Lisa Miller
@lisamiller1
I secure insurance authorizations and financial clearance for patient care.
What I'm looking for
I'm currently supporting WVU Medicine as an Insurance Authorization Specialist II, verifying eligibility and benefits, securing outpatient testing authorizations, and coordinating denied authorization decisions with providers. I use Epic and insurance portals to gather clinical information, submit requests, and follow up with insurers.
Across more than a decade at Wheeling Hospital and WVU Medicine, I've handled financial clearance, medical-necessity coding, patient cost estimates, registration, and insurance verification. I'm a Certified Professional Coder and Certified Revenue Cycle Representative with experience in CPT, HCPCS, ICD-10, Epic, Allscripts, Navinet, Availity, and PassPort IntelliSource.
Experience
Work history, roles, and key accomplishments
Verifies patient insurance eligibility and benefits, determines authorization necessity for outpatient testing, and coordinates peer-to-peer decisions with providers.
Education
Degrees, certifications, and relevant coursework
AI in Medical Billing and Coding
Certificate, Medical Billing and Coding
Completed AI in Medical Billing and Coding in July 2024.
AAPC
Certified Professional Coder, Medical Coding
2019 - 2020
Certified Professional Coder (CPC) certification obtained from AAPC.
Healthcare Financial Management Association
Certified Revenue Cycle Representative, Revenue Cycle
2018 - 2018
Certified Revenue Cycle Representative (CRCR) certification obtained from HFMA.
Hempfield Area Senior High School
High School Diploma, General Studies
2000 - 2004
Completed general high school courses.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
Skills
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