Miranda Hale
Charleston,WV
Summary
Highly detailed, forward thinking, and organized approach to office management and daily workflow. Human resources background. Proficient with modern technology; including windows, mac, IOS and android based systems. Seeking career opportunities in the local community in order to fulfill a passion for giving back. Detail-oriented professional with focus on deadlines and skilled in handling medical billing without errors. Confident Medical Biller knowledgeable in data confidentiality and privacy practices when reviewing patient information.
Overview
18
18
years of professional experience
Work History
Medical Billing Specialist
Q-Labs
03.2024 - Current
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Identified and resolved patient billing and payment issues.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Maintained strong working relationships with healthcare providers, fostering clear communication regarding billing-related matters.
Compliance Manager
Agent Pipeline
01.2021 - Current
- Call Center Data Analytics, Technology Platform Management, Compliance Audits, Partnership On-Boarding, Client Relationship Management
Group Trainer
CareFirst Blue Cross Blue Shield
01.2008 - 01.2021
- Managing Training Classes, Client Escalation / Resolutions, Community Career Fairs, Human Resources / Payroll, Zoom / Teams Virtual Training, Coaching / Conflict Resolution
Shift Manager
Marriott-Bonvoy
01.2006 - 01.2008
- Customer Service, Deposits / Merchant Services, Inspections and Quality Control, Employee Training / Coaching
Education
Human Resources / Business Management -
Strayer University
Business Administration -
WV State University
Skills
- Operational Management
- MS Office Suite
- Basic Adobe Suite
- Compliance Research
- Time Management
- Quickbooks / ADP
- Database Management
- Conflict Management
- Leadership / Coaching
Patient Billing
Medical Coding Expertise
Medicare and Medicaid process
Personal Information
Title: Operations and Compliance Manager
Awards
- Coaching Engagement Acknowledgement - CASCI
- Community Service Appreciation - KCPRC
- Vice President - Cougars KCYFL
- Defensive Concepts Certificate - TWI Solutions
- Annual Production Growth Acknowledgment - CASCI
- Outstanding Volunteer - Cougar Youth Football
Timeline
Medical Billing Specialist
Q-Labs
03.2024 - Current
Compliance Manager
Agent Pipeline
01.2021 - Current
Group Trainer
CareFirst Blue Cross Blue Shield
01.2008 - 01.2021
Shift Manager
Marriott-Bonvoy
01.2006 - 01.2008
Human Resources / Business Management -
Strayer University
Business Administration -
WV State University