Amye Miller
Dallas,TX
Summary
Reliable Medical Office Professional with two years of medical office experience offering personalized, courteous service. Skillful in advising patients on insurance eligibility and benefits. Experience in securing pre-authorizations and pre-certifications for wide range of inpatient and outpatient procedures. Proficient in medical terminology and CPT, ICD-9 and ICD-10 and HCPCS coding. Expertise in office administration, records management and leadership.
Overview
3
3
years of professional experience
1
1
Certification
Work History
Insurance Coordinator
Fetal Care Consultants
06.2023 - Current
- Verified insurance and communicated coverage to staff and patients.
- Assisted clients with understanding complex insurance policies, effectively addressing concerns or questions.
- Obtained data such as patient, insurance ID, insurance provider and medical codes to properly file insurance claims.
- Verified insurance and communicated coverage to staff and patients.
- Requesting authorization for office visits and procedures.
- Providing cost estimates for office visits and procedures.
- Fill in for other office staff positions , such as Scheduling, Reception/Front Desk, Accounts Receivable.
Billing and Insurance Specialist
Orthopedic Associates
07.2022 - 06.2023
- Oversee billing department functions, including medical coding, charge entry, claims, payment posting, and reimbursement management.
- Verify insurance coverage, knowledge of commercial and private insurance carriers, Worker's Comp, Medicare and Medicaid and other governmental carriers
- Obtained pre-certification for surgeries and in-office procedures using online portals when available
- Worked with other clinic staff to optimize the surgery schedule for more than 20 surgeries per week.
- Enhanced customer satisfaction by addressing insurance-related inquiries and resolving issues promptly.
- Followed up on denials, late payments, extensions and other special circumstances.
Personal Trainer
Camp Gladiator
10.2021 - 12.2022
- NFPT Certified Personal Trainer.
- Design and train workouts in an outdoor group fitness environment.
- Develop and build working relationships with the camper community.
- Market and promote the Camp Gladiator brand at events in the local area.
Physical Therapy Tech
OSTC
03.2021 - 10.2021
- Enhanced patient comfort during treatment sessions by providing clear explanations of each procedure and maintaining a supportive environment.
- Assisted in the rehabilitation of patients, utilizing various therapeutic modalities such as electrical stimulation.
- Maintained accurate documentation of patient progress, enabling timely adjustments to treatment plans for optimal results.
- Contributed to a positive clinic atmosphere by maintaining clean and organized treatment areas, ensuring efficient workflows for staff members.
Education
Bachelor of Science - Biology
Midwestern State University
Wichita Falls, TX05.1995
Skills
- EMR systems-Allscripts,Aprima, Athena, Epic, MacPractice, Phreesia
- Insurance Verification
- Insurance claims processing
- CPT , ICD-10, HCPCS Coding
- Customer service and assistance
- Medicare and Medicaid knowledge
- Revenue Cycle Management
- Microsoft Office
- Prior authorization processing
- Payment planning
Certification
- Certified Professional Coder-Apprentice, AAPC- June 2024
Timeline
Insurance Coordinator
Fetal Care Consultants
06.2023 - Current
Billing and Insurance Specialist
Orthopedic Associates
07.2022 - 06.2023
Personal Trainer
Camp Gladiator
10.2021 - 12.2022
Physical Therapy Tech
OSTC
03.2021 - 10.2021
Bachelor of Science - Biology
Midwestern State University
- Certified Professional Coder-Apprentice, AAPC- June 2024
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