MELISSA LEYVA
Casa Grande
Summary
Dynamic medical billing professional with extensive experience at Arizona Advanced Urology, adept at resolving denied claims and enhancing patient satisfaction. Proven skills in insurance claims and customer service, successfully reducing claim denials through meticulous record verification. Strong collaborator with a commitment to continuous improvement and efficient operations.
Overview
8
8
years of professional experience
Work History
Medical Biller
Arizona Advanced Urology
06.2022 - Current
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Filed and updated patient information and medical records.
- Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
- Liaised between patients, insurance companies, and billing office.
- Trained new team members in medical billing software, increasing efficiency within the department.
- Organized filing system for patient records, expediting access to essential documents when needed.
- Assisted patients in understanding insurance benefits, leading to a positive experience during their visit.
- Used data entry skills to accurately document and input statements.
- Monitored outstanding invoices and performed collections duties.
- Created improved filing system to maintain secure client data.
- Enhanced accuracy of insurance claims with meticulous verification and updating of patient records.
- Responded to customer concerns and questions on daily basis.
Patient Registration Representative
Banner Healthcare
01.2019 - 11.2021
- Verified insurance coverage to confirm patient coverage for necessary medical services.
- Gathered demographic and insurance information to register patients for medical appointments.
- Imaged and scanned patient and registration documentation into electronic patient records.
- Demonstrated adaptability in handling high-volume periods while maintaining a calm demeanor, resulting in efficient service delivery during peak hours.
- Prepared patient charts before visits to facilitate easy access to relevant information for healthcare providers.
- Explained financial responsibilities to patients as well as payment options and potential collection procedures imposed upon patients and other responsible parties.
- Ensured accurate record-keeping by diligently verifying insurance information and obtaining necessary authorizations for services.
- Obtained payments from patients and scanned identification and insurance cards.
- Performed various administrative tasks by filing, copying and faxing documents
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
Medical Assistant
Clinica La Familia
05.2017 - 01.2019
- Sanitized, restocked, and organized exam rooms and medical equipment.
- Obtained client medical history, medication information, symptoms, and allergies.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Performed medical records management, including filing, organizing and scanning documents.
- Assisted physicians with minor surgeries, including preparing operating room and sterilizing instruments.
- Performed phlebotomy tasks efficiently while ensuring minimal discomfort for patients during blood collection procedures.
- Enhanced clinic efficiency by assisting physicians with routine procedures and diagnostic tests.
Education
Diploma - Medical Assistant
American Commercial College
San Angelo, TX05-2012
Skills
- Patient billing
- Accounts receivable
- Data entry
- Electronic health record software
- Records management
- Multitasking and organization
- Data analysis
- Account management
- Proficiency in [software]
- Critical thinking
- Teamwork and collaboration
- Work prioritization
- Clerical support
- Records maintenance
- Paperwork and documentation
- Customer service support
language skills
Spanish
Full Professional
English
Full Professional
Timeline
Medical Biller
Arizona Advanced Urology
06.2022 - Current
Patient Registration Representative
Banner Healthcare
01.2019 - 11.2021
Medical Assistant
Clinica La Familia
05.2017 - 01.2019
Diploma - Medical Assistant
American Commercial College
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