Melody Murrietta
Yucaipa,CA
Summary
Accomplished Patient Service Representative and Patient Care Coordinator with a proven track record at Community Alliance Medical Group and Optum. Expert in HIPAA compliance and customer service, enhancing patient satisfaction through efficient scheduling and meticulous insurance verification. Demonstrates exceptional communication skills and a commitment to privacy and accuracy in patient information management.
Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth.
Overview
23
23
years of professional experience
Work History
Patient Service Representative
Community Alliance Medical Group
08.2024 - Current
- Participated in ongoing training programs related to HIPAA compliance, maintaining up-to-date knowledge on regulatory requirements.
- Verified insurance eligibility and coverage for patients.
- Handled sensitive patient concerns with professionalism and empathy, fostering an atmosphere of trust within the clinic.
- Filed and maintained patient records in accordance with HIPAA regulations.
- Entered patient demographic and insurance data into electronic medical record system.
- Assisted with insurance verification tasks, ensuring accurate billing and timely reimbursement for services rendered.
- Took copayments and compiled daily financial records.
- Balanced deposits and credit card payments each day.
- Verified patient insurance eligibility and entered patient information into system.
- Processed payments using cash and credit cards, maintaining accurate records of transactions.
- Used Epic, E Clinical Works and McKesson.
Patient Care Coordinator
Optum
02.2002 - 08.2024
- Managed sensitive patient information with strict adherence to HIPAA guidelines, maintaining confidentiality and privacy at all times.
- Provided exceptional customer service by addressing concerns, answering questions, and ensuring patient satisfaction with their care experience at the clinic.
- Enhanced patient satisfaction by efficiently scheduling appointments and managing patient flow.
- Streamlined communication between patients and healthcare providers, ensuring timely responses to inquiries and concerns.
- Coordinated with insurance companies for accurate billing and claim processing, reducing errors and financial discrepancies.
- Coordinated scheduling of appointments to maximize healthcare providers' availability and patient convenience.
- Managed patient records with strict adherence to confidentiality and accuracy standards.
- Ensured compliance with healthcare regulations and patient privacy laws, maintaining safe and confidential environment.
- Verified patient insurance eligibility and entered patient information into system.
- Processed payments using cash and credit cards, maintaining accurate records of transactions.
- Facilitated communication between patients and various departments and staff.
Education
High School Diploma -
Calipatria High School
Calipatria, CACertificate - CPC-A Coding
AAPC
Loma Linda, CA09-2022
Skills
- Customer service
- HIPAA compliance
- Insurance verification
- Payment collection
- Medical terminology
- Scheduling appointments
- Medical billing
- Medicaid
- Verbal and written communication
- Electronic health records
- Office administration
Timeline
Patient Service Representative
Community Alliance Medical Group
08.2024 - Current
Patient Care Coordinator
Optum
02.2002 - 08.2024
High School Diploma -
Calipatria High School
Certificate - CPC-A Coding
AAPC
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