Miranda Papi
Bel Air,MD
Summary
Dynamic individual with hands-on experience in claims management and talent for navigating challenges. Brings strong problem-solving skills and proactive approach to new tasks. Known for adaptability, creativity, and results-oriented mindset. Committed to making meaningful contributions and advancing organizational goals.
Overview
11
11
years of professional experience
Work History
Billing Analyst
Gallagher (Assured Partners)
05.2023 - Current
- Analyzed billing discrepancies to ensure accurate invoicing and timely payments.
- Assist account managers with new group implementations
- Collaborated with cross-functional teams to resolve client billing inquiries promptly.
- Complete CareFirst Top 20 audit report monthly
- Create billing/coding parameters within APB System
- Respond to questions from clients as needed via email or phone
- Developed and implemented streamlined billing processes, enhancing operational efficiency.
- Conducted regular audits of billing practices to identify areas for improvement and accuracy.
Financial Counselor
Boston Childrens Hosp.
01.2023 - 05.2023
- Coordinated and processed authorization requests for international insurance to streamline claims management.
- Conducted thorough checks on benefits for diverse service categories, utilizing both email and phone channels.
- Oversaw and refined six workqueues to maximize billing efficiency.
- Executed appointment authorization tasks in Epic software, ensuring efficient patient management.
- Counseled families on financial assistance programs and eligibility requirements.
- Developed personalized financial plans to address unique patient needs.
Patient Account Specialist
MedStar Health
09.2015 - 08.2022
- Managed patient accounts, ensuring timely resolution of billing inquiries and discrepancies.
- Managed appeals and follow-ups on medical insurance denials across various insurance types.
- Consolidated and prioritized multiple worklists to reduce overall accounts receivable.
- Facilitated appeals process by utilizing phone calls, payer sites, fax, and mail to ensure timely resolution.
- Compiled year-end and month-end reports to enhance accounts receivable management.
- Developed and delivered training programs for new employees to enhance team performance.
- Assisted in various specialties including inpatient, outpatient, ASU, MFM, and ENT. Supported healthcare teams in delivering quality patient care across multiple departments. Collaborated with staff to streamline processes and improve service delivery.
- Managed patient phone inquiries and provided assistance with questions.
- Analyzed single case agreements and contracts to support legal and operational requirements.
Education
Bachelors of Science - Information Systems Management
University of MD Global Campus
Skills
- Microsoft Office (Word, Outlook, Excel)
- Detail Oriented
- Verbal and written communication
- Attention to detail
- Independent and group worker
- Self-starter
- Enjoy learning new software/applications
- Month end close
Timeline
Billing Analyst
Gallagher (Assured Partners)
05.2023 - Current
Financial Counselor
Boston Childrens Hosp.
01.2023 - 05.2023
Patient Account Specialist
MedStar Health
09.2015 - 08.2022
Bachelors of Science - Information Systems Management
University of MD Global Campus