Healthcare Billing & Customer Service Specialist

MELISSA BREECE

Mount Vernon, Ohio, ***** 740-***-****

*.******@*******.***

PROFESSIONAL SUMMARY

Organized and self-directed healthcare customer service and billing professional with 20+ years of experience supporting insurance, reimbursement, prior authorization, and patient services. Skilled in HIPAA compliance, medical records management, insurance verification, and revenue cycle support. Recognized for accuracy, problem-solving, and delivering high-quality customer support in fast-paced healthcare environments.

PROFESSIONAL EXPERIENCE

Customer Service Representative FORTUITY Columbus, OH 2026–Present

Manage user accounts, analyze usage trends, and collect customer feedback to improve services and workflows.

Provide prior authorization support to patients and prescribers through phone, email, and chat.

Troubleshoot issues and collaborate cross-functionally to resolve service concerns.

Maintain knowledge of evolving procedures, workflows, and client products.

Customer Service Representative Robert Half LLC Mount Vernon, OH 2024–2025

Served as first point of contact for insurance, benefits, pharmacy, and health risk assessment inquiries.

Maintained medical records and ensured HIPAA compliance for Optum Care and Optum Physical Health.

Assisted customers with healthcare coverage and claims-related questions.

Customer Service Representative Teleperformance Mount Vernon, OH 2020–2021

Supported United Healthcare members with insurance, pharmacy, and benefits inquiries.

Maintained accurate medical documentation while adhering to HIPAA regulations.

CORE SKILLS

HIPAA Compliance • Medical Records • Insurance Verification • Insurance Claims Processing • Prior Authorization • Revenue Cycle Management • Medicare/Medicaid • CPT & ICD-10 Coding • Medical Terminology • Epic • TouchWorks • SharePoint • Customer Service • Healthcare Administration

EDUCATION

Master of Business in Human Resources

Devry University – Keller Graduate School of Management

Bachelor of Science in Healthcare Administration

Southern New Hampshire University

Associate of Science in Health Sciences

Ultimate Medical Academy

Medical Office Assistant Program

Ashworth College

CERTIFICATION

Medical Records/Coding Certification

Contact this candidate