Melissa Conley, Cpc Email and Phone Number
salem, virginia, united states
Melissa Conley, Cpc's Location
Salem, Virginia, United States, United States
Melissa Conley, Cpc's Contact Details
Melissa Conley, Cpc work email
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Melissa Conley, Cpc personal email
n/a
Melissa Conley, Cpc phone numbers
About Melissa Conley, Cpc
I have the ability to successfully interface with all levels of management and executive leadership. I am very passionate about my career and all of the internal and external customers that I support within my role. Eagerly assumes leadership responsibilities, and has the proven ability to maximize and deliver on company objectives and goals. I am extremely flexible; acquire proficiency at new skills with ease. I am a self-disciplined leader, who has consistent record of achievement and completes all responsibilities well within corporate time and budget specifications; possess excellent account management and solution selling skills. I have a vast knowledge in operations, including implementation strategies and project management, software documentation and testing that have allowed me to perform several job functions at the same time.
Melissa Conley, Cpc's Current Company Details
Beacon Hci
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Resolutions Manager at Beacon HCI
salem, virginia, united states
- Website:
- beaconhci.com
- Employees:
- 6
Melissa Conley, Cpc Work Experience Details
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Resolutions ManagerBeacon Hci Mar 2021 - PresentSalem, Virginia, United States
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EnumeratorU.S. Census Bureau Aug 2020 - Oct 2020Roanoke, Virginia, United StatesWorking in the field, Enumerators visit households that haven't responded to the 2020 Census, speaking with residents to collect 2020 census data. -
Manager Of Consumer ClaimsMedliminal May 2017 - Aug 2018Roanoke, Virginia Area
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Auditor - Insurance/Provider SpecialistMedical Recovery Services, Inc. Mar 2015 - May 2017Roanoke, Virginia AreaAn 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 successfully negotiate with the providers to obtain pricing that is “Fair and Reasonable”. Assist consumers in claims corrections, negotiations and offer advice navigating the healthcare industry.• 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 company philosophies, policies, and procedures regarding clients, consumers and other vendors are maintainedConfidentiality: Adheres to HIPAA guidelines, company privacy and confidentiality policiesCustomer Service: Ensure the consumers are treated with the highest level of customer service, are educated on their insurance benefits and rights and responsibilitiesRecords: Responsible for maintaining accurate consumer recordsCompliance: Ensures effective documentation and adherence to company policies and procedures
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Marketing Consultant - Member Outreach AdvocateAetna Dec 2011 - Jan 2015Roanoke, Virginia AreaImplemented 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 communications which included: - negotiating member marketing packages - market-wide entertainment planning - handling provider relations issues (promotional items) - producing member and market newsletters Coordinate external public relations which may included: - managing day to day operations of any outside public relations firms - drafting the development of advertising copy - coordinating/or directing the advertising design process - making and maintaining community leader contacts- Gather, analyze and report market research/competitive intelligence and make recommendations on market strategy Researched and implemented member retention initiatives Knowledgeable and Experienced with Medicaid / Medicare managed care and dealing with historically disadvantaged and underserved populations is highly desirable. -
Elearning SpecialistCcs Medical Oct 2010 - Dec 2011Part 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. -
Etime AdministratorCcs Medical Oct 2008 - Dec 2011Part 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 PTO requests, etc.
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Curriculum DesignerCcs Medical Apr 2007 - Dec 2011Roanoke, 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• Maintain appropriate and accurate training records• Maintain positive rapport and strong feedback loops with internal customers• Maintain training and developmental records
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Skill Enhancement Trainer & Curriculum DesignCcs Medical Jul 2006 - Dec 2011Responsible 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 training. Completed 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. Provided side-by-side coaching to existing employees, based on quality call information. Evaluated effectiveness of training activities and propose improvements or modifications. Maintained appropriate and accurate training records and developmental. Maintained a positive rapport and strong feedback loops with internal customers. Followed all Medicare, Medicaid and Private Insurance regulations and requirements. Abides by all policies, procedures, and protocols set forth in the departmental, Personnel and Administrative Policy Manuals.
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TrainerCcs Medical May 2004 - Dec 2011Responsible 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 on quality call information. Maintained appropriate and accurate training and developmental records. Maintained a positive rapport and strong feedback loops with internal customers. Followed all Medicare, Medicaid and Private Insurance regulations and requirements. Abided by all policies, procedures, and protocols set forth in the departmental, Personnel and Administrative Policy Manuals.
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Special Projects / Acquisition TeamCcs Medical Dec 2003 - Dec 2011Worked 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 systems and core values.
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Nce Team LeadCcs Medical Jan 2003 - May 2004Performed 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.
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New Customer Enrollment Team LeadCcs Medical Jan 2003 - May 2004Performed 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.
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New Customer Enrollment / Inside SalesCcs Medical Jan 1994 - Feb 2003Enrolled new Medicare & Medicaid patients into the diabetes and pharmacy programs. Responsible for proper documentation for billing their insurance.
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Patient ReorderCcs Medical Jan 1992 - Dec 1993Processed and responsible for contacting all existing Medicare, Medicaid and Managed Care patients for diabetes supply and pharmacy reorders.
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Sales Marketing AdministratorCcs Medical Jan 1991 - Dec 1991Worked with the outside sales team to enter leads into ACT and make phone calls to prospective leads.
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Insurance Verification RepCcs Medical Jan 1990 - Dec 1990Responsible for calling insurance to verify eligibility also checked eligibility on-line for all new and existing customers.
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Pharmacy TechnicianCcs Medical Jan 1990 - Dec 1990Worked 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.
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Accounts Receivable ClerkCcs Medical Aug 1989 - Dec 1989Responsible for entering and processing all insurance payments received. Also contacted insurance companies for payment status.
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Accounts Payable ClerkCcs Medical Jan 1989 - Jul 1989Responsible for paying all bills received for the pharmacy and ordering inventory.
Melissa Conley, Cpc Skills
Leadership
Healthcare
Coaching
Software Documentation
Program Management
Instructional Design
Management
Team Building
Workshop Facilitation
Policy
Leadership Development
Managed Care
Account Management
Training
Project Planning
Medicare
Instructor Led Training
Public Speaking
Needs Analysis
Budgets
Employee Training
Performance Improvement
Staff Development
Microsoft Office
Process Improvement
Training Delivery
Performance Management
Organizational Development
Information Management
Resource Allocation
Time Management
Recruiting
Situational Awareness
Organizational Effectiveness
Customer Service
Hospitals
Hipaa
Medicaid
Medical Devices
Call Centers
Insurance
Healthcare Industry
Human Resources
Sales Operations
Medical Coding
Coding Experience
Cpt Coding
Hcpcs
E/m Coding
Coding Practices
Melissa Conley, Cpc Education Details
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Virginia Western Community CollegeBusiness Administration And Management, General -
Arnold R Burton VocationalData Processing
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Northside High SchoolGeneral Studies
Frequently Asked Questions about Melissa Conley, Cpc
What company does Melissa Conley, Cpc work for?
Melissa Conley, Cpc works for Beacon Hci
What is Melissa Conley, Cpc's role at the current company?
Melissa Conley, Cpc's current role is Resolutions Manager at Beacon HCI.
What is Melissa Conley, Cpc's email address?
Melissa Conley, Cpc's email address is me****@****med.com
What is Melissa Conley, Cpc's direct phone number?
Melissa Conley, Cpc's direct phone number is (855) 203*****
What schools did Melissa Conley, Cpc attend?
Melissa Conley, Cpc attended Virginia Western Community College, Arnold R Burton Vocational, Northside High School.
What are some of Melissa Conley, Cpc's interests?
Melissa Conley, Cpc has interest in Salute.
What skills is Melissa Conley, Cpc known for?
Melissa Conley, Cpc has skills like Leadership, Healthcare, Coaching, Software Documentation, Program Management, Instructional Design, Management, Team Building, Workshop Facilitation, Policy, Leadership Development, Managed Care.
Who are Melissa Conley, Cpc's colleagues?
Melissa Conley, Cpc's colleagues are Christie Hudson, William Fisher, Jp Addington, Carolyn Jones, Jonathan Elliott, Linda Mullins.
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