Summary
Overview
Work History
Education
Skills
Certification
Work Availability
Timeline
Tawanna Smith
Open To Work

Tawanna Smith

Salisbury,NC

Summary

Healthcare operations professional with over 10 years of experience in optimizing billing and claims processes. Expertise in identifying discrepancies and ensuring financial accuracy while enhancing workflow efficiency. Proven track record in collaborating with teams to improve claim quality and compliance. Committed to advancing healthcare operations through continuous learning and innovation.

Overview

21
21
years of professional experience
2
2
Certification
4
4
years of post-secondary education

Work History

Billing Integrity Specialist I

Ensemble Health Partners
03.2024 - 01.2026

· Ensured accurate reimbursement by identifying and resolving billing discrepancies.
· Enhanced claim quality by verifying compliance with documentation standards.
· Streamlined communication between patients and internal teams for timely claim resolution.
· Maintained precise financial records through diligent reconciliation of remittance data.
· Supported accurate claim processing by verifying insurance eligibility.

Cash Posting Specialist

Ensemble Health Partners
11.2021 - 03.2024
  • Processed high-volume payments with accuracy, ensuring proper account application.
  • Reconciled accounts by analyzing remittance data and resolving unapplied cash.
  • Investigated and corrected payment discrepancies to maintain accurate financial records.
  • Applied adjustments and refunds in accordance with payer and internal guidelines.

Accounts Receivable Representative

Ensemble Health Partners
06.2018 - 11.2021
  • Followed up on outstanding and underpaid claims to ensure proper reimbursement.
  • Resolved payment discrepancies by working with payers and reviewing account details.
  • Verified insurance eligibility to support accurate claim processing.

Medical Biller

Private Practice
Cambria Heights, NY
05.2005 - 12.2017
  • Prepared and submitted claims with a focus on accuracy and completeness.
  • Verified patient and insurance information prior to submission.

Education

Bachelor of Business Administration (BBA) - Health Services Administration

Strayer University
08.2024 - Current

CPCB Program -

SUNY Queens EOC, Jamaica, NY

GED -

Oneonta Job Corps, Oneonta
08.1991 - 12.1993

Skills

  • Billing & Claims Resolution
  • Revenue Cycle Management (RCM)
  • Insurance Verification
  • Payment Posting & Reconciliation
  • Denial Resolution
  • ICD-10
  • CPT
  • HCPCS
  • HIPAA Compliance
  • Customer Support
  • Epic
  • Meditech
  • IDX
  • Availity
  • MS Office
  • Teams

Certification

  • CPC-A, Certified Professional Coder, AAPC
  • CRCR, Certified Revenue Cycle Representative, HFMA

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline

Strayer University - Bachelor of Business Administration (BBA), Health Services Administration
08.2024 - Current
Billing Integrity Specialist I - Ensemble Health Partners
03.2024 - 01.2026
Cash Posting Specialist - Ensemble Health Partners
11.2021 - 03.2024
Accounts Receivable Representative - Ensemble Health Partners
06.2018 - 11.2021
Medical Biller - Private Practice
05.2005 - 12.2017
Oneonta Job Corps - GED,
08.1991 - 12.1993
SUNY Queens EOC - CPCB Program,
Tawanna Smith