Marlo Miller
Plant city,FL
Summary
Insurance professional with solid track record in coordinating policies, claims, and client relationships. Known for strong team collaboration, adaptability, and achieving results. Skilled in policy administration, claims processing, and customer service. Dependable and resourceful, with strong ability to navigate changing needs and priorities.
Overview
17
17
years of professional experience
Work History
Sr. Admissions Medicare/Medicaid Insurance Coordinator
Solaris Healthcare at Plant City
06.2009 - Current
- Negotiated and secured favorable reimbursement rates with major insurance carriers, including Medicare and Medicaid, ensuring accurate claim valuation and maximizing approved reimbursements.
- Conducted detailed clinical follow‑ups and documentation reviews to determine authorization eligibility, supporting timely and compliant claims decisions.
- Maintained a consistent 90%+ occupancy rate post‑pandemic by coordinating approvals, resolving coverage issues, and ensuring seamless transitions between levels of care.
- Managed high‑volume front‑office operations, including customer service, appointment coordination, billing, and administrative workflows, ensuring accuracy and efficiency in all claim‑related interactions.
- Guided patients and representatives through complex insurance paperwork, explaining processes, coverage requirements, and documentation needs to reduce errors and prevent claim denials.
- Coordinated facility tours, diagnostic assessments, and intake procedures, ensuring all required insurance and clinical documentation was collected prior to service delivery.
- Maintained a compliant, professional reception environment aligned with state standards, supporting accurate recordkeeping and regulatory readiness.
- Streamlined insurance claims processing by coordinating documentation, resolving discrepancies, and reducing delays in claim submission and adjudication.
- Verified patient eligibility and benefits across multiple insurance platforms, ensuring compliance with healthcare regulations and preventing coverage gaps or claim rejections.
Education
Associate of Science - Medical Billing And Coding
Everest University
Orlando01-2011
Skills
- Insurance claims processing
- Insurance processes
- Insurance verification
- Customer service and assistance
- ICD-10 coding
- Claims
- Strategic thinking skills
- Medical billing and coding
- Microsoft office
- Account management
- Revenue cycle management
- Negotiation
- Private insurance
- Medical terminology proficiency
- Insurance coverage verification
Timeline
Sr. Admissions Medicare/Medicaid Insurance Coordinator
Solaris Healthcare at Plant City
06.2009 - Current
Associate of Science - Medical Billing And Coding
Everest University