Ashley Miller
Detroit
Summary
Dedicated and detail-oriented professional with over 12 years of experience in revenue cycle management, medical billing, and health insurance customer service. Proven expertise in claims processing, accounts receivable, patient account resolution, and insurance verification, with a strong track record of reducing denials and improving collections. Skilled in delivering exceptional customer support by educating patients and members on benefits, resolving complex billing issues, and ensuring compliance with HIPAA and regulatory guidelines. Recognized for strong problem-solving abilities, clear communication, and a commitment to accuracy and efficiency in fast-paced healthcare environments. Authorized to work in the US for any employer
Overview
9
9
years of professional experience
Work History
Revenue Cycle Specialist
Trinity Health-Livonia, MI
03.2023 - 07.2025
- Patient Registration & Verification
- Verify patient insurance coverage and eligibility.
- Ensure accurate entry of demographic and insurance information.
- Billing & Claims Management
- Prepare and submit clean insurance claims in a timely manner.
- Review claims for accuracy, completeness, and compliance with payer requirements.
- Correct and resubmit denied or rejected claims.
- Collections & Accounts Receivable
- Follow up with insurance companies and patients on unpaid or underpaid claims.
- Resolve billing discrepancies and appeal denied claims when necessary.
- Post insurance and patient payments to accounts.
- Compliance & Documentation
- Maintain compliance with HIPAA, payer guidelines, and federal/state regulations.
- Ensure accurate record-keeping of patient financial information and transactions.
- Patient & Provider Support
- Communicate with patients regarding balances, payment plans, and billing inquiries.
- Work collaboratively with providers, clinical staff, and the finance team to resolve revenue cycle issues.
Customer Service Representative II
Blue Cross Blue Shield-Detroit, MI
10.2018 - 03.2023
- Respond to inbound calls, emails, and chat inquiries from members, providers, and third parties.
- Assist members with understanding benefits, coverage, claims status, billing, and prior authorization requirements.
- Process updates to member accounts, including address changes, plan enrollments, and demographic corrections.
- Research and resolve claim discrepancies, eligibility issues, and escalated concerns in a timely manner.
- Educate members on available tools, resources, and preventive health benefits.
- Document all customer interactions accurately in the system.
- Maintain confidentiality of member information in compliance with HIPAA and company policies.
- Collaborate with internal departments to resolve complex issues.
- Meet or exceed established performance metrics (call quality, handle time, resolution rate, etc.).
Medical Assistant
American Anesthesiology-Southfield, MI
10.2016 - 10.2018
- Patient Care & Clinical Support
- Greet and prepare patients for visits, procedures, and injections.
- Obtain and document vital signs, medical history, pain levels, and medication lists.
- Assist providers with examinations, minor procedures, and interventional pain treatments.
- Educate patients on post-procedure instructions, medications, and pain management plans.
- Clinical Operations & Documentation
- Accurately enter patient information into the EHR system.
- Maintain and prepare exam rooms, ensuring proper cleanliness and equipment setup.
- Manage and track inventory of medical supplies and medications.
- Handle specimen collection, labeling, and transport (if applicable).
- Administrative Duties
- Schedule patient appointments, follow-ups, and diagnostic tests.
- Verify insurance information, authorizations, and referrals as required.
- Assist with prior authorization requests for medications or procedures.
- Answer patient phone calls and relay provider instructions as appropriate.
- Compliance & Safety
- Adhere to HIPAA and patient confidentiality guidelines.
- Follow infection control and safety procedures.
- Support clinic quality improvement initiatives
Education
Medical Billing & Coding - Trade school
Ashworth College
05.2018
Business Administration - Associate's degree
Oakland Community College
Royal Oak, MI10.2008
Skills
- Medical billing
- Organizational skills
- Microsoft Word
- Epic
- Microsoft Excel
- Microsoft Office
- Anatomy knowledge
- Medical records
- CPT coding
- Microsoft Outlook
- Medical collection
- Customer service
- Medical terminology
- EHR systems
- HIPAA
- Medical office experience
- Medicare
Timeline
Revenue Cycle Specialist
Trinity Health-Livonia, MI
03.2023 - 07.2025
Customer Service Representative II
Blue Cross Blue Shield-Detroit, MI
10.2018 - 03.2023
Medical Assistant
American Anesthesiology-Southfield, MI
10.2016 - 10.2018
Business Administration - Associate's degree
Oakland Community College
Medical Billing & Coding - Trade school
Ashworth College
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