Melissa Wheeler Poole
Roxboro, NC 27573
Home Phone: 336-***-**** / Cellular: 919-***-****
E-mail: **************@*****.***
[pic]
EDUCATION
*/** ***** ***** *******, Mount Olive, NC
Bachelor of Science in Business Administration
Current Liberty University
MBA
PROFESSIONAL EXPERIENCE
5/08-Present Pin-Point Solutions, Durham, NC
Sr. Recruiter
. Developed business through forming strong
relationships with clients to determine and meet
their recruiting needs.
. Design and develop marketing and sales literature to
market PinPoint Solutions to new clients as well as
current contacts.
. Developed a monthly news letter as a marketing tool
to stay in touch with potential clients.
. Perform marketing research in order to determine
viability of developing businesses with new
companies.
. Marketed candidates into companies in order to
develop work orders with them.
. Recruited candidates for employment through job
postings, networking, and cold calling.
. Interviewed potential employees for technical,
professional, operational positions.
. Conducted employee verifications to include reference and
background checks.
. Directed the hiring process with each potential employee from
first point of contact to acceptance of offer.
. Negotiated fees with companies and salary offers on behalf of
candidates.
2/08- 5/08 TIVA Healthcare, Inc. Sunrise, FL
Physician Placement Specialist
. Responsible for collecting provider availability in order to
schedule Emergency Department coverage.
. Negotiated pay rate with physicians while consistently
staying under budget.
. Developed marketing materials/emails for cold calling into
hospitals in order to develop new business.
. Developed marketing materials for medical schools in order to
recruit new graduates into the company.
. Develop relationships with Hospital Administration and
Emergency Medicine Physicians.
. Conduct reference verifications and interviews for clients
and physicians.
. Negotiate contract terms with clients and candidates.
. Cold call potential physician candidates for placement and
market to potential hospitals.
. Maintain database of potential candidates.
. Responsible for candidate lead generation, pre-screening and
follow-up.
. Maintain high degree of judgment and independent decision-
making with regard to analysis of candidate credentials,
skill level and subsequent referral.
. Represent the company through trade shows and national
conferences.
. Negotiate salary agreements and contract agreements.
. Complete and verify all necessary billing paperwork for
Medicare, Medicaid, Private Insurances and third party
payors.
7/07- 2/08 SPHERION CORPORATION Durham, NC
Recruiter
. Sourcing, recruiting, screening and interviewing qualified
candidates in the Engineering and Manufacturing field (in
person or via telecom) through the most efficient and cost-
effective Recruiting methods..
. Developed sales and marketing materials to develop business
with new clients as well as maintaining contact with current
clients.
. Marketed current candidates into companies to develop new
business.
. Consulting with Managers to understand necessary skills.
. Participating in the final candidate-selection process .
. Cold-calling and networking.
. Coordinating Employment Opportunity Advertising.
. Running Skill Searches to retrieve suitable candidates on the
Internet/Monster, Yahoo, Recruiter Workbench Database .
*Was laid off from United Emergency Services while 9 months
pregnant. My last day was in August. However, due to severance
package through December, I was able to stay home with my
newborn.
2/04 - 12/06 UNITED EMERGENCY SERVICES, INC. Durham, NC
Director Billing and Reimbursement
. Facilitation of provider enrollment credentialing in such
programs as Medicare, Medicaid, Tricare, BCBS and Managed Care
Organizations.
. Contracting with Managed Care Organizations for higher
reimbursement and group participation.
. Oversee collection processes and approve all discounts and
write off requests received.
. Communicate with client hospital CEO and CFO's on a weekly
basis in order to resolve billing issues affecting their
patients.
. Created and updated billing policies for use by the billing
company to effectively bill for each client hospital.
. Renegotiated BCBS NC contract which netted over a $400,000
increase in company revenue.
. Built effective and productive collaborative relationship with
Per Se Technologies, Inc. billing company which increased
revenue and reduced provider write offs.
. Led weekly finance meetings with the Chief Medical Officer and
Chief Financial Officer.
. Spearheaded an insurance benefit renewal committee at the
request of Human Resources and Senior Management for company
employees.
. Created a Write Off Policy for distribution within the company
as well as to client hospital administration outlining goals
and procedures for writing off patient accounts.
. Significantly reduced dollars written off as well as
collections of self pay accounts by overseeing and approving
write offs personally.
Recruiting/Staffing Coordinator
. Responsible for collecting provider availability in order to
schedule Emergency Department coverage.
. Negotiated bonuses with physicians while consistently staying
under budget.
. Develop relationships with Hospital Administration and
Emergency Medicine Physicians
. Conduct reference verifications and interviews for clients
and physicians
. Negotiate contract terms with clients and candidates
. Cold call potential physician candidates for placement and
market to potential hospitals
. Maintain database of potential candidates
. Responsible for candidate lead generation, pre-screening and
follow-up
. Maintain high degree of judgment and independent decision-
making with regard to analysis of candidate credentials,
skill level and subsequent referral
. Represent the company through trade shows and national
conferences
. Negotiate salary agreements and contract agreements
. Motivated the Staffing Department during work sessions that
would last until 1 to 2 AM after working a normal workday.
. Empowered employees in the Staffing Department through
training and mentoring.
. Provided 24 hour on call coverage for physician emergencies.
12/02-2/04 HEALTHCARE BUSINESS RESOURCES, INC., Durham, NC
Provider Enrollment Specialist
. Departmental responsibilities included: enrolling providers
with perspective carriers, processing denials, reducing
accounts receivables, handling carrier and provider
inquiries.
. Provided continual provider data management services to
clients for the purposes of emergency record billing in more
than 25 states.
. Maintained provider files and credentials for up to 3500
providers. Initiated electronic claim submission process for
providers of service.
. Created departmental training manuals detailing individual
state requirements for provider enrollment in healthcare
plans: (i.e. Medicare, Medicaid, BCBS, and Managed Care
Organizations).
. Removed 2 million dollars from provider holds within 6 months
to ensure revenue collection.
09/01-12/02 NORTH CAROLINA FARM BUREAU MUTUAL INSURANCE COMPANY,
Morrisville, NC
Field Assistant
. Responsible for reviewing bodily injury claims. Opened
estimated reserves and posted payments to accounts.
. First line of communication to policy-holders, claimants and
attorneys.
. Composed letters to attorneys, physicians, insurance holders
and claimants requesting information. Database entry as
needed.
10/99-08/00 NORTH CAROLINA EYE AND EAR CLINICS, Durham, NC
Patient Accounts Representative
. Responsible for claims filing for all Health Maintenance
Organization claims.
. Contacted HMO's to verify patient's eligibility and coverage
as well as follow up on outstanding claims payments and
denials.
. Responsible for written communication to HMO's to appeal
denied claims.
. Communicated with patients regarding their account balances,
denials and co-pays and deductibles owed. Collection of
delinquent payments.
COMPUTER SKILLS
Operating Systems - Windows 98/2000/XP
Software - Microsoft Office Suite (Word/Excel/PowerPoint/Outlook/Access);
AS400; ENHANCE Billing systems; Internet Navigation; PeopleSoft, Recruiter
Workbench, Blackboard applications.