Melissa Hernandez
@melissahernandez1
Bilingual healthcare professional skilled in patient care, billing, and client relationship management.
United StatesWhat I'm looking for
I am a resourceful, bilingual healthcare professional with extensive experience in patient care, revenue cycle, billing, and client relationship management across hospital and remote settings. I consistently ensure HIPAA compliance, accurate insurance verification, and streamlined billing operations while resolving discrepancies and supporting clinical documentation and appeals.
I have supported teams at Northwell Health, Inform Diagnostics, Mount Sinai South Nassau, and NUHEALTH, driving process improvements, enhancing client satisfaction, and managing front-desk and administrative operations. I bring strong organizational abilities, problem-solving skills, and a commitment to delivering excellent service in both team-based and independent roles.
Experience
Work history, roles, and key accomplishments
NHMonitored third-party payer reimbursement schedules and fee structure accuracy to optimize reimbursement rates, processed cash payments and refunds, and collaborated with business office on clinical documentation requests and appeals to streamline workflow.
Client Relationship Specialist
Inform Diagnostics
Sep 2021 - Apr 2023 (1 year 7 months)
Managed client relationships across an assigned territory, resolved discrepancies and escalated issues to internal departments, and supported relationship managers and sales directors to maintain and grow accounts.
MHPatient Care Advocate
Mount Sinai South Nassau Hospital
Dec 2018 - Aug 2021 (2 years 8 months)
Provided patient care services including check-in/check-out, insurance verification, billing support, scheduling, and daily charge posting, and led the front-desk team to ensure smooth daily operations and superior customer service.
Patient Care Advocate
NUHEALTH
Nov 2015 - Dec 2018 (3 years 1 month)
Assisted patients with insurance verification, demographics updates, appointment scheduling, billing and payments, and maintained medical records while ensuring compliance with medical procedures.
Client Services Representative
Linden Care Pharmacy
Jan 2015 - Sep 2015 (8 months)
Managed inbound/outbound calls to assist clients with prescription needs and insurance verification, processed workers' compensation claims, and maintained accurate medical records while delivering high-level customer service.
Education
Degrees, certifications, and relevant coursework
Melissa hasn't added their education
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Tech stack
Software and tools used professionally
Availability
Location
United StatesAuthorized to work in
Job categories
Skills
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