Kelly Miles

Proven Insurance Verification Specialist and Medical Office Manager with a track record of enhancing patient care and maximizing revenue at Chiropractic Spine Center of North Georgia. Expert in HIPAA compliance and patient confidentiality, with exceptional attention to detail and interpersonal skills. Achieved significant improvements in billing processes, ensuring efficient insurance coverage verification and eligibility determination.

Bringing detail-focused and positive approach, combined with excellent organizational skills and ability to manage multiple tasks efficiently. Well-versed in insurance policies and patient data management, with proficiency in database software and communication tools. Committed to ensuring accurate and timely verification to support seamless healthcare operations.

• Documented and resolved billing CPT issues which led to insurance approval and less patient cost
• Documented and resolved needed medical procedures which led to approval that allowed procedures
• Achieved 92% insurance payments by completing proper documentation, building rapport with insurance company management to understand their policies and guidelines
• HIPAA Compliance Officer for over 12 years
• Supervised team of 3-5 staff members.
• Achieved practice success through creating a reputation of effectively helping patients navigate their care according to insurance requirements. Fighting for the little guy

November 2023, I has an accident and suffered a severe fall that led to a severe concussion and ultimate brain bleed. I recovered and continued my employment at Sherloq Solutions. In July 2023, I had a seizure due to a chronic subdural hematoma. I was unable to return to my job. I have been on a treatment regiment and spent the last 6 months recovering. At this stage, I feel confident, ready to be an asset and believe it's in my best interest to return to the workforce.