Helayne Melo

561-***-**** acxx8z@r.postjobfree.com

Professional Skills

5+ years of Medical Billing experience

Accounts Receivable

Medical Terminology

Medical Billing Software (Office Practicum, Brightree, Noble House)

Microsoft Office (Word, Excel, Outlook, Power Point)

Quick Books

Professional Experience

August 2016-Present Jupiter Pediatric Associates

Front Desk & Billing

Scheduling Appointments

Confirming Appointments

Collecting Copays

Verifying Insurance

Submitting Insurance Claims

Posting payments

June 2011-2016 ION My Health Jupiter, FL

Accounts Receivable & Billing Specialist

Submitting Medicare claims and following up on denials for both Medicare and private insurance companies

Ensuring correct billing codes are entered when claims are submitted (ICD-9, ICD-10, and CPT codes)

Responsible for all accounts receivable activities

Verifying patient insurance

Explaining patient benefits

Entering patient information into electronic medical record system

Processing and posting payments

Collecting credit card, check, and electronic payments

Invoicing patients for their co-pays and deductibles

March 2007-June 2011 Medical & Diabetic Supplies Jupiter, FL

Order Entry Specialist

Responsible for entering daily orders.

Entered all ICD-9 and CPT billing codes

Entered patient information

Explained patient benefits

Verified patients insurance

Provided customer resolution

Assisted CSR manager with personnel and customer issues

2005-2007 Owens & Minor, INC Pompano, FL

Compliance Document Coordinator/Customer Intergration Specialist

Responsibilities included all daily operations of compliance, medical records and corporate services departments.

Assisted the director with all tasks including HIPPA security training, compliance and code of honor training, accreditation projects and attrition projects

Ensured integration of newly acquired customers for mergers and acquisition team of a 100,000+ patient durable medical supply company

Audited patient files for required documentation and compiled reports to facilitate process of retrieving missing documentation, secured missing documents and information by contacting physicians and patients.

Implemented the transition of acquired and new patient’s records into current business operations.

2003-2005 ICARE Medical Supply, INC. Jupiter, FL

Accounts Receivable and Data Entry Specialist

Administered all accounts receivable activities for a 15, 000 patient durable medical supplier

Verification of benefits

Posted payments

Performed heavy data entry.

Mitigated revenue erosion by ensuring compliance to Medicare record keeping guidelines and processing accurate and timely insurance claims for Medicare, Medicaid, Private Insurance PPO & HMO’s.

Fostered long term customer relationships by resolving inquiries and complaints in a timely manner and educating patients on their benefits.

Education

Lyn University, Boca Raton, FL

Associates of Business Degree

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