Tanya Miller

• Process medical claims for a diverse range of healthcare services, ensuring accurate coding and adherence to industry standards.
• Conduct thorough insurance verification, confirming patient eligibility, coverage details, and obtaining necessary pre-authorizations for procedures.
• Utilize ICD-10, CPT, and HCPCS coding systems to accurately assign codes to diagnoses and procedures, optimizing reimbursement.
• Address billing inquiries from patients and insurance companies, providing timely and clear responses to resolve issues and enhance customer satisfaction.
• Post payments received from insurance companies and patients, meticulously reconciling accounts and maintaining accurate financial records.
• Analyze denied or rejected claims, identify root causes, and prepare and submit appeals to overturn claim denials, resulting in a [X]% success rate.
• Implement effective revenue cycle management strategies, contributing to a [X]% reduction in billing errors and improving overall billing efficiency.
• Collaborate with cross-functional teams, including healthcare providers and administrative staff, to streamline billing processes and resolve complex billing issues.
• Stay current with changes in healthcare regulations, coding updates, and insurance industry practices, ensuring compliance and minimizing billing discrepancies.
• Maintain organized and detailed documentation of all billing and coding activities, supporting internal audits and regulatory compliance.

• Assisted healthcare providers in conducting patient assessments, vital sign measurements, and medical histories, ensuring comprehensive and accurate information for diagnosis and treatment.
• Proficiently performed various clinical procedures, including injections (IM, ID, SC), EKGs, venipuncture/dermal puncture, and minor office surgeries, maintaining strict adherence to medical protocols.
• Managed medical charting and documentation using Electronic Health Records (EHR) systems, ensuring timely and accurate recording of patient information.
• Coordinated patient care by scheduling appointments, arranging diagnostic tests, and facilitating communication between patients and healthcare providers.
• Administered vaccinations and maintained vaccine inventory, contributing to a [X]% increase in immunization rates within the practice.
• Conducted patient education on medication administration, wound care, and postoperative instructions, promoting patient understanding and compliance.
• Assisted in medical office administrative tasks, including appointment scheduling, answering phones, and verifying patient insurance information.
• Collaborated with the healthcare team to ensure a smooth patient flow and address any emergent patient needs promptly.
• Demonstrated proficiency in maintaining infection control standards, sterilizing medical equipment, and adhering to OSHA and HIPAA guidelines.
• Participated in regular continuing education and training programs to stay updated on medical advancements, contributing to enhanced patient care and service quality.

• Collaborated with teachers to support the educational needs of diverse learners in a [grade level or subject area] classroom.
• Provided individualized assistance to students with varying learning abilities, reinforcing concepts introduced by the teacher and adapting instructional materials as needed.
• Assisted in the implementation of Individualized Education Programs (IEPs) for students with special needs, ensuring their academic and social development.
• Facilitated small group activities to reinforce lesson content, promoting student engagement and participation.
• Monitored student progress and behavior, providing feedback to teachers and contributing to the development of effective intervention strategies.
• Supported students with physical or cognitive challenges, ensuring a safe and inclusive learning environment.
• Utilized assistive technology and adaptive materials to enhance learning experiences for students with diverse needs.
• Assisted in classroom management, reinforcing positive behavior and implementing strategies to address challenging behaviors.
• Collaborated with other paraprofessionals, teachers, and special education staff to share insights and best practices for supporting students.
• Participated in professional development opportunities to enhance knowledge of instructional techniques, classroom management, and special education practices.

Clinical Tasks:

• Assist healthcare providers in conducting patient assessments, vital sign measurements, and medical histories.
• Perform various clinical procedures, including injections (IM, ID, SC), EKGs, venipuncture/dermal puncture, and minor office surgeries.
• Ensure accurate and timely documentation of patient information in Electronic Health Records (EHR) systems.
• Coordinate patient care by scheduling appointments, arranging diagnostic tests, and facilitating communication between patients and healthcare providers.
• Administer vaccinations, manage vaccine inventory, and provide patient education on medication administration and postoperative instructions.

Front Office Administration:

• Greet and assist patients at the front desk, providing a welcoming and positive experience.
• Answer phones, schedule appointments, and manage patient check-in and check-out processes.
• Verify patient insurance information, obtain pre-authorizations, and assist with billing inquiries.
• Maintain organized patient records, ensuring accuracy and confidentiality.
• Collaborate with administrative and clinical staff to ensure seamless patient flow and address any issues promptly.
• Handle administrative tasks such as filing, data entry, and managing office supplies.

Adhere to OSHA and HIPAA guidelines to ensure compliance with healthcare regulations.

Phlebotomy:

• Perform venipuncture, butterfly puncture, and capillary puncture to collect blood specimens for laboratory testing.
• Verify patient identity and ensure accurate labeling of specimens, maintaining the integrity of the collection process.
• Provide clear instructions to patients regarding specimen collection procedures and post-collection care.
• Safely dispose of biohazardous materials and maintain cleanliness and organization in the phlebotomy area.
• Collaborate with laboratory staff to ensure timely and accurate processing of collected specimens.

Front Office Administration:

• Greet patients at the front desk, maintaining a professional and welcoming atmosphere.
• Schedule phlebotomy appointments, manage patient check-in and check-out processes, and answer phone inquiries.
• Verify patient information, including insurance details, and obtain necessary pre-authorizations for services.
• Assist with billing inquiries, provide information on services, and ensure accurate and complete patient records.
• Collaborate with administrative and clinical staff to ensure efficient patient flow and address any front office issues.
• Handle administrative tasks such as filing, data entry, and managing office supplies.
• Adhere to OSHA and HIPAA guidelines to ensure compliance with healthcare regulations.

• 757-2900 Nicole@ccmcc.org