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Da’Nesha Miller

@daneshamiller

Experienced Billing Systems Analyst with expertise in data analysis.

United States
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What I'm looking for

I am looking for a role that fosters collaboration and offers opportunities for growth in healthcare analytics.

As a Billing Systems and Configuration Analyst with over 5 years of experience, I specialize in SQL and Power BI for data analysis. My career has been marked by a proven ability to enhance revenue cycle operations through effective eligibility verification and prior authorization processes. I am committed to developing and implementing workflows that ensure successful project completion and operational efficiency.

In my current role at Natera, I lead the eligibility verification and prior authorization processes, ensuring optimal reimbursement and addressing authorization delays. My previous experience at Sun River Health involved managing the end-to-end claim process lifecycle, where I identified trends and proposed performance enhancements. I thrive in collaborative environments, working closely with IT and vendor operations teams to improve overall performance and compliance.

Experience

Work history, roles, and key accomplishments

NA
Current

Eligibility and Prior Authorization Analyst

Natera

Mar 2024 - Present (1 year 5 months)

Led eligibility verification and prior authorization processes to support optimal reimbursement. Conducted case reviews, resolved denials, and submitted appeals with supporting documentation.

SH

Revenue Cycle Analyst

SunRiver Health

Aug 2023 - Feb 2024 (6 months)

Led end-to-end claim process lifecycle, identifying trends and proposing performance enhancements. Collaborated with IT for database administration, testing, and security.

DE

Client Relations

Duke Energy

Oct 2020 - Aug 2023 (2 years 10 months)

Managed and motivated Call Center Representatives, handling questions, complaints, and client support. Monitored team success, developed objectives, and conducted resource planning for productivity.

Education

Degrees, certifications, and relevant coursework

FU

Fayetteville State University

Master’s in Business-Healthcare Management & Marketing, Business-Healthcare Management & Marketing

Currently pursuing a Master's degree focusing on business principles within the healthcare sector, with an emphasis on management and marketing strategies. Expected to complete the program in December 2024.

FU

Fayetteville State University

Bachelor’s of Science, Science

Completed a Bachelor of Science degree, gaining foundational knowledge in various scientific disciplines. Graduated in May 2022.

Tech stack

Software and tools used professionally

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Da’Nesha Miller - Eligibility and Prior Authorization Analyst - Natera | Himalayas