Sales Representative Service

Melissa Clark

** ********* ***** – Hattiesburg, MS 39402 • 601-***-**** • **********@*****.***

Professional Experience

TEKsystems – Mercy Medical Center; Cedar Rapids, IA October 2013 - Present

Epic Resolute PB Consultant

• Extensive troubleshooting and build in Charge Review, Follow-Up, Credit, and Router Review workqueue re-

design and enhancement projects

• Resolved and participated in the completion of various department top priority issues such as VFC billing

prices, Place of Service code logic, automating referring provider on required Medicare/Medicare Replacement

charges, automating various charges from Radiant

• Implemented initial Professional Billing build for ICD-10 testing

• Maintained PB Fee Schedule updates

• Built and maintained Cash Drawers and corresponding reports for new departments

• Management and resolution of Issue Tickets assigned to Professional Billing

BlueTree Network – University Health; Augusta, GA April 2013 –

June 2013

Epic Resolute PB Consultant

• Responsible for providing support across all areas for the Resolute PB team

• Resolved GA Medicaid claim requirements and issues

• Enhanced Follow Up Workqueue logic to improve accuracy in routing follow up records

• Began initial discussions, research, testing for the Claims Reconciliation process

• Corrected Remittance processing logic to reduce duplicate file loading, prevent remit files from loading in the

incorrect service areas, and electronic posting of Provider Level Adjustments

• Worked with IT and Operations to facilitate the framework for positive communication and resolution steps

Brooksource Consulting – St. Elizabeth Healthcare; Florence, KY September 2012 - April 2013

Epic Resolute PB Claims Consultant

• Responsible for resolving issue tickets from end users as it relates to Claims and Remittance issues

• Revamped the system’s Provider Credentialing Hold Process

• Held Claims and Remittance end user sessions to improve workflows and resolve outstanding issues

• Participated in system build projects including: creating a new Service Area, transitioning Hospital Providers to

the organization’s Professional Business side, completing 2012 Upgrade build and testing, owning general

system/workflow optimization projects

Ochsner Health System; New Orleans, LA December 2010 - August 2012

Epic Application Coordinator- Resolute Professional Billing

• Responsible for Professional Billing Claims and Remittance configuration

• Worked closely with Subject Matter Experts to plan and execute system build optimization after go-live

• Participated in complete Resolute project implementation

• Owned re-engineering sessions to update and design new PB Claims workflows specific to Oschner’s needs

• Responsible for configuring 837P and CMS-1500 forms

• Extensive work with MedAssets, Optum

• Utilized Epic Certification for system installment of Project O2 across the organization

Pamlab, LLC; Covington, LA June 2010-December 2010

Inside Sales Representative

Melissa Clark

15 Peachtree Drive – Hattiesburg, MS 39402 • 601-***-**** • **********@*****.***

• Responsible for maintaining established relationships and attracting new relationships with Physicians

• Educated consumers about pharmacogenomics and the benefits of our company’s products

• Provided sales information to Physicians through various sources and outlets

• Increased product knowledge, understanding, and acceptance throughout my territory

CERTIFICATIONS

• Epic Resolute Professional Billing Claims Administrator, (Current on 2014 New Version Training)

• Epic Resolute Professional Billing Administrator, (Current on 2014 New Version Training)

• Epic Single Billing Office Administrator, (Current on 2014 New Version Training)

EDUCATION

Bachelor of Science in Business Administration/Marketing May 2010

The University of Southern Mississippi

• Study Abroad Program at King’s College in London Summer 2009

• International Business and Finance Courses

• Beta Gamma Sigma member

• President’s List

• Dean’s List

SKILLS

• •

Experience with Microsoft Word, Great attention to detail

•

Excel, PowerPoint Strong work ethic

• •

Motivated with strong desire to learn Effective communicator

• Problem solver

References available upon request

Contact this candidate