Melchizadek L.

Hello and thank you for visiting my profile. I am a Medical Billing and NEMT Operations Specialist with 4+ years of experience supporting healthcare transportation providers through claims processing, trip verification, scheduling coordination, insurance-related workflows, and administrative support. I help healthcare and transportation organizations improve billing accuracy, reduce claim issues, maintain organized documentation, and ensure smooth day-to-day operations. ## Healthcare & Medical Billing Experience I have hands-on experience working with healthcare transportation programs and billing platforms, managing claims from submission through follow-up while maintaining accurate records and compliance requirements. ### Platforms & Systems * IEHP (Inland Empire Health Plan) * MTM Link * MediRoutes * SafeRide Health * NEMT Partner * Health Plus Trans ### Core Medical Billing Skills * Claims Submission and Processing * Insurance Verification * Denial Review and Resolution * Billing Reconciliation * Documentation Management * Trip Verification * Eligibility Review * Claims Follow-Up * Reporting and Record Maintenance ### Key Responsibilities * Process and manage transportation-related healthcare claims. * Verify trip documentation and supporting records before claim submission. * Review denied claims, identify discrepancies, and coordinate corrections for resubmission. * Maintain organized billing records and documentation for compliance and audit readiness. * Coordinate with patients, drivers, vendors, and healthcare partners to resolve claim-related issues. * Support scheduling, trip management, and operational workflows to ensure service accuracy. ## NEMT Operations Support In addition to billing, I have extensive experience supporting Non-Emergency Medical Transportation (NEMT) operations. My background includes: * Transportation Scheduling and Coordination * Trip Monitoring and Verification * Vendor and Driver Communication * Route and Appointment Coordination * Customer and Patient Support * Transportation Claims Support * Documentation and Compliance Tracking I am familiar with transportation industry requirements and driver certifications, including: * First Aid / CPR / AED * Defensive Driving * PASS Basic * PASS Wheelchair * CTC Vendor Coordination ## Administrative Support I provide reliable administrative assistance to help teams stay organized and efficient. Services include: * Data Entry and Reporting * Email Management * Appointment Scheduling * Documentation Management * Process Improvement * SOP Creation * Calendar Coordination * Spreadsheet Management ## Tools * RingCentral * HubSpot * Google Workspace * Microsoft Office * Onfleet * Wonolo ## Why Clients Work With Me ✔ 4+ years of healthcare transportation and billing experience ✔ Strong attention to detail and accuracy ✔ Excellent communication and problem-solving skills ✔ Experienced in fast-paced operational environments ✔ Reliable, organized, and proactive ✔ Able to work independently with minimal supervision If you are looking for a dependable Medical Billing Specialist or NEMT Operations Support professional who can help keep your billing and administrative processes running smoothly, I would be happy to discuss how I can support your team. Let's connect.