Melissa Mariscal
Fontana
Summary
Detail-oriented Medical Biller with extensive experience at Synergy DME Prosthetics. Over one year of expertise in processing claims, managing patient billing, and resolving denied claims to maximize reimbursement. Proficient in medical billing software and compliance with HIPAA regulations and healthcare coding standards. Recognized for strong organizational skills and effective support to patients and healthcare providers.
Overview
4
4
years of professional experience
1
1
Certification
Work History
Medical Biller Reimbursements
Synergy DME Prosthetics
05.2024 - 02.2025
- Managed insurance reimbursements for medical claims, ensuring accurate processing and timely payments.
- Reviewed Explanation of Benefits (EOBs) and remittance advice to track reimbursements and identify discrepancies.
- Investigated denied claims, appealing decisions and resubmitting corrected claims to recover revenue.
- Posted insurance and patient payments to accounts, reconciling billing discrepancies effectively.
- Communicated with insurance companies to resolve payment issues and followed up on aged receivables.
- Collaborated with coding and billing teams to rectify claim errors and enhance documentation accuracy.
- Maintained compliance with HIPAA and healthcare reimbursement regulations throughout processes.
- Utilized billing software for claim tracking, payment posting, and streamlined account management.
Billing Specialist
Total Transportation Logistics Inc
01.2021 - 05.2024
- Resolved billing discrepancies to ensure accurate invoicing and enhance system integrity.
- Identified and addressed billing variances, maintaining accuracy within financial systems.
- Collaborated with multiple departments to verify correct billing information.
- Facilitated resolution of complex billing issues, fostering teamwork and knowledge sharing.
- Processed weekly driver payments accurately and promptly.
- Posted revenue and invoices for referenced shipments alongside agent storage invoices.
- Distributes revenue from rated bill of lading, in a timely and accurate manner, to ensure proper revenue.
Education
Certificate of HR - Human Resources Adminstration
San Joaquin Valley College
Ontario, CA10-2021
Skills
- Insurance reimbursement expertise
- EOB and remittance review
- Claim resubmission and appeals
- Payment posting and reconciliation
- Billing software proficiency
- CPT, ICD-10, and HCPCS knowledge
- Effective communication skills
- Analytical and problem-solving skills
- HIPAA compliance commitment
- Independent account management
- Insurance portal navigation
- Customer service excellence
- Deadline management
- Compensation structure understanding
- Payroll management knowledge
- Labor law awareness
Certification
- Certified Certificate of Completion in
Human Resource Administration
Timeline
Medical Biller Reimbursements
Synergy DME Prosthetics
05.2024 - 02.2025
Billing Specialist
Total Transportation Logistics Inc
01.2021 - 05.2024
Certificate of HR - Human Resources Adminstration
San Joaquin Valley College
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