Melissa V. is a Vice President, Health Plan Operations at myPlace Health.
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Vice President, Health Plan OperationsMyplace Health Jun 2023 - PresentLos Angeles, Ca, Us -
Associate Vice President - Health Plan OperationsNeuehealth Jun 2022 - Mar 2024Doral, Florida, Us -
Associate Vice President - Health Plan OperationsMphasis Mar 2022 - Jul 2022Bangalore, Karnataka, In -
Director, Claims Operational Integrity & Vendor OversightCaresource May 2021 - Mar 2022Dayton, Oh, Us -
Director, ClaimsCaresource Aug 2018 - May 2021Dayton, Oh, Us -
Senior Director, Claims Operations, System Configuration & Special Investigations UnitMedigold Sep 2016 - Aug 2018 -
Director Of Claims OperationsMedigold Feb 2014 - Sep 2016 -
Manager-Patient AccountingMount Carmel Health System Jan 2013 - Feb 2014Columbus, Ohio, Us· Monitored and maintain the system A/R for Medicaid, Medicaid HMO, Medicare, Medicare HMO, Commercial, BWC and Lab· Maintained current knowledge of all Medicaid, Medicare and BWC billing guidelines· Maintained quality standards and statistics for associates in order to maintain the A/R· Used data to trend denial and payer issues to decrease days in A/R· Worked with coding to keep abreast of CPT changes and issues· Created and maintained on-going training program for patient accounting representatives· Maintained department budget· Navigated and supported A/R platform, HealthQuest, as well as our EHR system. -
Manager-Training And DevelopmentMount Carmel Health System May 2011 - Jan 2013Columbus, Ohio, Us· Managed call center for system wide patient type changes· Created learning modules and education for Patient Financial Service departments which included: patient accounting, central scheduling, patient type change department, lab and patient registration· Maintained department budget· Created and maintained processes and procedures for efficiency· Newly created online learning environment and classes using Camtasia, Adobe Captivate, and HealthStream· Created and maintained Patient Financial Services website, using Drupal, to house online learning, policies and procedures, job aids and announcements· Worked closely with the Directors and Vice President to manage the revenue cycle to increase efficiency -
Training And Quality Improvement SpecialistOhio State University Physicians/Osumc Mar 2009 - May 2011Columbus, Ohio, Us· Taught technical program information to medical staff in a classroom setting· Created and maintained detailed training material for new and existing programs with various computer programs such as Adobe Capture, SnagIt and PowerPoint· Provided Quality Assurance duties through specialized internal audits on a daily basis· Maintained specific computer databases such as GE/IDX, EPIC, Access, and HelpStar· Participated in converting EMR system through becoming software certified, creating detailed training documentation for the organization and chairing the build team
Melissa V. Education Details
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The Ohio State UniversitySociology -
Ohio Dominican UniversityScience In Management -
Ohio Dominican UniversityPmp -
Franklin UniversityHealth/Health Care Administration/Management
Frequently Asked Questions about Melissa V.
What company does Melissa V. work for?
Melissa V. works for Myplace Health
What is Melissa V.'s role at the current company?
Melissa V.'s current role is Vice President, Health Plan Operations.
What schools did Melissa V. attend?
Melissa V. attended The Ohio State University, Ohio Dominican University, Ohio Dominican University, Franklin University.
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