1. Medical/ Dental Claims Examiner Melodie Hunter
3501 Shady Timber St, LV NV, 89129
Cell: 323-251-4828
Email: Excellentchoice222@yahoo.com
Professional Summary
A certified Medical Claims Examiner withexperiencein both the private sector and civil servicepositions within Medical and Dental fields. Able
to thoroughly investigateand evaluate insuranceclaims,confer withPatients, referring Dr’s and insurancecompanies to negotiate settlements,
have claimresubmittedwith missing info, orfileappeals on Patients behalf. Focused and meticulous MedicalBilling andCoding Specialist with
an extraordinary eyefor detail and a strong customer service ethic. I amgreatatworking independently or as part ofa medicalofficeteam. I
am able tohandleextremely highvolumes ofpaperwork quickly and accurately.
Core Qualifications
 Stronganalytical skills
 Clear written andverbal communication
 Ability to deal with claimants who are upset
 Strongmathskills
 Knowledge of medical terminology andmedical billing codes
 Attentiontodetail andthorough note taking
 Extensive experience managingmedical payment collection
 Excellent operational expertise in medical coding
 Stronggrasp of admission policies andregistrationsystems
 High skills in multitaskingin a high-pressure workenvironment
 Exceptional computer systemskills
 Outstandingorganizationandprioritization abilities
Experience
(2014 – Present) Insure Monkey/ Nevada HealthCo-op,CALL CENTER SUPERVISOR/ Workforce Administrator
 Makingsure that calls are answeredby staffwithinagreedtime scales andin an appropriate manner.
 Settingcall center andcustomer service targets.
 Coaching, andmotivatingpeople at pace.
 Randomly monitoringcalls to ensure that standards are high.
 Managinginformationand statistics.
 Managingstaff bonus, rewardandincentive schemes.
 Ensuringthat all staffis kept informedof legislation, newworkingpractices andtechnological changes.
 Keepinga close eye on staff turnover, absenteeism andovertime.
 Managinga large team of stafffrom diverse backgrounds.
 Writingup correspondence that is to be sent tocustomers.
 Attendingweekly meetingtoreviewprogress andany problems.
 Givingcenter staff feedbackon their performance.
(2011-2014)Metropolitan Dental Associates, NY NY 10007, Receptionist/ BILLER/ Appeals
 Interpreteda variety ofnumbercodes andmedical languages.
 Compiledandsubmittedhigh volumes of patient medical charts.
 Providedassistance with various laboratoryfunctions in coordinationwith internandresident teams..
 Maintainedexcellent professional relationships withall medical students andstaff..
(2009-2011)Dr Pradel, BeverlyHills/PasadenaCA 90211. LEAD BILLER/ CLAIMSEXAMINER
 Ensureddocument andcode accuracyforall submittedbillingstatements.
 Coded andreviewedmedical records
 Maintainedandupdatedrequiredbillinginformationpaperwork.
 Reviewedbills for any issues or discrepancies.
 Providedfront-deskclerical assistanceas required.
Education
2009 AmericanCareerCollege, Los Angeles, CA Honors Diploma

2. Medical/ Dental Claims Examiner Melodie Hunter