Summary
Overview
Work History
Education
Skills
ADDITIONAL INFORMATION
Timeline
Generic

Diane Mills

Albuquerque,NM

Summary

Highly organized and detail-oriented professional with extensive experience as a billing specialist. Proven track record of consistently exceeding performance standards while ensuring accuracy and compliance. Skilled in customer service, data entry, and researching billing discrepancies. Meticulous and observant individual with a background in the medical billing field. Proven history of accuracy and efficiency in creating and managing billing re Familiar with HIPAA regulations and procedures for safeguarding confidential patient information. Detail-oriented candidate skilled in financial document processing, data entry, and customer service. Possesses an in-depth understanding of organizational policies and procedures with demonstrated expertise in filing and maintaining records. Adept at quickly and accurately entering data into computer systems, managing high-volume workloads, and resolving customer inquiries with professional service. Hardworking, highly motivated professional eager to lend combined knowledge and skills to enhance business performance. Operates well in both individual and team capacities, leveraging seasoned work ethic to quickly adapt to different processes and drive company objectives. Resourceful and results-driven with a passion for growth and efficiency to meet company needs and increase service value. Reliable excellent communication, time management, and computer skills. A driven and detail-oriented individual with a desire to use analytical and problem-solving skills to meet goals. Ambitious individual with strong organizational and multitasking skills, as well as an aptitude for technology. Ready to apply knowledge and skills to any challenge. Hard worker experienced in problem-solving, service and time management. Aiming to leverage my abilities to successfully fill the role at your company. Adaptable professional with35 years of work experience and proven knowledge of leadership, problem-solving, and prioritization. Aiming to leverage my abilities to successfully fill the role at your company. Highly motivated candidate adept at reviewing and verifying invoices for accuracy and completeness. Works collaboratively with other departments to resolve billing discrepancies and successfully manage accounts. Demonstrated success in developing and implementing billing procedures to facilitate prompt and accurate payments.

Overview

36
36
years of professional experience
1
1

Immunization certified

1
1

Covid - flu testing certified

1
1

CPR certified

1
1

Current CPht active license PTCB

1
1

NM board of pharmacy active license

Work History

Immunization Technician

Walgreens Boots Alliance
01.2021 - 02.2024
  • CPR certification
  • Immunization certificate
  • Covid flu a and b tested
  • Contributed to the development of organizational policies and procedures related to immunizations, ensuring compliance with national standards.
  • Worked closely with insurance companies to ensure appropriate reimbursement for vaccination services provided at clinics or events.
  • Optimized clinic workflows to minimize patient wait times while ensuring safe and efficient vaccine administration.
  • Established partnerships with schools and childcare facilities to provide on-site vaccination services, increasing access for families.
  • Promoted public health by organizing and participating in community events focused on immunization awareness.
  • Conducted regular audits of vaccination records for accuracy and completeness, maintaining compliance with state regulations.
  • Enhanced patient experience by providing compassionate care during vaccine consultations and appointments.
  • Upheld correct protocols for infection prevention and control
  • Monitored vital signs and documented details for informational and treatment purposes.
  • Maintained safe and sterile environment for optimum patient treatment.

Senior Certified Pharmacy Technician

Walgreens
12.1988 - 02.2024
  • Experienced in operating pharmacy databases for processing orders, overseeing stock levels and executing connected duties.
  • Prepared labels for prescriptions accurately according to state law requirements
  • Reviewed expiration dates on filled prescriptions for validation.

Pharmacy Member Experience

Presbyterian Cooper Center
07.2024 - Current
  • Identified opportunities for improvement, implementing changes to enhance the member journey.
  • Built strong relationships with members through clear communication, empathy, and active listening skills.
  • Monitored key performance indicators related to member experience, proactively identifying areas for improvement based on data trends.
  • Contributed to the development of new initiatives aimed at enhancing the overall member experience offering.
  • Provided exceptional service by understanding member needs and recommending appropriate products or services.
  • Educated members on the benefits of various programs and services, increasing engagement levels and retention rates.
  • Maintained detailed records of member interactions, ensuring accurate follow-up and timely resolution of issues.
  • Assisted members in navigating online platforms, resulting in a smoother user experience and higher digital adoption rates.
  • Handled complaints with prompt, courteous service to uphold professional reputation.
  • Verified customer identification and documentation for compliant transactions.
  • Responded to customer requests, offering excellent support and tailored recommendations to address needs.
  • Delivered prompt service to prioritize customer needs.
  • Followed up with customers about resolved issues to maintain high standards of customer service.
  • Maintained up-to-date knowledge of product and service changes.
  • Promoted superior experience by addressing customer concerns, demonstrating empathy, and resolving problems swiftly.
  • Enhanced member satisfaction by promptly addressing concerns and providing personalized solutions.
  • Streamlined processes for increased efficiency in handling member requests and inquiries.
  • Collaborated with team members to achieve shared goals and improve overall member experience.
  • Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.
  • Developed highly empathetic client relationships and earned reputation for exceeding service standard goals.
  • Collaborated with staff members to enhance customer service experience and exceed team goals through effective client satisfaction rates.
  • Followed-through on all critical inter-departmental escalations to increase customer retention rates.

Customer Service Call Center Representative

Presbyterian
03.2024 - 06.2024
  • Listened to customer concerns and provided clear information about products and services.
  • Provided assistance to customers by answering questions and resolving issues.
  • Addressed complaints and worked to find suitable solutions promptly.
  • Handled incoming calls and directed them to appropriate departments when necessary.
  • Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
  • Managed a high volume of calls efficiently by organizing workload effectively and multitasking when necessary.
  • Built strong relationships with clients through genuine empathy, active listening, and clear communication skills.

3rd Party Billing Specialist with PHP transplant d

Walgreens
05.2020 - 07.2023
  • I worked in the transplant department, using A1 to get refill reminders and check how patients are doing on there medications
  • Helped with funding to help with cost of medications , Medicare CNM forms , shipping , packaging and even taking on the spouses medications to make life easier for the family
  • Ordering and Prior Authorization as well and new work ups for new transplants
  • Also dealt one on one with pediatric patients with epilepsy and heart transplants
  • I had customers from2 years old to93 years old
  • I was employees with Walgreens just a different location
  • Worked with coworkers to complete tasks
  • Demonstrated ability to manage multiple tasks while remaining adaptable and flexible
  • Responded quickly to meet customer needs and resolve problems
  • Committed to delivering excellent customer service while working in a fast-paced environment
  • Focused on learning new skills and staying updated with industry changes
  • Participated in ongoing training to enhance own job skills and knowledge
  • Provided efficient and courteous service to customers at all times
  • Met deadlines while maintaining high-quality deliverables
  • Skilled in using various software applications and programs including Microsoft Office and Adobe Creative Suite
  • Identified ways to improve efficiency in operations and implemented process changes
  • Collaborated with departmental leaders to establish organizational goals, strategic plans and objectives
  • Performed routine and scheduled maintenance services
  • Sought continuing education opportunities to stay current with industry trends
  • Generated monthly billing statements with precise account information.
  • Handled customer inquiries by providing clear explanations of charges and payment options.
  • Updated customer account information for accurate billing processes.
  • Worked with multiple departments to check proper billing information.
  • Identified, researched, and resolved billing variances to maintain system accuracy and currency.
  • Assisted colleagues in resolving complex billing issues, promoting teamwork and knowledge sharing within the department.
  • Enhanced customer satisfaction with timely and accurate invoice generation.
  • Ensured compliance with industry regulations by staying up-to-date on changes in billing rules and guidelines.
  • Strengthened client relationships through effective communication regarding billing issues and concerns.
  • Collaborated with healthcare team to ensure billing codes were accurately applied, optimizing reimbursement from insurance companies.
  • Contributed to positive work environment by offering support and guidance to junior billing staff.
  • Maintained up-to-date knowledge of billing regulations and compliance requirements, ensuring adherence to legal standards.
  • Fostered strong relationships with healthcare providers and insurance representatives to facilitate efficient resolution of billing issues.
  • Responded to customer concerns and questions on daily basis.
  • Used data entry skills to accurately document and input statements.
  • Processed payment via telephone and in person with focus on accuracy and efficiency.
  • Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
  • Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.
  • Kept vendor files accurate and up-to-date to expedite payment processing.

NM East District Inventory Coordinator

Walgreens
06.2007 - 05.2012
  • Relocating stores
  • Worked opening of new stores to get pharmacies organized and ready for opening day
  • Checking excess inventory
  • Doing returns or regular and control substances
  • Worked physical inventory getting the stores ready and being available on day of inventory, helping anyway I could
  • Store to store transfers of high dollar and excess inventory to other locations
  • Limiting of10 day inventory in each store I worked
  • I would be at4 stores splitting time for2 months to get inventory down and days on hand under control
  • I worked the entire east district including out of town stores to complete the goal

Education

High School Diploma - undefined

Del Norte High School
Albuquerque, NM
05.1998

Skills

  • Claim Processing
  • Till Counting
  • Billing Systems and Software
  • Accounts Receivable Expertise
  • Billing Dispute Resolution
  • System Updates
  • Month-End Closing Procedures
  • Data Imports
  • Information Updates
  • Records Organization and Review
  • Medical Billing and Collections
  • Audit Procedures
  • Creating Treatment Plans
  • Diagnostic Codes
  • Customer Contact
  • Billing Best Practices
  • Monthly Billing Management
  • Customer Engagement
  • Insurance Confirmation
  • Invoicing Proficiency
  • Health Information Policy and Procedure Development
  • Review Documents
  • Mail Sorting and Correspondence
  • Manual Processing
  • Meeting Support
  • Maintain Records
  • Auditing Proficiency
  • Process Payments
  • Process Monitoring
  • Performance Plans
  • Submitting Insurance Documents
  • 10-Key Data Entry
  • Verify Data
  • Work Coordination
  • Prepare Statements
  • Organizational Management
  • Account and Ledger Reconciliations
  • Correct Errors
  • Benefits Verifications
  • Signature Verification
  • Research

ADDITIONAL INFORMATION

I am a quick learner and hard worker . My patients through out my career follow me as I put there needs as a priority always . I care deeply for people and want to keep them healthy and reduce stress in there lives

Timeline

Pharmacy Member Experience

Presbyterian Cooper Center
07.2024 - Current

Customer Service Call Center Representative

Presbyterian
03.2024 - 06.2024

Immunization Technician

Walgreens Boots Alliance
01.2021 - 02.2024

3rd Party Billing Specialist with PHP transplant d

Walgreens
05.2020 - 07.2023

NM East District Inventory Coordinator

Walgreens
06.2007 - 05.2012

Senior Certified Pharmacy Technician

Walgreens
12.1988 - 02.2024

High School Diploma - undefined

Del Norte High School
Diane Mills