Amanda Miller
Mesa,Arizona
Summary
Accomplished healthcare management professional with over 15 years of progressive leadership experience. Not afraid of a challenge or to learn new things. Process improvement minded individual who looks for ways to improve efficiencies while maintaining a level of integrity and professionalism. Strong leader and problem-solver dedicated to streamlining operations to decrease costs and promote organizational efficiency. Uses independent decision-making skills and sound judgment to positively impact company success.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Director of Administrative Operations
Desert Ridge Family Physicians
04.2021 - Current
- Complete oversight of administrative departments including billing, verification, front office and scheduling departments
- Complete code review and documentation improvement recommendations of 10 primary care providers
- Provide recommendations and guidance to executives on revenue improvement opportunities
- Maintained a
- Wrote SOP documents for various processes and programs
- Recruited and trained front office and billing staff on processes and procedures
- Worked with Executive team and physician leadership to support clinical care guidelines to meet state and federal program guidelines and metrics.
Director, Quality & Risk Adjustment
Innovation Care Partners/HonorHealth
01.2017 - 04.2021
- Supported senior leadership and executive teams to drive an effective HEDIS strategy and led execution of that strategy
- Led team of analysts responsible for network HEDIS and Risk Adjustment coding and clinical documentation processes
- Helped increase network STARS scores by .5 overall
- Helped increase network RAF scores by 8% overall
- Key project leader for development, testing, implementation and rollout of a population health analytics platform and risk adjustment database
- Developed SOP documentation and complete processes for practice initiatives network support
- Provided metrics and analysis to decision makers and shareholders along with recommendations for improvement of scores.
Revenue Cycle Manager
Nobility Healthcare/Hatfield Medical Group
11.2007 - 01.2017
- Managed complete revenue cycle team of 35 billers/coders supporting 75 physicians across multiple locations
- Oversaw complete revenue cycle including coding, charge entry, claims processing, denials, appeals and collections
- Completed monthly reports of all revenue broken down at various levels including physician, location, and type of service
- Provided detailed analysis of reports monthly with insight on process improvement for additional revenue capture
- Provided administrative oversight of ACO quality performance improvement program
- Maintained SOP for all state and federal programs and contracts.
Education
Bachelor of Science - Health Sciences
Grand Canyon University
GlendaleSkills
- Communication
- Leadership
- Strategies and goals
- Staff Management
- Issues Resolution
- Program Management
- Hiring and Retention
- Financial Reporting
- Business Administration
- Team Leadership
- Process Improvements
- Staff training/development
- Performance Improvement
Certification
- CRC - Certified Risk Adjustment Coder
- CPC - Certified Professional Coder
Timeline
Director of Administrative Operations
Desert Ridge Family Physicians
04.2021 - Current
Director, Quality & Risk Adjustment
Innovation Care Partners/HonorHealth
01.2017 - 04.2021
Revenue Cycle Manager
Nobility Healthcare/Hatfield Medical Group
11.2007 - 01.2017
Bachelor of Science - Health Sciences
Grand Canyon University
- CRC - Certified Risk Adjustment Coder
- CPC - Certified Professional Coder
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