Summary
Overview
Work History
Education
Skills
Certification
Accomplishments
Timeline

Samantha Miller

Providence,UT

Summary

Efficient billing professional with 3+ years of experience in different aspects of the revenue cycle. Productive and diligent with passion for resolving discrepancies through attention to detail and creative problem-solving. Passionate about perpetuating company values through impeccable work ethic and drive. Background in medical billing, coding, and insurance credentialing.

Overview

18
18
years of professional experience
1
1
Certification

Work History

Reimbursement Specialist - Patient Accounts

Myriad Genetic Laboratories
2022.01 - Current
  • Primary job function is taking inbound calls from patients to resolve billing related inquiries
  • Works aged patient accounts, researches and reconciles credit balance accounts and processes adjustments as needed
  • Interacts with patients, clinicians, insurers, Reimbursement Supervisor, and Billing management to ensure timely processing of workload
  • Reviews patient insurance coverage for genetic testing
  • Document activities appropriately in process notes
  • Participates in Quality Assurance plan
  • Complies with applicable CLIA and HIPAA regulations.
  • Maintained Service Level of 85% or above month after month.

Medical/Behavioral Health/Dental Auditing/Coding Specialist

Bear Lake Community Health Centers
2019.10 - 2022.01
  • Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
  • Communicated with insurance companies to research and resolved coding discrepancies.
  • Resourcefully used various coding books, procedure manuals, and on-line encoders.
  • Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
  • Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
  • Interacted with physicians and other healthcare staff to ask questions regarding patient services.
  • Utilized electronic medical record systems to store, retrieve and process patient data.
  • Scanned and uploaded medical records into electronic medical records system.
  • Maintained auditing and coding of 50+ patient encounters per day
  • Auditing & Coding for 5 different clinics with 30+ providers in multiple specialties,

Insurance & Pharmacy Credentialing Specialist

Bear Lake Community Health Centers
2019.08 - 2022.01
  • Enrolled/Maintained 30+ healthcare providers credentialing status with third party payors including Medicaid and Medicare.
  • Enrolled/Maintained group contacts with multiple third payor parties for 5 clinics and 4 pharmacies in 3 different states.
  • Conducted primary source verifications such as background checks and board certifications.
  • Prepared records for site visits and file audits.
  • Obtained NPI numbers for providers and facilities and updated existing profiles.
  • Enrolled providers in private insurance plans as well as Medicare (PECOS)
  • Improved organizational filing systems for confidential employee records, resulting in improved accessibility and efficiency.
  • Improved office efficiency by effectively managing internal communications and correspondence.
  • Received and evaluated applications to look for missing and inaccurate information.
  • Developed and implemented onboarding and orientation programs for new employees.

Habilitation Trainer

Futures Through Choices inc
2019.04 - 2019.09
  • Direct support staff, work with and assist adults with severe mental disabilities become more self sufficient and help them to experience new challenges and achieving their goals
  • Follow behavior plans
  • Administer medication
  • Assisting clients with ADL's
  • Helping with appropriate behavioral techniques
  • Providing compassionate guidance and positive interactions
  • Mentored new hires, resulting in stronger staff development and increased productivity.
  • Managed 2-3 clients per shift.

Server/Waitress/Cashier

Village Inn Restaurant
2006.01 - 2019.01
  • Waited on and served restaurant patrons including many regular and loyal customers who would specifically request my services
  • Managed and served up to 7 tables at one time
  • I gained skills such as multi tasking, customer service, money handling, food prep, presentation skills, and attention to detail.
  • Worked flexible schedule and extra shifts to meet business needs.
  • Worked closely with shift manager to solve problems and handle customer concerns.
  • Addressed customer needs and made product recommendations to increase sales.
  • Performed cash, card and check transactions to complete customer purchases.
  • Used POS system to enter orders, process payments and issue receipts.

Certified Nursing Assistant

Woodland Park Care Center
2012.09 - 2013.09
  • Advanced Care Unit, applied progressive skills working directly under care center's nurse
  • Answered call lights and supported patient comfort and safety by adjusting bed rails and equipment.
  • Utilized therapeutic communication, empathy and active listening skills to encourage and develop positive relationships with patients.
  • Delivered individualized patient care by recording vital signs, documenting observations, administering treatments, and
  • Offered immediate assistance in emergency and routine paging situations to evaluate needs and deliver care.
  • Documented patient information and care activities in electronic health record.
  • Evaluated patients to identify and address wounds, behavioral concerns, and medically relevant symptoms.
  • Assisted nursing staff with completing daily rounds, documenting vital signs and answering calls.
  • Responsible for care for 10-15 residents per shift.

Education

Outpatient Coding Course - Outpatient Medical Coding

American Academy of Professional Coders, Remote
10.2021

License in Nail Technician -

Weber Applied Technology College, Ogden, UT
08.2019

Certification in Medical Coding And Billing -

Career Step, Remote
04.2019

High school diploma -

Utah State University, Logan, UT
09.2011

Skills

  • Patient Data Management Systems
  • Data Entry
  • Billing and Coding
  • ICD-10 (International Classification of Disease Systems)
  • Demographics Information
  • Protected Health Information
  • CPT Code Modifiers
  • Active Listening
  • Medical Terminology
  • Medical Records and Documentation
  • Compliance Requirements
  • Procedural Codes & Diagnostic Codes
  • HIPAA Compliance
  • Understanding of insurance details

Certification


  • CPC - Certified Professional Coder

Accomplishments

August 2022 Billing Rockstar - Patient Accounts

Timeline

Reimbursement Specialist - Patient Accounts - Myriad Genetic Laboratories
2022.01 - Current
Medical/Behavioral Health/Dental Auditing/Coding Specialist - Bear Lake Community Health Centers
2019.10 - 2022.01
Insurance & Pharmacy Credentialing Specialist - Bear Lake Community Health Centers
2019.08 - 2022.01
Habilitation Trainer - Futures Through Choices inc
2019.04 - 2019.09
Certified Nursing Assistant - Woodland Park Care Center
2012.09 - 2013.09
Server/Waitress/Cashier - Village Inn Restaurant
2006.01 - 2019.01
American Academy of Professional Coders - Outpatient Coding Course, Outpatient Medical Coding
Weber Applied Technology College - License in Nail Technician,
Career Step - Certification in Medical Coding And Billing,
Utah State University - High school diploma,


  • CPC - Certified Professional Coder
Samantha Miller