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Kathy MillerKM
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Kathy Miller

@kathymiller1

Appeals Representative at Novitas Solutions who reviewed Medicare Part B claims and made independent appeal decisions.

United States
Message

At Novitas Solutions, I responded to Medicare appeals and reviewed Part B claims questioned by providers, beneficiaries, CMS, and other interested parties.

I made independent decisions to allow or deny services based on claim research, documented policies and procedures, and information submitted with each request. I also reviewed additional documentation, made claim adjustments when needed, and sent letters to beneficiaries and providers.

Earlier, I worked as a Relationship Banker I and Teller at M&T Bank, processing customer transactions and helping with accounts and financial needs. I also worked in customer service at Lowe's Home Improvement and as a Housekeeper at Genetti Hotel and Suites.

Experience

Work history, roles, and key accomplishments

NS

Appeals Representative

Novitas Solutions

Jan 2015 - Aug 2022 (7 years 7 months)

Responded to Medicare inquiries and conducted reviews of Part B claims to render independent decisions on appeals. Made claim adjustments and coordinated routing of cases.

GS

Housekeeper

Genetti Hotel and Suites

May 2011 - Oct 2012 (1 year 5 months)

Cleaned hotel rooms and prepared them for arriving guests. Assisted guests with their needs during their stay.

Education

Degrees, certifications, and relevant coursework

University of Phoenix logoUP

University of Phoenix

Associate's degree, Business

Associate's degree in Business from University of Phoenix, completed in October 2013.

SS

South Williamsport Area High School

High school diploma

High school diploma from South Williamsport Area High School, completed in June 2009.

Tech stack

Software and tools used professionally

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