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Melanie Bolta

Expertise In: Urology

Name : Melanie Bolta
Experience : 10
Specialty : Urology
Location : Miami,FL
Description :

Melanie Bolta is a Medical Billing Specialist. She is detail oriented, quality focused. Successful track record in handling complicated assignments. Highly experienced in reconciling insurance and patient payments and resolving account disputes. Proficient in a variety of practice management software applications. She is dedicated to maintaining strict patient confidentiality.

Skills:                                                                   

  • ICD-9, CPT-10, & Medical Terminology
  • Medical Insurance
  • Excellent Interpersonal Skills Various Practice Management Software
  • Claim Entry & Payment Posting
  • Insurance & Patient Aging
  • Records Organization & Management
  • HIPAA Compliance
  • Online Claim Submission & ERA

Experience:

  • Improved revenue for most recent provider over 32% with same patient load
  • Experienced billing for Urology, Pathology, Oncology Radiation Therapy
  • Ensure claims are entered and submitted with 48 hours of receipt
  • Accurately apply payments to patient accounts
  • Experienced in writing letters of appeals and appeal process
  • Post and reconcile insurance and patient payments
  • Research and resolve incorrect payments, EOB rejections, and other issues with outstanding accounts Insure accuracy of insurance claims.
  • Specialist in Medicare, Medicaid, Workers Comp and all commercial insurances including Medicare replacement plans
  • Verify correct ICD-9 and CPT codes for a variety of specialties
  • Set up new patient accounts Assign ICD-9 to physicians diagnosis and insure correct level of service and various other CPT codes
  • Set-up practice management software for submission of electronic claims to clearinghouse
  • Work with clearinghouse to resolve file compatibility issues Retrieve Electronic Remittance Advice (ERA's) Send secondary claims upon processing of primary insurance
  • Monthly processing of Patient statements
  • Answer and resolve patient billing inquires Follow up on Insurance and patient aging.
  • Re-submit insurance claims as necessary Knowledgeable in timely filing restrictions
  • Insure office practices are in compliance with HIPAA regulations
  • Interview patients obtained demographics medical insurance and financial data
  • Obtained authorizations from insurance companies and care-core
  • Accurately managed referrals, along with patient intake
  • Posting payments electronically and manual
  • Posting CPT and ICD-9 codes from encounter forms
  • Obtained authorizations from insurance companies
  • Check in/ Checkout patients as they enter and leave office
  • Entering messages into electronic health record Accepting and assisting with paperwork/preparing new patient charts
  • Prepared and submitted claims to various insurance companies electronically/paper
  • Performed various collection actions, correcting and resubmitting claims
  • Interview patients obtained demographics medical insurance and financial data
  • Obtained patient results from doctors offices
  • Performed EKG’s, vital signs
  • Preparing laboratory specimens
  • Sterilizing medical instruments
  • Billing for medical and all commercial carriers
  • Heavy data entry
  • Answering phones filing faxing and copying documents
  • Following up on unpaid accounts
  • Develop spreadsheets for tracking claim checks for physicians
  • Verify Medicaid using ePACES online system
  • Follow up on Insurance and patient aging
  • Re-submit insurance claims as necessary
  • Post and reconcile insurance and patient payments Research and resolve incorrect payments, EOB rejections, and other issues with outstanding accounts.
  • Responsible for daily entry of charges, collections, patient statements
  • Insurance follow up, account receivables
  • Electronic Medicare billing/remittance retrieval, posting
  • Scheduling patients, for outpatient procedures/other specialist’s offices
  • Calling in prescriptions, advising patients of results
  • Resolving billing disputes, pulling faxes, pulling charts
  • Administrative assistant to physician, calling for lab results, addressing software issues insurance verification.

Education:

  • Associate of Healthcare Reimbursement 
  • Diploma in Medical Billing & Coding