Customer Service Medical

Melanie Hardin

PROFESSIONAL SUMMARY:

Medical Billing/Coding/Credentialing Specialist with over 13 years’ experience in a medical office. Detailed oriented and a focused professional commit ted to team dynamics with the ability to contr ibute expertise and leadership while maintaining strict confidentiality. I offer a solid foundation in software applications, database management and data entry and a talent for quickly mastering new technology.

PROFESSIONAL EXPERIENCE:

Family Choice Nutrition, North Little Rock, AR

Administrative Assistant

September 2011 - March 2014

• Accounts payable/receivable, posted payments, reconciled accounts, and payroll

• Rewrote employee compensation, benefits, schedules, working conditions and

p romotion opportunities. Created charts to comply with federal Standards

• Created reports on sales and services by areas of importance.

• Reviewed human resource paperwork for accuracy and completeness by verifying,

collecting and correcting additional data

• Planed and organized the day-to-day operations within the office

• Maintained compliance in areas as OSHA, H IPPA, coding issues and updating

policies and procedures

• Customer Service, Sales, and general office duties as needed

Premiere Medical Supply, Bryant, AR

Office Manager/ Billing/Credentialing Specialist

October 2009 - August 2011

• Maintained relations with insurance companies to stay compliant with all

regulations

• Maintained/updated vendor database and prepare management reports (NPI)

• Resolve issues with providers, internal and external clients

• Communicate complaints to assigned providers, manage to resolution and update

Quality Software

• Entered all payments, daily deposits and researched and corrected non payments;

i ncluding t ransmissions of all electronic claims

• Planned monthly meetings in compliance with accreditation; checked monthly charts

and van logs

• Coded all claims and collected documents needed for billing

• Oversaw inventory and purchases of medical and office supplies; posted all charges

and payments for insurance companies Prepared and distributed payroll in addition

to reconciling bank accounts

• Audited all files and corrected over $125,000 in billing errors, $90,000 collected on

behalf of the company

Med-South Medical Supply Inc. Maumelle, AR

Office Manager/ Billing/Credentialing Specialist

Jan.2000-Oct. 2009

• Won two awards from the medical society as most valuable women in DME medical

field.

• Maintained inventory, company files, and insurance records via computer t racking

system

• Generate all credentialing reports, statistics and other computer-generated

information

• Track and managed expired data for providers and facilities appropriately

• In teracted with facilities and clients to obtain credentialing information and process

any needed applications

• Maintained and processed all credentialing, contract, provider projects information

i n an organized manner

• Responded to inquiries from providers to clarify issues related to network

participation and billing

• Ensured credentialing processes are performed in accordance with all standards

• Created weekly agendas, ordered supplies to fill and ship using t racking system

• Accurately applied payments to patient and clinic accounts; researched and resolved

incorrect payments, RA rejections, and other issues with outstanding accounts

• Responded to inquiries from providers on a broad scope of coverage issues pertaining

to eligibility, coordination, explanation of benefits, and payment schedules

EDUCATION:

Northside HS, Ft Smith, AR- Diploma

American College, Fort Smith, AR- Computer Software Specialist/ Data Processing

Certification

Med Learns, Medicare- Certificate for Medical Billing and Coding

KEY ADMINISTRATION SKILLS:

Sales Reports

Knowledge of Computers

ICD - 9 Coding

HCPCS Coding

National Provider Identification (NPI)

Billing

Posting Payments

RA Rejections

Claims Research

Data Ent ry

Proficient with MS Excel, Word and Outlook

Payroll Accounts Receivable

Audit Patient Files

Accounts Payable Quickbooks

Policies and Procedures

Medical Terminology

76 Mountain Village Est, Bigelow, AR 72016 Phone# 501-***-****

M *********@*****.*** Cell # 501-***-****

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