Summary
Overview
Work History
Education
Skills
Timeline
Generic

Miranda Hankins

Madison Heights

Summary

Results-driven professional with a proven history of delivering high-quality work. Recognized for strong communication and collaboration skills, consistently contributing to organizational objectives and exceptional service delivery. Committed to ongoing learning and professional growth.

Overview

9
9
years of professional experience

Work History

Credentialing Specialist

Great Expressions Dental Centers
09.2024 - Current
  • Verified professional Licenses, Certification and other credentials of healthcare providers
  • Prepared and submitted provider enrollment applications to insurance carriers
  • Respond promptly to inquiries from payers
  • Submits rosters to payers for newly added doctors and termed doctors
  • Adheres to CAQH standards
  • Ensured Adherence to HIPAA privacy regulations while handling sensitive personal information
  • Responded to verification inquiries from other healthcare organizations and insurance companies.
  • Prepared correspondence for various departments concerning credentialing updates or requests for additional information.

Supervisor Fees and Insurance

Great Expressions Dental Centers
05.2022 - 09.2024
  • Conduct training to team members to maximize their potential
  • Guide the team to complete tasks and projects on time
  • Problem solve adjustments, plan issues and verification issues
  • Identified opportunities for process improvements, leading to increased productivity.
  • Resolve claim issues with payers
  • Support offices with questions or concerns they may have
  • Extensive knowledge of insurances; DMO, PPO, Co-Pay, Indemnity, medicare and medicaid.
  • Prepared and presented reports on team performance, challenges, and achievements to senior management.

Eligibility Specialist

Adomas
10.2016 - 04.2022
  • Call patients and assess their Medicaid eligibility
  • Submit medicaid applications for people who are eligible for medical assistance
  • Work accounts with minimal mistakes made
  • Train new employees
  • Have extensive knowledge of Medicaid, Champs and commercial insurance
  • Explained eligibility details and affordability options to patients with kindness and respect.
  • Communicated regularly with clients regarding their application status or changes in policies or procedures that may affect them.
  • Prepared detailed reports outlining the reasons why an individual was denied benefits.

Customer Service Representative

Onstar
08.2016 - 11.2016
  • Managed customer expectations by clarifying needs, identifying options, and recommending products and services.
  • Maintained strong call control and quickly worked through scripts to address problems.
  • Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
  • Answered incoming calls from customers and provided assistance with product inquiries, billing questions, and other customer service-related issues.
  • Offered resolutions to de-escalate calls and solve customer issues.

Education

Associates - Medical Assisting

Davenport University
Warren, MI

Associates - General Education

Oakland Community College
Royal Oak, MI

Skills

  • Problem Solving
  • Credentialing verification
  • Claim resolution
  • Time management
  • Verification processes
  • Data entry
  • Data analysis
  • Communication skills
  • Teamwork
  • Communication
  • Organizational skills
  • Team training
  • Multitasking

Timeline

Credentialing Specialist

Great Expressions Dental Centers
09.2024 - Current

Supervisor Fees and Insurance

Great Expressions Dental Centers
05.2022 - 09.2024

Eligibility Specialist

Adomas
10.2016 - 04.2022

Customer Service Representative

Onstar
08.2016 - 11.2016

Associates - General Education

Oakland Community College

Associates - Medical Assisting

Davenport University

Similar Profiles

CREATE PROFILE
Miranda Hankins