Melva Miles
Fort Worth,TX
Summary
Highly motivated and dedicated professional with a strong passion for providing exceptional customer service. Seeking a long-term position in a stable organization that offers opportunities for growth and development in management. Committed to delivering outstanding support and building positive relationships with customers, consistently exceeding expectations. Looking for a challenging role to utilize excellent communication skills, problem-solving abilities, and attention to detail to contribute to the company's success.
Overview
18
18
years of professional experience
Work History
Insurance Referral Coordinator
Dialysis Associates
Fort Worth, TX, USA
02.2019 - 02.2024
- Support the clinical team as it relates to the insurance referral authorization process
- Identify which insurances need referrals based on guidelines
- Run reports weekly to obtain a patient list that requires referrals
- Maintain referrals
- Initiate request from PCP by fax, or telephone
- Update and check the fax folder to obtain requested referrals
- Add referral information into patient accounts in EPIC
- Track referral status from PCP or other online portals daily
- Answered incoming calls from PCP offices, hospitals, VA, insurance companies such as BCBS, Aetna Humana, Ambetter, Cigna, and Triwest to name a few regarding the referrals of patients coming into the office for appointments
Medical Receptionist
Orthopedic Specialty Associates
Fort Worth, TX, USA
01.2015 - 01.2016
- Greeted patients in a professional and friendly manner
- Collected copayments, entered demographic information into the system
- Arrived patient into Flowcast, added/deleted new insurance, scanned ID and insurance cards into both Flowcast and EPIC
- Verified insurance, acquired referrals when needed
- Checked patients out of system, and scheduled appointments when necessary
- Answered inbound calls from patients, insurance companies, hospitals, PCP offices to confirm appointments for mammograms
Patient Service Representative
Solis Mammography
Fort Worth, TX, USA
01.2013 - 01.2014
- Greeted patients in a professional and friendly manner
- Completely and accurately register patients into the RIS system
- Input demographic and insurance information if needed
- Scheduled and rescheduled patients as requested by doctors
- Responsible for collecting payments and explaining benefits given from insurance companies
Patient Liaison
Memorial MRI & Diagnostics
Houston, TX, USA
01.2006 - 01.2011
- Escorted patients from the waiting area to, advising on details of the exam; verbally preparing for aspects of upcoming procedure and answering questions
- Trained new hires
- Participated in assessment of the diagnosis by obtaining patient history and demographics
- Tracked inventory and made purchasing decisions to order routine supplies and keep costs down
- Answered incoming calls from PCP offices confirming patient appointments
- Also answered inbound calls from patients, hospitals, insurance companies, and vendors daily when needed
Education
Associate Of Applied Science - Limited Medical Radiolgy Technician
Academy of Healthcare Professions
Houston, TX01.2006
Credit Hours - Broadcast Journalism
Fisk University
Nashville, TN01.1989
Skills
- Patient referrals
- Client communication
- Appointment scheduling
- Healthcare coordination
- Data entry
- Insurance verification
- Referral tracking
- Office administration
- Multitasking abilities
- Time management
- Customer service
- Problem solving
- Medical terminology
- Patient follow-up
- Quality assurance
- Healthcare knowledge
- Professional demeanor
- Task prioritization
- Telephonic communication
- Workflow optimization
- Electronic health records
- Confidentiality adherence
Work Preference
Work Type
Full TimeLocation Preference
RemoteImportant To Me
Healthcare benefitsTeam Building / Company Retreats401k matchPaid time offWork-life balanceTimeline
Insurance Referral Coordinator
Dialysis Associates
02.2019 - 02.2024
Medical Receptionist
Orthopedic Specialty Associates
01.2015 - 01.2016
Patient Service Representative
Solis Mammography
01.2013 - 01.2014
Patient Liaison
Memorial MRI & Diagnostics
01.2006 - 01.2011
Associate Of Applied Science - Limited Medical Radiolgy Technician
Academy of Healthcare Professions
Credit Hours - Broadcast Journalism
Fisk University