MelNee D. Tolbert

810-***-****

Email: adxx9h@r.postjobfree.com

EMPLOYMENT HISTORY

May 2015 to December 2020

Insurance Billing Assistant University of Detroit Mercy Detroit, MI

Inputting claims information into billing system for generation invoices

Responsible for making sure that consumer data is secure, accessible and accurate for billing purposes.

Work with insurance companies to resolve unpaid claims

Overseeing collections processing, reviewing insurance re-authorizations, verifications, and tracking payments. Resolving billing discrepancies, rejections in a timely basis

Research and resolve payment status and other account inquiries

Contacts financial institutions, insurance companies, and various government agencies to determine eligibility, enrollment, and benefits due for services rendered

All other duties as assigned

November 2014 to November 2015

Lead Cashier Citi Trends Southfield/Roseville, MI

Check cashiers in and out

Train new hires

Check in and place shipment

Solve customers’ problems

Maintain sales floor

Layaway inventory

May 2013 to May 2014

Insurance Specialist I Henry Ford Health System Detroit, MI

Able to multitask using several computer programs simultaneously including EPIC, MPAC, Web Denis, etc. to correct and update patient’s insurance coverage

Provide support and education to Front Line staff

Able to work in a stressful and fast-paced environment while maintaining a positive and professional attitude

Strong data entry skills with strict attention to detail to ensure quality while making sure productivity goals are met

Able to adapt to a constantly changing environment while maintaining a high level of customer service March 2013 to June 2014

Lead Cashier Ollie’s Bargain Outlet Farmington Hills, MI

Check cashiers in and out

Solve customers’ problems

Making schedules

Money pick ups

July 2011 to November 2012

Insurance Billing Specialist Alsan Medical Clinic Detroit, MI

Bill claims to various medical insurers including but not limited to: OmniCare, GLH, HAP, Workers Comp, No Fault claims

Address, analyze and resolve billing issues; Process and post insurance payments

Perform insurance verifications

Research, resolve, recode & resubmit claims as necessary June 2008 to May 2009

Insurance Billing Specialist Moroun Nursing Home Detroit, MI

Submitted claims to Medicare, Medicaid and BCBS

Resolved any billing issues

Researched past due accounts

Performed insurance verifications

Proactively analyzed potential account receivables and collections March 2007 to October 2007

Accounts Receivable Manager Camelot Hall Convalescent Center Livonia, MI

Managed all facility billing functions

Maintained daily census

Processed and posted patient and insurance payments

Maintained daily trust accounts for resident funds

Examined any potential collections and receivables issues June 2006 to February 2007

Patient Financial Counselor Accretive Health Southfield, MI

Initiated collections on past due accounts.

Assisted customers in bringing accounts to good standing status.

Worked with agencies to resolve non-customary situations. April 2004 to May 2006

Billing Representative Oakwood Skilled Nursing and Rehabilitation Center Dearborn, MI

Completed all facility billing functions

Processed and post patient/insurance payments

Resolved billing issues with patients/insurance carriers

Performed insurance verification and authorizations

Maintained daily census

May 2003 to September 2003

Professional Billing Representative Oakwood Hospital and Medical Center Dearborn, MI

Responded to and researched patient telephone inquiries regarding professional claims/bills

Investigated open and rejected claims; Resolve any billing errors or discrepancies

Responsible for analysis of accounts after initial billing, ensured timely payment and collect-ability EDUCATION

University of Michigan Dearborn, MI

Major: Health Administration

Estimated date of graduation – Spring 2017

May 2002 May 2003

Dorsey School of Business Detroit, MI

Medical Billing Administration Certificate Awarded SKILLS/ABILITIES

MS Office/Mac/PC proficient

Exceptional written and verbal skills

Ability to serve as receptionist/front desk assistant as needed

Proficient as an Administrative Assistant

Flexible scheduling; available to work weekends

Ability to multitask and excel under pressure

High-volume call center experience

Excellent analytical and problem solving skills

Proficient in technical data/technical support and troubleshooting

CPT/ICD9, HIPAA, Medicare, COBRA, and medical terminology knowledge

Working relationship and knowledge of Michigan Department of Human Services policies and procedures References available upon request.

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