 48 hour goal.
• Managed 9 employees within department of cash posters and customers service representatives.
• Monitor daily cash productivity reports.
• Daily balance of cash deposit reconciliation.
• Responsible for posting and reconciling electronic wire transfers from federal and state insurance carriers
• Worked closely with management staff regarding daily and monthly reports. Responsible for posting and reconciling electronic wire transfers from federal and state insurance carriers

• Decreased daily cash outstanding from 14 days to 24 to 48 hours.
• Developed Revenue management Cash Application department policy and procedures.
• Preparation of monthly audit reconciliation analysis for multiple companies.
• Work closely with database administrator identifying contract issues.
• Exercised good judgment and decision-making in escalating concerns and resolving issues.
• Developed and implemented strategies to increase customer satisfaction and loyalty.
• Conducted regular meetings with staff to discuss progress and identify areas of improvement.

• Supervised a staff of five coordinators.
• Site tested new database billing modules.
• Produced monthly reports to management in a timely manner.

• Assisted in the design, coding and implementation of software applications.
• Cobal language programming.
• AS400 Support Operator.
• Management of Information Systems Department help desk.