ASHLEY L. MILLER
Detroit,USA
Summary
Desire for the position of Insurance Specialist in a challenging and fast-paced environment where 8 years experience providing administrative support, including performing In specializing in insurance claims. Assisting customers with questions in regards to their claim and benefits.
Overview
10
10
years of professional experience
Work History
Claims Specialist
Blue Cross Blue Shield of Michigan
Detroit, US
10.2018 - Current
- Evaluates, and resolves inquiries involving a variety of claims, benefit, membership, and/or billing inquiries
- Conducts internal and external research to determine and request the data needed to handle inquiries from internal and external business partners
- Provides accurate and timely servicing responses via telephone, and/or written correspondence to our internal and external customers
- Follows department/corporate reporting policies and procedures requirements
- Organizes work to meet productivity and quality standards
- Reroutes misdirected inquiries
- Interacts with others inside and outside the organization to resolve the inquiry/claim related problems
- Resolves customer inquiries through clear and simple explanations of the applicable policy and/or procedure
- May assist less experienced Customer Service Representatives and handle unusual or urgent inquiries, including irate calls
- Perform other related duties as assigned
Medical Assistant
American Anesthesiology
Detroit, US
06.2015 - 10.2018
- Maintaining a positive, empathetic and professional attitude toward customers at all times
- Responding promptly to customer inquiries
- Communicating with customers through various channels
- Acknowledging and resolving customer complaints
- Exercises sound judgment in issuing credits and making exceptions to customer policies to maintain high levels of customer satisfaction
- Scheduled appointments, submitted pharmacy requests, typed messages to physician and nurse staff, while using Epic system
Administrative Assistant
American Anesthesiology
Southfield, US
10.2016 - 10.2018
- Reading and analyzing patient records, claims and scheduling
- Determining the correct codes for patient records
- Using codes to bill insurance providers using ICD10
- Interacting with physicians and assistants to ensure accuracy
- Keeping track of patient data over multiple visits
- Managing detailed, specifically-coded information
- Maintaining patient confidentiality and information security
- Answer and direct phone calls
- Organize and schedule meetings and appointments
- Maintain contact lists
- Produce and distribute correspondence memos, letters, faxes and forms
- Assist in the preparation of regularly scheduled reports
- Develop and maintain a filing system
- Order office supplies
- Book travel arrangements
- Submit and reconcile expense reports
- Provide general support to visitors
- Provide information by answering questions and requests
- Take dictation
- Research and creates presentations
- Generate reports
- Handle multiple projects
- Prepare and monitor invoices
- Develop administrative staff by providing information, educational opportunities and experiential growth opportunities
- Ensure operation of equipment by completing preventive maintenance requirements; calling for repairs; maintaining equipment inventories; evaluating new equipment and techniques
- Maintain supplies inventory by checking stock to determine inventory level; anticipating needed supplies; placing and expediting orders for supplies; verifying receipt of supplies
Education
Medical Billing & Coding -
Ashworth College
Norcross, GA01.2019
High School Diploma -
Oak Park High School
Oak Park, MI01.2006
Associate of Applied Science - Business Administration
Oakland Community College
Bloomfield Hills, MISkills
- Customer Care
- Customer Service
- Call Center
- Microsoft Office
- Quick learner
- Excellent communication
- Operations management
- Computer proficient
- Proficiency in work ethic
- Positive learning process
- Financial records and processing
- File/records maintenance
- Reports generation and analysis
Personal Information
Work Permit: Authorized to work in the US for any employer
Timeline
Claims Specialist
Blue Cross Blue Shield of Michigan
10.2018 - Current
Administrative Assistant
American Anesthesiology
10.2016 - 10.2018
Medical Assistant
American Anesthesiology
06.2015 - 10.2018
Medical Billing & Coding -
Ashworth College
High School Diploma -
Oak Park High School
Associate of Applied Science - Business Administration
Oakland Community College
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