Summary

Overview

Work History

Education

Skills

Timeline

Stacie Milton

Goodyear,AZ

Summary

Results-driven Senior Medical Billing Specialist with over 6 years of experience in medical billing, claims submission, and denials management. Expertise in maximizing reimbursement through meticulous billing practices, adherence to payer compliance, and effective appeals management. Proficient in CPT, ICD-10, and HCPCS coding, with a thorough understanding of HIPAA regulations and revenue cycle workflows. Committed to enhancing operational efficiency and ensuring financial accuracy within healthcare organizations.

Overview

years of professional experience

Work History

Medical Billing Specialist

Mountain Park Medical Group

07.2024 - Current

Process and submit daily medical and Dental claims to insurance companies.
Post and reconcile payments (EFTs and checks) to patient accounts.
Reviewed Medical documentation and codes.
Reviewed diagnoses and treatment to create and submit accurate claims.
Audit and resubmit denied or unpaid claims; prepare appeals to maximize reimbursement.
Verify insurance eligibility, benefits, and provider information to prevent claim delays.
Maintain medical billing compliance with payer rules and HIPAA regulations.
Resubmit denied claims

Sr. Medical Billing Specialist

Ajinomoto Cambrooke Inc.

12.2022 - 07.2024

Guided patients through insurance eligibility and prior authorization processes.
Processed cash receipts, deposits, and A/R reconciliation.
Conducted collection calls with payers to resolve outstanding medical billing issues.
Filed electronic claims, monitored denials, and coordinated resubmissions.
Collaborated with reimbursement team to optimize medical billing workflows.
Review Medical
identify and resolve billing errors.
submitted appeals for denied claims
Followed up with patients and insurance companies to resolve outstanding balances.
Stayed up to date on changes with insurance policies. Government regulations and Medical coding.
Attention to deal with filing claims

Sr. Accounts Receivable & Medical Billing Specialist

CVS Health

08.2016 - 12.2022

Audited and submitted medical claims for accuracy and payer compliance.
Processed payment posting, refunds, adjustments, and overpayment letters.
Partnered with government and commercial insurers to correct and reprocess claims.
Ensured accurate, timely medical billing and collections to support revenue cycle performance.
Trained new staff in medical billing best practices and claims processing systems.
Submitted Medical claims.
Collected payment from patients
Submitted corrected claims.
Ensured correct codes billed

Medical Administrative Assistant (Billing Support)

Kelly Services / Cigna Medical Group

01.2012 - 12.2013

Supported medical billing department with claim preparation and data entry.
Verified patient insurance coverage and assisted with prior authorizations.
Provided administrative support for scheduling, documentation, and office operations.
Coordinated with billing team to streamline medical billing submissions.

Education

Medical Assistant Certificate -

Arizona College

Glendale, AZ

01.2012

General Coursework - undefined

Gavilan College

Gilroy, CA

01.2009

High School Diploma - undefined

Salinas High School

Salinas, CA

01.2002