Aneesah Melancon
Patient Care Coordinator
Harvey
Summary
Versatile Patient Care Coordinator possessing impressive communication skills and personable demeanor demonstrated across 5 years in patient-focused roles. Vast knowledge of medical terminology and front office procedures. Experienced in insurance verification, authorization, payment balancing, and records management.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Pharmacy Customer Associate
BioPlus Specialty Pharmacy - Elevance Health
01.2025 - Current
- Maintained patient confidentiality by adhering to strict HIPAA regulations and other privacy guidelines.
- Demonstrated strong analytical skills in identifying and resolving patient account issues with manufacturer financial assistance programs
- Delivered exceptional customer service, addressing questions or concerns regarding medications, insurance coverage, and co-payments in a timely manner.
- Facilitated timely medication refills by proactively contacting patients for adherence checks and refill reminders.
- Managed high-pressure situations effectively by maintaining composure while prioritizing tasks during peak hours of operation.
- Coordinated with insurance companies to resolve billing discrepancies or obtain prior authorizations for specialty medications promptly.
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Communicated with patients to collect information about prescriptions and medical conditions or arrange consultations with pharmacists.
- Collected co-payments or full payments from customers.
- Set up and modified patient profiles to include current medications and insurance details.
- Managed high call volumes effectively, addressing inquiries promptly and reducing wait times.
Patient Care Coordinator
Kroger Specialty Pharmacy
06.2024 - 01.2025
- Collaborated with interdisciplinary teams to create seamless transitions between various stages of treatment plans, enhancing continuity of care.
- Streamlined communication between patients and healthcare providers, ensuring timely responses to inquiries and prescription fullfillments.
- Coordinated with insurance companies for accurate billing and claim reprocessing to reduce errors and financial discrepancies.
- Managed sensitive patient information with strict adherence to HIPAA guidelines, maintaining confidentiality and privacy at all times.
- Resolved patient concerns and complaints with empathy and professionalism, restoring trust in healthcare services.
- Answered incoming calls, scheduled patient refills and updated accounts accordingly.
Patient Services Liaison
Dynamic Physical Therapy
05.2021 - 05.2024
- Maintained a welcoming environment within the reception area, contributing to high patient satisfaction scores.
- Facilitated smooth check-in process for new patients, guiding them through necessary paperwork completion efficiently.
- Managed incoming phone calls professionally, addressing inquiries promptly and directing callers appropriately.
- Organized office inventory and supplies, resulting in an optimally equipped work environment for staff members.
- Reduced wait times for patients by adeptly juggling multiple front desk responsibilities simultaneously.
- Improved billing accuracy through diligent verification of insurance information and resolution of discrepancies.
- Ensured privacy compliance by managing sensitive patient information carefully according to HIPAA guidelines.
- Collaborated effectively with interdisciplinary team members to ensure well-coordinated care for patients.
- Maintained current and accurate medical records for patients.
- Performed various administrative tasks by filing, copying and faxing documents.
- Scheduled patient appointments in respective providers' calendars and followed up with reminder phone calls.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Posted payments to accounts and maintained records.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Assisted patients with understanding personalized insurance coverage and benefits.
- Ensured continuity of care for patients by tracking expiring authorizations and initiating renewals as needed.
- Coordinated pre-authorization requirements for medica services, enhancing overall patient experience before appointments.
- Reduced claim denials by diligently reviewing and correcting errors in authorization submissions.
Office Coordinator
Benchmark Physical Therapy
05.2020 - 04.2021
- Reduced wait times for patients by implementing efficient check-in and check-out procedures.
- Created and maintained medical records from time of admission through patient discharge.
- Maintained a high level of confidentiality by handling sensitive patient information with discretion and care.
- Coordinated referral processes smoothly, facilitating seamless transitions between primary care providers and specialists when needed.
- Processed new office referrals to correct agencies within 24 hours of receiving notice.
- Received, recorded and filed medical payments by check, cash, and credit card.
- Entered procedure codes and diagnosis codes into various insurance authorization portals.
Education
Bachelor of Science - Health Sciences
Columbus State University
Columbus, GA 05.2001 -
Skills
- Medical terminology
- EMR systems
- Customer Service
- Clinical documentation
- HIPAA compliance
- Insurance verification
- Data entry
- ICD-10 coding
- Time management
Certification
CPC - A Certified Professional Coder Apprentice
Timeline
Pharmacy Customer Associate
BioPlus Specialty Pharmacy - Elevance Health
01.2025 - Current
Patient Care Coordinator
Kroger Specialty Pharmacy
06.2024 - 01.2025
CPC - A Certified Professional Coder Apprentice
03-2024
Patient Services Liaison
Dynamic Physical Therapy
05.2021 - 05.2024
Office Coordinator
Benchmark Physical Therapy
05.2020 - 04.2021
Bachelor of Science - Health Sciences
Columbus State University
05.2001 -
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