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Melody Grant
3431 S Pacific Hwy, #133.
Medford, OR 97501
Mobile Phone (702) 430-8282
melodious1543@hotmail.com
OBJECTIVE
A position in a medical office that would utilize skills obtained in the medical billing field during
8 years billing and collections for a home infusion company and 12 years of employment with a
major hospital association.
QUALIFICATIONS
Eight years’ experience in medical billing and collections. Our reimbursement team at Option
Care has been the leader nationally in our company for making cash goals, reducing bad debt,
and keeping our billing and collections current. I have extensive experience with resolution of
patient accounts, and excellent customer service skills. I am proficient in computer skills and
ten-key. I enjoy working with a team as well as independently. I excel with researching and
solving problems.
EDUCATION
Sep 1974 - June 1976 Shasta Community College
Associate in Arts degree, GPA 3.85
July 2007 – May 2008 High Tech Institute
Diploma in medical billing and coding
RELEVANT EXPERIENCE
May 2008- present Option Care, Las Vegas, NV
Billing/Reimbursement Specialist
*Responsible for billing national and local commercial payers, NV Medicaid and
VA claims, and copay assistance programs.
*Submitted POS drug claims with copay assistance payers, NV Medicaid, and
Medicare part D payers.
*Performed timely collections with insurance payers, resolving underpayments,
filing appeals.
*Work with Reimbursement Manager on additional projects as needed.
* Assisting patients with various copay assistance programs.
July 2002 – Dec 2007 HCA Patient Account Services, Las Vegas, NV
 Account Receivables Specialist -
*Directed vendors in the collection process, working over 100 accounts
daily toward resolution of problems with patients’ accounts.
*Contacted insurers when needed to resolve any discrepancy.
*Reviewed payments made by insurance payers for accuracy and
compliance with contracts.
Customer Service Representative -
*Processed insurance and patient correspondence and phone calls toward
resolving patient accounts. Contacted insurers when necessary to resolve
any discrepancy.
Feb 1995 - June 2002 Sunrise Hospital and Medical Center, Las Vegas, NV
 Patient Account Representative -
*Support functions for billing and collections. Maintained patient files.
*Worked vendor reports directing third party vendors in the collection
process.
*Processed correspondence from insurance payers and patients.
*Broke down hard copy bills and distributed to billers/collectors.
*Batched and prepared checks from insurance payors for daily posting.
.

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Resume Sept2016 doc

  • 1. Melody Grant 3431 S Pacific Hwy, #133. Medford, OR 97501 Mobile Phone (702) 430-8282 melodious1543@hotmail.com OBJECTIVE A position in a medical office that would utilize skills obtained in the medical billing field during 8 years billing and collections for a home infusion company and 12 years of employment with a major hospital association. QUALIFICATIONS Eight years’ experience in medical billing and collections. Our reimbursement team at Option Care has been the leader nationally in our company for making cash goals, reducing bad debt, and keeping our billing and collections current. I have extensive experience with resolution of patient accounts, and excellent customer service skills. I am proficient in computer skills and ten-key. I enjoy working with a team as well as independently. I excel with researching and solving problems. EDUCATION Sep 1974 - June 1976 Shasta Community College Associate in Arts degree, GPA 3.85 July 2007 – May 2008 High Tech Institute Diploma in medical billing and coding RELEVANT EXPERIENCE May 2008- present Option Care, Las Vegas, NV Billing/Reimbursement Specialist *Responsible for billing national and local commercial payers, NV Medicaid and VA claims, and copay assistance programs. *Submitted POS drug claims with copay assistance payers, NV Medicaid, and Medicare part D payers. *Performed timely collections with insurance payers, resolving underpayments, filing appeals. *Work with Reimbursement Manager on additional projects as needed. * Assisting patients with various copay assistance programs. July 2002 – Dec 2007 HCA Patient Account Services, Las Vegas, NV  Account Receivables Specialist - *Directed vendors in the collection process, working over 100 accounts daily toward resolution of problems with patients’ accounts. *Contacted insurers when needed to resolve any discrepancy. *Reviewed payments made by insurance payers for accuracy and compliance with contracts. Customer Service Representative - *Processed insurance and patient correspondence and phone calls toward
  • 2. resolving patient accounts. Contacted insurers when necessary to resolve any discrepancy. Feb 1995 - June 2002 Sunrise Hospital and Medical Center, Las Vegas, NV  Patient Account Representative - *Support functions for billing and collections. Maintained patient files. *Worked vendor reports directing third party vendors in the collection process. *Processed correspondence from insurance payers and patients. *Broke down hard copy bills and distributed to billers/collectors. *Batched and prepared checks from insurance payors for daily posting. .