Keri K Miller
Hudson
Summary
Seasoned operations professional with 18 years of experience in highly regulated healthcare environments. Expertise in state and federal regulatory compliance, Medicare and Medicaid managed care, and operational program coordination. Skilled in interpreting CMS regulations, developing policies, and managing competing priorities to deliver effective guidance to stakeholders and leadership.
Overview
20
20
years of professional experience
Work History
Supervisor, Home Medical Services
HealthPartners Home Medical
St. Paul
09.2018 - Current
- Oversaw patient access and reimbursement operations for call center (11 staff) and 8 clinical sites, enhancing support for DME services.
- Partner with billing and revenue cycle teams to resolve denials, reimbursement issues, and payer documentation gaps across Medicare, Medicaid, and commercial payers.
- Interpreted complex regulations to ensure regulatory compliance and guide operational processes.
- Lead and participate in cross-functional meetings, work groups, and committees to align priorities and address barriers.
- Educate internal teams on Government Programs, regulatory expectations, and operational processes to support compliance and quality outcomes.
- Develop, revise and maintain policies, procedures, and work standards to support consistent, compliant operations across business areas.
- Support annual accreditation and regulatory audits through standardized processes and compliance oversight compliance oversight.
- Calmed upset customers and resolved issues with professionalism, improving customer satisfaction.
Clinician III, Home Medical Services
HealthPartners Home Medical
St. Paul
02.2007 - 09.2018
- Collaborated with sleep physicians, pulmonologists, and primary care providers to optimize care.
- Identified and resolved equipment issues and mask leaks to improve patient comfort and therapy effectiveness.
- Educated patients on CPAP therapy and equipment use to enhance long-term compliance.
- Applied critical thinking and problem-solving skills to support patient compliance with program and regulatory usage requirements.
- Documented patient interactions and therapy outcomes in EMR and billing systems.
- Maintained accurate documentation in EMR systems in accordance with regulatory and organizational standards.
- Managed inventory, documentation and operational workflows across multiple clinic sites.
- Mentored and trained new employees on departmental policies and procedures to ensure operational consistency.
Respiratory Therapist
Regina Hospital
Hastings
05.2006 - 02.2007
- Conducted patient assessments and administered therapies, ensuring compliance with regulations and organizational policies for optimal patient care.
- Delivered patient education according to approved guidelines, procedures, and quality standards to support informed decision-making.
- Troubleshot equipment and enhanced patient adherence through targeted coaching and consistent follow-up.
- Contributed to continuous improvement initiatives resulting in high patient satisfaction scores.
- Ensured compliance with HIPAA, insurance requirements, and regulatory standards.
Education
B.S. - Exercise Science
Iowa State University
AmesA.S. - Respiratory Care
College of St. Catherine
MinneapolisSkills
- Medical Necessity Documentation
- Insurance Verification
- Payer Policy Interpretation
- Appeals tracking
- CMS Regulations
- Regulatory compliance
- Revenue Cycle Collaboration
- Workflow Optimization
- EMR & Healthcare SaaS
- Information & Knowledge Management
- Staff onboarding
- HIPAA Compliant
Credentials
RRT
Technology And Tools
- EMR Systems
- Healthcare SaaS Platforms
- DocuSign
- Appeals & Case Tracking Tools
- Microsoft Office (Excel, Word, Share Point, Power Point)
Timeline
Supervisor, Home Medical Services
HealthPartners Home Medical
09.2018 - Current
Clinician III, Home Medical Services
HealthPartners Home Medical
02.2007 - 09.2018
Respiratory Therapist
Regina Hospital
05.2006 - 02.2007
B.S. - Exercise Science
Iowa State University
A.S. - Respiratory Care
College of St. Catherine