Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
Generic

Melissa Bayles

Dublin

Summary

Dependable Medical Billing/Supervisor and Credentialing Specialists with 20 year track record of success in Medical Records Management, Full Practice Management, insurance claims processing and credentialing. Focused on delivering exceptional results with strong time management, and communication, and team work abilities. Goal-driven, punctual, self-motivated and task oriented team player with a proven record of building relationships, managing projects, and task delegated from concept to completion. Adaptable and Driven, transformational leader, with ability to work independently or in a team setting. I am a hands on learner, with the ability to learn any task at hand, quickly, thoroughly, and do the job properly. Eager to learn new skills and advance knowledge with hands on experience.

Overview

27
27
years of professional experience

Work History

Century 21st Program Volunteer Only

Hillcrest Elementary
09.2024 - Current
  • After School Volunteer for 21st Century Program
  • Worked with 2nd-4th grade voice training
  • Mentor with Music for children in the afterschool program
  • Demonstrated respect, friendliness and willingness to help wherever needed.

Youth Pastor

Lighthouse Church Of God
10.2023 - Current
  • Built lasting relationships with youth and parents or guardians.
  • Collaborated with church leadership to develop strategies for growing the congregation's youth ministry program.
  • Utilized various teaching techniques to effectively communicate biblical truths to young people in an engaging and relevant manner.
  • Ensured a safe environment for all participants during activities by adhering to strict safety guidelines and protocols.

CEO

New Beginnings Full Practice MGMT
06.2022 - Current
  • Achieved company growth by implementing strategic plans and streamlining operations.
  • Managed partnerships and strategic business relationships by negotiating contract terms and handling conflicts.
  • Developed key operational initiatives to drive and maintain substantial business growth.
  • Enhanced brand reputation with effective marketing campaigns and public relations efforts.

Credentialing Specialist

M-Scribe Technologies LLC
07.2021 - 04.2023

Responsible for day to day upkeep of Provider Enrollment, Up Keep With CAQH, PECOS. Following up with assigned credentialing within 7 days, and providing a detailed Excel sheet to providers. Keep up with updated License, COI, and DEA expirations.

Medical Billing/Credentialing/VP Marketing

The Wynn Group INC
03.2003 - 07.2021

Day to Day Task include, taking phone calls, from patients and physicians offices.

Properly Coded ICD 10 and CPT Codes.

Verified Patient Insurance , checked eligibility and deductibles.

Verified Patient MBI numbers for Medicare.

Posting EOBS.

Posting Patient Payments.

Full Practice Management for Certain Provider Offices, this included obtaining new provider ID numbers, NPI numbers, or anything pertaining to network participation with insurance companies.

Made sure all CAQH profiles up to date.

Revalidation of all Provider Profiles.

Up to date charting related to credentialing.

Gathered all documents applicable to credentialing

Dealt with current and new provider enrollment

Detailed in day to day task to make sure all provider charges, EOBS, and credentialing were accurate, and worked in a timely fashion.

Medical Records Clerk

The Medical Center
01.2001 - 03.2003

Responsible for filing important paperwork in patients paper charts

Answered Phones for book keeping and connected calls to the proper department.

Pulled Charts for Daily Appointments

Filed the patients charts after provider use

Made sure patient address, phone numbers, and insurance information was updated.

Created new charts for new patients

Stored old charts if patient was not seen in 7 years

Verified eligibility and deductibles on special occasions


Customer Service Clerk

The Tog Shop
01.2000 - 01.2001

Greeted Customers and helped with stocking store

Made sure clothing and shoes were put away after customer tried on

Responsible for register

Responsible for opening and closing register

Worked inventory

Answered Phone

Day Care Provider

Rainbow Express
08.1998 - 01.2000

Child Care Provider for newborn up to 2 years of age

After School Program Director

Fed, changed diapers, played with children

Promoted to 3 year old classroom

Responsible for teaching children colors and shapes, helped with toilet training.

Worked with school aged children and summer program.

Overseeing employees hired to work summer program

Education

High School Diploma -

West Laurens High School
Dexter, GA
05.1999

Skills

  • Documentation and Reporting
  • ICD-10 Coding
  • CPT Code Modifiers
  • Insurance Billing
  • Billing Procedures
  • Medical Record Keeping
  • Inventory Control
  • Credentialing Specialits
  • Marketing
  • Full Practice Management
  • Insurance Verifications
  • Collections
  • Business Operations
  • Customer Service
  • Planning and Coordination
  • Driven to lead children and youth
  • Mentor for Children and Youth

Accomplishments

    Who's Who in American Women's Business

Timeline

Century 21st Program Volunteer Only

Hillcrest Elementary
09.2024 - Current

Youth Pastor

Lighthouse Church Of God
10.2023 - Current

CEO

New Beginnings Full Practice MGMT
06.2022 - Current

Credentialing Specialist

M-Scribe Technologies LLC
07.2021 - 04.2023

Medical Billing/Credentialing/VP Marketing

The Wynn Group INC
03.2003 - 07.2021

Medical Records Clerk

The Medical Center
01.2001 - 03.2003

Customer Service Clerk

The Tog Shop
01.2000 - 01.2001

Day Care Provider

Rainbow Express
08.1998 - 01.2000

High School Diploma -

West Laurens High School
Melissa Bayles