MELAINE GARRETT

adz3pb@r.postjobfree.com

336-***-****

Skills

• Medical Collections, Medical Billing

• Liens

• Benefit verifications, authorizations

• IDC-10 coding

• Payment posting

• Medical terminology

Experience

MEDICINE BUSINESS INDUSTRY Phoenix, AZ

Accounts Receivable Specialist July 2021 – August 2023

• Worked aging physician’s billing inventory and patient billing accounts to zero balances for Worker’s Comp claims

• Provided resolutions to denied, non-paid, controverted claims. Filed medical appeals, submitted corrected claims, provided medical documentation, and physician correspondences to insurance adjusters, carriers, and TPA’s for payment.

• Identified trends of targeted accounts for improvement on delinquency, as well as developing resolution strategies with multiple insurance’s Bill review teams to determine compensability. Scanned, filed insurance correspondences, responded to inquiries, emails while protecting private health information.

• Posted insurance payments, submitted refunds for recoups/offsets. Adjusted off uncollected debts for end of month reports.

• Adhered to ICA guidelines, fee schedules, contracts, and U & C pricing for profit

• Proficient with explanations of benefits/ payments, and electronic remit codes

• Assisted new hires once out of orientation/training, transitions comfortably, and confidently into their roll.

• Maintained an accepted level of quotas of 25 or more by setting productivity goals Robert Half Phoenix, AZ

Accounts Receivable Specialist November 2018 – May 2021

(Contract)

• Lumina Vision Partners Paradise Valley Eye Care

• 360 Physical Therapy

• Arizona Arthritis and Rheumatology

• Simon Med Imaging

• Optum 360

Ajillon Mesa, AZ

Accounts Receivable Specialist October 2020 – March 2021

(Contract)

• Hatfield Medical Group

Optum 360 Phoenix, AZ

Accounts Receivable July 2019 – October 2020

• Resolved denied or unpaid Medicare Advantage medical claims. Petitioned and appeal decisions based on COB, EOB, and patient’s responsibility for Dignity hospital facilities in Arizona, Nevada, and California.

• Utilized provider portals and websites to obtain claim status, resubmit claims via mail or electronically.

• Efficiently and effectively provided resolutions of outstanding account balances while following federal and company policies and guidelines

MELAINE GARRETT

adz3pb@r.postjobfree.com

336-***-****

CVS, Coram Infusion Phoenix, AZ formerly Tampa, Fl Accounts Receivable May 2013 – September 2018

• Efficiently and effectively provided resolutions of client’s account balances while following federal and company policies and guidelines via email, fax, phone, and USPS.

• Identified trends of targeted accounts for improvement on delinquency, as well as developing resolution strategies with our Payors that includes efficiencies on timely accurate/clean billing of claims, and timely payment received from our customers based on their contract.

• Managed special Reconciliation Projects, as assigned such as Self Pay, and Self Pay (DNS), Heritage Group, VNS, etc

• Worked with all Coram’s systems, such as HC360, ePremis, MediAR, etc. as well as via LearnNet

• Proficient with billing forms (1500 Grey and Red, UB-04, Invoice etc.), as well as understanding medical diagnosis codes, and our customers contracts to ensure compliance for billing and payments.

• Assisted new hires once out of orientation/training, transitions comfortably, and confidently into their roll.

• Maintained an exceptional level of quality, while exceeding expectations of the productivity goals set. Software

• Microsoft Office Suite 365

• Adobe

• Medlogic

• Athena

• ECM

• Cerner

• HC360

• MediAR

• MedMetrix

Soft Skills

• Motivated Learner

• Reliable, Responsible

• Attention to Detail, active listening

• Interpersonal: oral and written communication, team building

• Phone etiquette

Contact this candidate