Kimberly Miller Email and Phone Number

Working remotely, utilize HIPAA guidelines on maintaining member privacy. Assist individuals in understanding their healthcare coverages and selecting the right products, services, and best solutions to meet their personal health and financial needs. Received inbound calls through the utilization of Avaya, as well as outbound calls for call-back requests and follow-ups. Assist with customer inquiries with benefits and Eligibility, Prior Authorizations, Appeal and Grievances, Member portal assistance, researching In and Out of Network providers and facilities, verifying Drug Formularies for member pricing, policy payments and payment history research, cancellations and reinstatements of policies. Identify additional needs customers may have and assist accordingly.

Work directly with the clinical and operational managers, as well as the supervisory team. My primary duties are to maintain accurate time and attendance and payroll information for all surgical staff. ❖ Payroll and timekeeping for Surgical Services - Utilize ADP Enterprise E-time to input payroll for 80+ employees, interact with employees and ensure accurate information is recorded (vacation, illness, leave of absence, holiday, On-Call work, incentive pay, Worker’s Compensation, and cost center transfers). Orient new Operating Room employees on departmental expectations regarding the payroll process. Troubleshoot payroll issues and process payroll adjustments accordingly. Maintains a Quality Assurance average of 97%.❖ Enter and maintain employee credentials via Schedule 360 (BLS/CPR, CNOR, ACLS, AORN, CST, PALS)❖ Process all Neuromonitoring reports for accuracy to Medical Records and timely payments to vendors.❖ Process departmental payments through Bancpay paperless invoicing.❖ Maintain confidentiality with employee records, sensitive documents, yearly competencies, performance evaluations, and Service Excellence.❖ Compile and maintain reports and statistical data for the surgical floor and hospital (monthly attendance, process improvement, Perioperative Reports, employee file audits per JACHO standards, memos and spreadsheets as specified by the management staff). ❖ Schedule meetings for Leadership personnel.❖ Assist with coverage at the Operating Room desk. ❖ Maintain the department board with important hospital, educational, special recognitions, time-sensitive information, and announcements. ❖ Create monthly newsletters and set up in-services for various employee events.❖ Order and maintain inventory through electronic requisitioning.

Work directly with the House Coordinator. Responsible for placing patients in a timely manner into proper rooms as one of the following: post-op surgeries, ER, direct, and pre-admissions. Also responsible for maintenance of hospital’s census, internal transfers, and discharges. Process requests as specified from various floors. Acquired and maintained a QA average of 97-100%.

Primarily responsible for obtaining payment for deductibles, co-pays, account balances, and private room charges. Maintained a daily spreadsheet of all co-worker collections on accounts. Closed out all accounts at the end of the day. Assisted with coverage at the front desk and registration of patients for various procedures while maintaining a QA average of 97%.

Ordered and maintained module inventory for chip component processing. Inspected modules to assure parts were within specification. Operated an Implanter to process silicon wafers.

ACD call lined used. Determined deposit decisions made by major telecommunication and utility providers via positive identification and scoring. Assisted consumers with credit report resolutions and updated or corrected credit reports if necessary.

Operated the Diffusion Acid Wet Stations, furnaces, and Implanters to process computer chips per specification. Performed maintenance and calibration of equipment and SPC compliance for quality record documentation.

High volume ACD call line used. Received calls from providers placing durable medical equipment and home health orders. Distributed work orders for immediate delivery and walk-in customers. Responsible for all cash and credit sales, monthly payment on accounts, and billing inquiries with all major insurance carriers.

ACD call line used for pre-certification. Performed callbacks for admission, review, and discharge. Followed up on home health, hospice, and rehabilitation patient reviews where necessary. Reached and maintained an average of 100% accuracy for QA in compliance with company guidelines. Responsible for chiropractic management, coordination of work schedules, and assigning work to other staff.