DANIELE MILLER
Forest Lake,MN
Summary
Provider Assistance Representative managing provider inquiries per day across email and phone channels about claim denials, payment questions, appeals, billing, benefits, and authorization details. Resolves 15+ cases per week through follow-up outreach, financial record verification, and accurate use of Excel for claims and appeal tracking. Supports clear provider communication by confirming 25+ direct deposit records per month and routing issues for investigation.
Overview
13
13
years of professional experience
Work History
Provider Assistance Representative
UCARE MINNESOTA/TEKSYSTEMS
10.2022 - Current
- Complete 10-20 follow-up cases weekly for provider questions requiring additional research or escalation.
- Handle [number] provider inquiries per day by email and phone across claims, benefits, authorization, and billing questions.
- Explain claim denials, negative balances, appeals, and payment issues clearly to providers and third parties.
- Verify banking and direct deposit information after investigation before routing financial inquiries forward.
- Maintain provider verifications, claims, and appeals in Excel spreadsheets with accurate documentation and recordkeeping.
- Use FUSE, Health Rules, Webex, NPPES, and MN-ITs to research provider details and support outreach.
- Support credentialing, eligibility, and benefits questions while coordinating follow-up communication with providers.
Audiology Assistant
STILLWATER MEDICAL GROUP
03.2021 - 06.2022
- Scheduled 5-10 patient appointments weekly for consultations, hearing aid fittings, follow-ups, and checkups.
- Coordinated telephone and email communication among patients, providers, office staff, and hearing aid manufacturers.
- Assisted patients during technical appointments by resolving hearing aid, Bluetooth, and mobile app concerns.
- Created manufacturer-specific hearing aid contracts and completed accurate documentation for appointments and services.
- Maintained organized electronic records and updated patient information with strong attention to detail.
- Provided compassionate customer service while addressing patient questions and concerns in a busy healthcare setting.
Staffing Coordinator and Float Pool CNA
ST. JOSEPH'S HOSPITAL
07.2013 - 10.2020
- Coordinated [number] staffing assignments per shift across day and evening units to cover patient care needs.
- Balanced daily staffing priorities across multiple departments while coordinating with nursing staff, technicians, and physicians.
- Communicated with physicians, physician assistants, administrative leaders, and staffing coordinators to resolve coverage needs.
- Used Microsoft Office and spreadsheets to support staffing tracking, administrative updates, and daily scheduling tasks.
- Provided direct patient care and completed accurate medical documentation, including vital signs, intake, medications, and other patient information.
- Adapted quickly between clinical and administrative assignments while maintaining organization, teamwork, and task management under flexible overtime schedules.
Education
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Skills
- Provider relations both phone and email
- Claims interpreter
- Excel Spreadsheet expert
- Experienced in FUSE/Health Rules/Webex/NPPES/MN-ITs
- Provider outreach and follow up
- Verification of financial records
- Provider data collection
- Credentialing
- Benefits
- Eligibility
- Claims interpretation
- Experience with both Medicaid and Medicare
- Patient Intake and Scheduling
- Patient Appointment Coordination
- Medical Documentation
- Medical Terminology
- Electronic Medical Records (EMR)
- Epic
- Insurance Documentation and Verification
- Billing and Payment Collections
- Patient and Customer Service
- Telephone and Email Communication
- Medical Records and Filing
- Data Entry and Record Keeping
- Administrative Support
- Contract Creation and Documentation
- Microsoft Office and Spreadsheets
- Problem Solving and Investigative Skills
- Cultural Awareness and Sensitivity
- Team Collaboration
- Time and Task Management
- Scheduling and Staffing Coordination
- Extensive experience working in healthcare and medical administrative environments
- Strong knowledge of patient confidentiality and accurate medical documentation
- Experienced with high-volume scheduling and coordinating multiple priorities
- Skilled in communicating professionally with patients, families, healthcare providers, and administrative teams
- Detail-oriented with strong organizational and recordkeeping abilities
- Medication Administration
- Care plan creation
- Decision-Making
- Teambuilding
- Organization and Time Management
- Flexible and Adaptable
- Correspondence preparation
- Staff scheduling procedures
- Schedule Management
- Tech-savvy
ADDITIONAL QUALIFICATIONS
- Extensive experience working in healthcare and medical administrative environments
- Strong knowledge of patient confidentiality and accurate medical documentation
- Experienced with high-volume scheduling and coordinating multiple priorities
- Skilled in communicating professionally with patients, families, healthcare providers, and administrative teams
- Detail-oriented with strong organizational and recordkeeping abilities
Timeline
Provider Assistance Representative
UCARE MINNESOTA/TEKSYSTEMS
10.2022 - Current
Audiology Assistant
STILLWATER MEDICAL GROUP
03.2021 - 06.2022
Staffing Coordinator and Float Pool CNA
ST. JOSEPH'S HOSPITAL
07.2013 - 10.2020