Melanie Quiles
@melaniequiles
Dedicated customer service representative with extensive healthcare experience.
What I'm looking for
I am a dedicated and detail-oriented customer service representative with extensive experience in healthcare. I have effectively supported patient needs and managed sensitive information across various healthcare settings. My skills include maintaining communication with providers, verifying insurance coverage, and facilitating efficient unit operations.
Throughout my career, I have demonstrated a strong commitment to quality service delivery in fast-paced environments. I excel in team collaboration and multitasking, leveraging my strong organizational skills to uphold operational standards and improve patient experiences. My recent role at Sentara involved verifying patient eligibility and benefits for laboratory services, ensuring accurate processing and efficient follow-up on accounts receivable.
At Beth Israel Lahey Health, I communicated effectively with healthcare providers to address patient needs and assisted in staffing across various departments to ensure operational efficiency. My experience with electronic medical records and knowledge of HIPAA regulations further enhance my ability to deliver exceptional customer service in healthcare.
Experience
Work history, roles, and key accomplishments
Lab Billing Rep
Sentara
Dec 2024 - Present (8 months)
Detail-oriented professional responsible for verifying patient eligibility and benefits for laboratory services, ensuring accurate processing and efficient follow-up on accounts receivable. Proficient in maintaining effective communication with ordering physician's offices to expedite lab payments, assist in billing processes, and review patient demographics for accurate billing.
Patient Service Representative
Beth Israel Lahey Health
Jul 2021 - Present (4 years 1 month)
Communicated effectively with healthcare providers to address patient needs and assisted in staffing across various departments to ensure operational efficiency. Managed the distribution of consent and release of information forms as necessary for clinical operations, and reviewed electronic medical records to confirm insurance coverage.
Mental Health Counselor
Beth Israel Lahey Health
Jun 2018 - Present (7 years 2 months)
Ensured safety in the milieu through vigilant observation and coordinated and managed unit schedules and operations. Prepared active medical records for patient discharges, and organized logistics for patient transportation, interpreter services, food services, and room maintenance.
Education
Degrees, certifications, and relevant coursework
Northeastern University
Bachelors of Science, Health Science
2013 - 2018
Studied Health Science at Northeastern University from 2013 to 2018. Gained foundational knowledge in various aspects of health, preparing for roles in healthcare settings.
Availability
Location
Authorized to work in
Job categories
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