Rickkia Miller

Respond to high-volume member requests by reviewing medical records and researching billing discrepancies to ensure accurate record management for UnitedHealthcare. Maintain and update patient health records in EHR systems while documenting interactions according to HIPAA and CMS guidelines and meeting production metric tracking.

Process eligibility and enrollment requirements for ACA health plans while adhering to medical privacy regulations and maintaining accurate member information in secure systems and EHRs. Assemble and review documentation for completeness to ensure compliance before processing enrollments and respond to member coverage inquiries.

Process and resolve complex member concerns while maintaining detailed medical records management documentation with a focus on HIPAA compliance and accuracy. Respond to Medicare benefit inquiries and manage high-volume case loads while meeting production metric tracking and quality expectations.

Process Medicare eligibility verifications and assemble enrollment documentation in compliance with CMS guidelines. Maintain high accuracy in application processing and safeguard customer interaction and enrollment activity records in Electronic Health Records systems.

Support Health Information Management teams by maintaining quality and accuracy standards for medical documentation through chat and email. Train employees on HIPAA compliance and secure healthcare data workflows while resolving escalated customer issues without compromising patient confidentiality and monitoring production metrics.

Process insurance eligibility and benefits verification using healthcare EHRs while maintaining high-speed, accurate patient record updates. Assemble information for referrals and authorizations by coordinating with providers and safeguarding medical privacy in all communications.

Process high-volume healthcare claims while ensuring medical record documentation accuracy and confidentiality. Research and resolve healthcare data discrepancies between providers and internal Health Information Management teams and maintain claim information across multiple EHR systems following HIPAA compliance protocols and production metric tracking.

Completed (and is currently pursuing) a Medical Billing and Coding certificate program at Purdue University Global.

Completed a Medical Administrative Assistant diploma program at Ultimate Medical Academy beginning in September 2020.