Crystal Marie Miller
Independence,MO
Summary
Eloquent Insurance Verification Coordinator adept at verifying the accuracy of insurance claims and updating databases with medical information. Friendly and analytical with an excellent telephone demeanor. Sound knowledge of billing processes and various types of medical benefits.
Highly trained professional with a background in verifying insurance benefits and creating appropriate patient documentation. An established Insurance Verification Specialist known for handling various office tasks with undeniable ease.
Overview
18
18
years of professional experience
Work History
Insurance Verification/Senior Billing Coordinator
Apria Healthcare
Overland Park, United States
04.2011 - Current
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Posted payments to accounts and maintained records.
- Determined appropriateness of payers to protect organization and minimize risk.
- Reviewed 220 patient cases per week and verified insurance coverage information.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Assured timely verification of insurance benefits and obtained Authorizations.
- Managed office bookkeeping with insurance billing and patient payments.
- Contacted hospitals to confirm patients medical histories and prevent inaccurate diagnoses and treatments.
- Answered telephone calls to offer billing information, answer questions and from patients and insurance companies.
- Mentored new hires, resulting in stronger staff development and increased productivity.
- Managed practical action plans to respond to audit discoveries and compliance violations.
- Provided guidance, advice and training to improve business' understanding of related regulatory requirements.
Supervisor Midwest Call Center
Lincare Healthcare
Kansas City, Missouri
03.2005 - 05.2011
- Monitored call quality and provided individual constructive feedback to enhance performance and address areas in need of improvement.
- Oversaw employee performance to foster accurate prioritization and achievement of sales and productivity goals.
- Developed quality employees within call center to take over leadership positions.
- Established and oversaw performance targets for call center associates.
- Minimized workflow issues by cross-training staff on technical procedures, protocols and customer service practices.
- Achieved high satisfaction rating through proactive one-call resolutions of customer issues.
- Developed process controls and metrics for daily management of call center.
- Executed Monthly Performance Plans with representatives to to identify production gaps.
- Handled 120 calls per day to address customer inquiries and concerns
- Carried out day-day-day duties accurately and efficiently
- Resolved problems, improved operations and provided exceptional service
- Worked to maintain outstanding attendance record, consistently arriving to work ready to start immediately
Dispatcher Coordinator
ADT
Kansas City, Missouri
01.2004 - 03.2005
- Maintained updated and detailed records of calls in physical and electronic database.
- Directed investigations to verify and resolve customer complaints.
- Operated multi-line telephone system, prioritized calls and initiated appropriate action based on incident type and importance.
- Leveraged two-way radio or telephone to dispatch security officers or other personnel.
- Received emergency and non-emergency calls to dispatch security service and medical assistance.
- Tracked dispatch call activity to verify timely response and document assistance provided or task completed.
- Operated and monitored fire alarm and security CCTV systems to maintain building safety.
- Contacted police, fire and ambulance in emergency situations to coordinate proper response.
- Routed calls to police, fire and ambulance service to meet individual call needs.
- Enhanced productivity by guaranteeing timely emergency response with no service delivery issues.
- Increased area coverage by 40% through effective scheduling and detailed location monitoring
- Implemented schedule and policy changes and collaborated with management to formulate new policies, procedures and goals
- Closely monitored dispatch board to triage and prioritize over 25-40 daily calls
- Coordinated responses to emergencies by dispatching vehicles and bringing in additional personnel
- Recommended measures to improve production methods, equipment performance and team operation and productivity
- Maintained safe work environment and confirmed current compliance with OSHA and other governmental regulations
- Planned, organized and managed work of subordinate staff to accomplish consistent work within organizational standards
Education
Associate of Science - Business Administration And Management
University of Missouri - Kansas City
Kansas City, MO05.1994
Associate of Applied Science - Business Management
Metropolitan Community College - Kansas City
Kansas City, MO03.1988
High School Diploma -
Archbishop O'Hara High School
Kansas City, MO05.1986
Skills
- Epic Systems
- CPR Certified
- Medical Report Preparation
- Problem Solving
- Medical Charting
- Customer Service
- Administrative Tasks
- Data Entry Software
- Critical Thinking
- Verbal and Written Communication
- Time Management
- Detail-Oriented
Timeline
Insurance Verification/Senior Billing Coordinator
Apria Healthcare
04.2011 - Current
Supervisor Midwest Call Center
Lincare Healthcare
03.2005 - 05.2011
Dispatcher Coordinator
ADT
01.2004 - 03.2005
Associate of Science - Business Administration And Management
University of Missouri - Kansas City
Associate of Applied Science - Business Management
Metropolitan Community College - Kansas City
High School Diploma -
Archbishop O'Hara High School
Similar Profiles
Brad FortnerBrad Fortner
Senior Warehouse Technician / Pharmacy Technician at Apria Healthcare / Coram Healthcare / CVSSenior Warehouse Technician / Pharmacy Technician at Apria Healthcare / Coram Healthcare / CVS
Brittny TerryBrittny Terry
Claim Benefit Specialist at Apria HealthcareClaim Benefit Specialist at Apria Healthcare
Amanda WestAmanda West
Sleep Coach at Apria HealthcareSleep Coach at Apria Healthcare
Issachar JolikiepIssachar Jolikiep
Delivery Technician at Apria HealthcareDelivery Technician at Apria Healthcare
Sebastian Barraza-ShackelfordSebastian Barraza-Shackelford
Project Coordinator at SchoolSmartKCProject Coordinator at SchoolSmartKC