Stacy Miller
Boise,ID
Summary
Highly motivated employee with a strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
24
24
years of professional experience
1
1
Certification
Work History
Owner/Operator
A Few Good Cleaners
Boise, Idaho
04.2024 - Current
- Established pricing models that balanced competitiveness with profitability goals.
- Established long-term relationships with customers by promoting great service and engagement skills and quickly resolving issues.
- Built relationships using interpersonal skills.
Claims Examiner II
Blue Cross of Idaho
Meridian, Idaho
03.2001 - 09.2003
- Reviewed medical records and documents to determine coverage eligibility of claims for insurance benefits.
- Investigated discrepancies in claims and resolved issues with customers via telephone or written correspondence.
- Developed a detailed understanding of the company's policies and procedures related to claim processing and payment determination.
- Collaborated with internal departments such as Underwriting, Provider Relations, Medical Management, Quality Assurance., as needed.
- Initiated contact with providers to obtain additional information needed for accurate adjudication of claims.
- Managed workloads efficiently by prioritizing tasks based on urgency or importance.
- Handled and processed variety of claims.
- Double-checked and reviewed documentation for denied and accepted insurance claims.
- Researched and followed up on denied insurance claims.
- Processed claims payments and denials in accordance with company procedures.
Education
High School Diploma -
El Sereno High School
Sacramento, CA06-1989
Some College (No Degree) - Health Information Technology
Boise State University
Boise, IDSome College (No Degree) - AA
College of Western Idaho
Nampa, IDSkills
- Business Planning
- Relationship Management
- Finance management
- Operations Management
Certification
- Certified in Medical Terminology
- Certified in CPT
Websites
Timeline
Owner/Operator
A Few Good Cleaners
04.2024 - Current
Claims Examiner II
Blue Cross of Idaho
03.2001 - 09.2003
High School Diploma -
El Sereno High School
Some College (No Degree) - Health Information Technology
Boise State University
Some College (No Degree) - AA
College of Western Idaho
Similar Profiles
Kimberly McAllisterKimberly McAllister
Office Worker at Model Cleaners Dry CleanersOffice Worker at Model Cleaners Dry Cleaners
Jonathan BenedictJonathan Benedict
Co-owner at Good Good Good- Natural Wine & FlowersCo-owner at Good Good Good- Natural Wine & Flowers
Saki NoguchiSaki Noguchi
Front of House Staff Member at Good Good Culture ClubFront of House Staff Member at Good Good Culture Club
Ireland ThodeIreland Thode
Drive Thru Worker at Raising Cane's RestaurantsDrive Thru Worker at Raising Cane's Restaurants
TODD MEYERSTODD MEYERS
Electrician Apprentice at Quality Electric, IncElectrician Apprentice at Quality Electric, Inc