Melissa Conley, Cpc Email & Phone Number

Salem, Virginia, United States

Roanoke, Virginia, United States

Working in the field, Enumerators visit households that haven't responded to the 2020 Census, speaking with residents to collect 2020 census data.

Roanoke, Virginia Area

Roanoke, Virginia Area

• An estimated 80% of Medical Bills have errors! I audit and perform a bill and claim review to identify erroneous, fraudulent and abusive billing practices to reduce medical bills to be “True and Accurate” and.
• Analyze consumer insurance benefits to ensure claims are processed accordingly
• Analyze physician bills for coding and insurance errors
• Determine the financial benefit for a compliance audit on hospital bills based on the itemized statement and explanation of benefits
• Help to facilitate a resolution and settlement with providers and consumers
• Calculate and invoice consumers, invoice follow up and accountable for payments to Medliminal POSITION ACCOUNTABILITYCost Control: Meets scheduling requirements to ensure unnecessary expensesQuality Control: Ensures.

Roanoke, Virginia Area

Implemented and administered marketing programs for a segment, local market that include sales promotion, communications, public relations, advertising and market/competitive analysis/research. Implement member marketing strategies and plans. Coordinated and managed all enrollment activity. Coordinated and managed all internal customer promotions and.

Part of the implementation team that rolled out our new eLearning system to all employees at 8 sites nationwide. Conducted all leadership and end user training session. Also conducted all training sessions and webinars for new hires nationwide.

Part of the implementation team that rolled out our new eLearning system to 8 sites nationwide and conducted all leadership and end user training sessions. Conducted all training sessions and webinars for new hires nationwide. Served as the administrator and HR backup for all employees based at our Roanoke, Virginia location - clocking in, clocking out and.

Roanoke, Virginia Area

• Development, delivery and measurement delivery of training programs, including; new hire orientation, industry specific training, company operational policies and procedures, and system training
• Design, develop and deploy instructional materials, training aids, handouts, evaluation forms, and visual aids for current and new training
• Completes updates for materials based on industry, company and departmental changes and demands
• Keep current on training philosophies and procedures, as well as continue to develop and enhance employee skills and product knowledge
• Provide side-by-side coaching to existing employees, based on quality call information
• Evaluate effectiveness of training activities and propose improvements or modifications

Responsible for the development, delivery and measurement delivery of training programs, including; new hire orientation, industry specific training, company operational policies and procedures, and system training. Designed, developed and deployed instructional materials, training aids, handouts, evaluation forms, and visual aids for current and new.

Responsible for the delivery and measurement delivery of training programs for new hire orientation, company operational policies and procedures, and system training. Kept current on training philosophies and procedures, as well as continue to develop and enhance employee skills and product knowledge. Provided side-by-side coaching to new employees, based.

Worked with leadership on all stages of acquisitions including planning and implementation. Worked with IT on system integrations including manually entering information that could not be imported to our system. Responsible for software documentation and UAT testing and departmental sign-offs. Trained new employees on our company policies,processes and.

Performed QA on new patients enrolled into the diabetes and pharmacy programs which included documentation for billing insurance, call monitoring, and system accuracy. Oversaw the call queue for average hold times and coached employees on phone stats daily.

Performed QA on new patients enrolled into the diabetes and pharmacy programs which included documentation for billing over 4,000 Medicare / Medicaid and commercial insurance plans, call monitoring, and system accuracy. Oversaw the inbound call queue for average hold times, abandoned rates, staffing and coached employees on phone stats daily.

Enrolled new Medicare & Medicaid patients into the diabetes and pharmacy programs. Responsible for proper documentation for billing their insurance.

Processed and responsible for contacting all existing Medicare, Medicaid and Managed Care patients for diabetes supply and pharmacy reorders.

Worked with the outside sales team to enter leads into ACT and make phone calls to prospective leads.

Responsible for calling insurance to verify eligibility also checked eligibility on-line for all new and existing customers.

Worked at the retail store location assisting walk in customers to process and fill prescriptions. Also worked at the mail order facilities adjudicating claims and making calls for refills.

Responsible for entering and processing all insurance payments received. Also contacted insurance companies for payment status.

Responsible for paying all bills received for the pharmacy and ordering inventory.

Business Administration And Management, General

Business Management

General Studies, Data Processing

Attended classes for general studies and data processing. Also participated in the work program.

High School, General Studies