Mia Cummings

Dedicated Patient Services Specialist with over 3 years of experience in fast-paced medical office settings. Proven ability to manage patient scheduling, verify insurance, process claims, and collect co-payments, ensuring smooth front-office operations and accurate documentation. Skilled in HIPAA compliance and providing exceptional customer service, aiming to support efficient patient care workflows at Piedmont Urgent Care.

Patient Services Specialist / Customer Service, Rehab at Resurgens Orthopaedics (2023-09 – 2024-10)

• Educated new patients on completing essential consent forms and elucidated insurance benefits to ensure informed consent and comprehensive understanding.
• Input accurate charge details into the billing system, adhering strictly to guidelines for workers' compensation and motor vehicle accident patient cases.
• Managed patient scheduling and facilitated the collection of copays and coinsurance payments.

Insurance Verification Specialist / Medical Administrative Assistant at Milner Vein and Vascular Clinic (2023-04 – 2023-08)

• Validated insurance coverage and meticulously prepared and processed medical insurance claims and billing information.
• Monitored payments to ensure adherence to agreed-upon financial limitations set by insurance carriers and patients.
• Supported the front office team by greeting patients, verifying patient and insurance details, collecting co-pays, scheduling appointments, and communicating test results, prescription refills, and general inquiries.
• Ensured the safeguarding of sensitive and confidential patient information in compliance with HIPAA guidelines.

Care Facilitator / Medical Administrative Assistant / Customer Service at ChenMed (2022-07 – 2022-10)

• Received patients, scheduled appointments, managed check-in and check-out procedures, and collected pertinent data.
• Addressed inbound telephone calls, took messages, updated patient profiles, and prepared new patient information packets.
• Acknowledged as a Healthcare Effectiveness Data and Information Set (HEDIS) champion for the Primary Care Physician (PCP), providing crucial visibility on HEDIS requirements for scheduled patients.
• Verified insurance coverage via telephone and online carrier portals, collected copayments, and reported on patient hospitalizations.
• Maintained strict adherence to HIPAA regulations concerning patient confidentiality.

Medical Front Desk Specialist / Customer Service at Atlanta Heart Specialist (2021-10 – 2022-04)

• Ensured a welcoming and efficient patient experience during visits.
• Served as the primary point of contact, delivering exceptional customer service.
• Verified the accuracy of patient information and confirmed the completeness of medical charts.

Remote Healthcare Customer Service Representative at VIN, Wipro (2020-09 – 2021-01)

• Championed UnitedHealthcare members' needs by ensuring hassle-free interactions through inbound telephone calls.
• Directed members and callers to appropriate resources, including pharmacists, prior authorization teams, the billing department, and transportation services, to address their inquiries and issues.
• Provided information regarding Medicaid, Dental, Vision, and Medical plans, and facilitated enrollment for new members.
• Documented interactions using Citrix and consistently met daily performance metrics.

Assistant Manager / Internet Product Specialist / Business Development Agent at Conyers Mitsubishi (2020-04 – 2021-10)

• Engaged with customers through inbound and outbound telephone communication.
• Delivered strong customer service, maintained effective communication with clients, and scheduled appointments.
• Clearly disclosed sales terms to consumers and dealership management, utilizing VIN Solutions for interaction documentation.

Mortgage Review Specialist at KT Solutions (2019-08 – 2020-04)

• Handled a high volume of up to 500 inbound phone calls daily.
• Trained new personnel, documented interactions using Chase CRM, and developed phone scripts.
• Provided explanations of Government Guideline Programs to eligible veterans.
• Processed loan applications, updated account information, and generated leads for refinancing.

Customer Service Agent / Billing Agent at TRC Staffing | Convergent (2018-10 – 2019-05)

• Assisted customers with billing inquiries, established new accounts, and processed credit applications via inbound phone calls.
• Managed payments, arranged payment plans, and documented all interactions using Citrix.
• Addressed and resolved escalated customer issues within a dynamic call center setting.

Team Lead / Recruiter / Benefits Coordinator at Chui Agency | American Income Life (2017-07 – 2018-01)

• Managed the recruitment process and screened potential employee resumes for American Income Life.
• Scheduled a minimum of 21 prospective candidates daily through outbound telephone outreach.
• Dispatched a minimum of 50 emails and managed up to 130 calls per day.
• Screened resumes and recorded interaction details.

Associate of Science Degree in Health Sciences – Medical Administrative Assistant – Ultimate Medical Academy

Diploma in Medical Administrative Assistant – Ultimate Medical Academy

Bachelor of Science Degree in Health Management – University of Phoenix