Mia Cummings

Offer experience in medical office administration, leadership, and insurance claims and verification in a variety of high-volume, fast-paced environments. Serve as initial and ongoing point of contact to deliver high quality customer service. Communicate effectively to build and maintain positive relationships and act in a highly professional manner.

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

• Instructed new patients on how to complete necessary consent forms and clearly explained insurance benefits to ensure informed consent and understanding.
• Entered accurate charge details into billing system, adhering to guidelines for work compensation and motor vehicle accident patient cases.
• Managed scheduling and facilitated collection of copays and coinsurance payments from patients.

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

• Verified insurance coverage and prepared and processed medical insurance claims and billing information.
• Monitored payments to ensure that they fit within agreed upon financial limitations set by insurance carrier and patient.
• Provided front office team support, greeted patients, verified patient and insurance information, collected co-pays, scheduled appointments, and communicated with patients regarding test results, prescription refills, and general inquiries.
• Safeguarded sensitive and confidential per HIPAA guidelines.

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

• Greeted patients, scheduled appointments, handled check-in and check-out, and collected relevant data.
• Answered inbound phone calls, took messages, updated patient profiles information, and generated packets for new patients.
• Recognized as Healthcare Effectiveness Data and Information Set (HEDIS) champion for the Primary Care Physician (PCP) and provided visibility of HEDIS needs for scheduled patients.
• Verified insurance coverage over the phone and through carrier websites, collected copays, and reported on hospitalizations.
• Adhered to HIPAA guidelines regarding patient confidentiality.

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

• Ensured a friendly and efficient visit for patients.
• Served as initial contact and provided top-notch customer service.
• Made sure patient information was accurate and that charts were complete.

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

• Advocated for UnitedHealthcare members by making interactions hassle-free via inbound phone calls.
• Referred members and callers to other resources applicable to their questions and issues, including pharmacists, prior authorizations, billing department, and transportation.
• Answered questions regarding Medicaid, Dental, Vision, and Medical and enrolled new members.
• Utilized Citrix to document interactions and met daily metrics.

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

• Interfaced with customers via inbound and outbound phone calls.
• Provided strong customer service, communicated effectively with customers, and scheduled appointments.
• Disclosed terms of sale with consumers and dealership management and utilized VIN Solutions to document interactions.

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

• Answered up to 500 inbound phone calls daily.
• Trained new hires, utilized Chase CRM to document interactions, and wrote phone scripts.
• Explained Government Guideline Programs to qualifying veterans.
• Processed loan applications, updated account information, and created refinance load leads.

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

• Assisted customers with billing questions, set up new accounts, and processed credit applications via inbound phone calls.
• Took payments, set up payment arrangements, and documented interactions via Citrix.
• Handled escalated situations and accustomed to a fast-paced call center environment.

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

• Responsible for recruiting and scanning potential employee resumes for American Income Life.
• Scheduled a minimum of 21 possible candidates daily via outbound phone calls.
• Sent a minimum of 50 emails and answered a maximum of 130 calls per day.
• Scanned resumes and documented interactions.

Associate of Science Degree in Health Sciences – Medical Administrative Assistant – Ultimate Medical Academy (2022)

Diploma in Medical Administrative Assistant – Ultimate Medical Academy (2021)

Bachelor of Science Degree in Business Administration – Strayer University (2018)