Jammie Miller
Carriere,MS
Summary
Detail-oriented claims professional with extensive experience in medical billing and claims processing. Demonstrated expertise in handling billing inquiries, claims errors, and escalations. Proficient in CPT and ICD-10 coding, claims reconciliation, and customer service. Strong leadership skills with a proven track record of training and developing colleagues.
Overview
22
22
years of professional experience
1
1
Certification
Work History
Senior Medical Service Coordinator
One Call Medical, Inc
05.2017 - 05.2024
- Resolved billing inquiries, claims errors, and escalations, demonstrating exceptional problem-solving skills and ensuring timely resolution to meet client needs and regulatory requirements.
- Collaborated with multidisciplinary teams to develop comprehensive care plans tailored to individual patient needs.
- Provided ongoing support for staff members through training sessions, mentorship opportunities, and constructive feedback that fostered professional growth.
- Worked productively in fast-moving work environment to process large volumes of claims.
- Improved customer satisfaction by providing timely and accurate information on claim status and resolution.
- Maintained compliance with industry regulations by adhering to established procedures and guidelines in claims handling.
- Analyzed and addressed escalated claims to resolve issues quickly.
- Developed strong relationships with clients, facilitating trust and open communication during the claims process.
- Collaborated with cross-functional teams to expedite complex claims investigations and resolutions.
- Minimized financial losses by identifying fraudulent claims through thorough analysis and investigation.
- Conducted detailed assessments of claims documents, ensuring accuracy and completeness before submission for approval.
- Reduced claim processing time by implementing streamlined workflows and maintaining thorough documentation.
Assistant Manager
Gate Petroleum Company
11.2008 - 05.2017
- Supervised day-to-day operations to meet performance, quality and service expectations.
- Maintained a clean, safe, and organized store environment to enhance the customer experience.
- Developed strong working relationships with staff, fostering a positive work environment.
- Monitored cash intake and deposit records, increasing accuracy, and reducing discrepancies.
- Improved customer satisfaction by addressing and resolving complaints promptly.
- Completed regular inventory counts to verify stock levels, address discrepancies, and forecast future needs.
- Helped with planning schedules and delegating assignments to meet coverage and service demands.
- Mentored team members to enhance professional development and accountability in workplace.
Education
Associate of Science in Medical Office Management -
Virginia College of Jacksonville
01.2019
Skills
- Medical Billing and Coding: Proficient in CPT and ICD-10 coding, ensuring accurate and compliant billing practices
- Claims Processing and Reconciliation: Expertise in claims reconciliation, resolving discrepancies to optimize reimbursement and streamline operations
- Customer Service: Exceptional customer service aptitude, effectively addressing inquiries and concerns from clients, adjusters, and nurse case managers to ensure satisfaction and resolve issues promptly
- Training and Development: Skilled in developing training materials and Standard Operating Procedures (SOPs), facilitating the onboarding and ongoing training of team members to enhance skills and performance
- Data Analysis and Reporting: Proficiency in Microsoft Excel for data analysis, tracking billing data, and identifying trends and opportunities for process improvement
- Communication and Collaboration: Strong interpersonal skills, collaborating closely with internal and external stakeholders to resolve issues, build relationships, and promote effective communication
- Adaptability and Problem-Solving: Ability to adapt to changing priorities and resolve complex billing issues efficiently, demonstrating strong problem-solving skills and attention to detail
- HIPAA Compliance
Certification
MOS Certified (Microsoft Office Specialist)
CVA Certified (Certified in Volunteer Administration)
Timeline
Senior Medical Service Coordinator
One Call Medical, Inc
05.2017 - 05.2024
Assistant Manager
Gate Petroleum Company
11.2008 - 05.2017
Associate of Science in Medical Office Management -
Virginia College of Jacksonville