Alicia Smith
Jackson,Mississippi
Summary
Dynamic Computer Science Teacher with strong background in teaching complex technology in digestible terms. Highly adept at breaking down instructional steps and providing simple analogies to foster comprehension. Talented at monitoring student growth and offering motivating guidance to struggling students.
Overview
11
11
years of professional experience
Work History
Patient Access Data Integrity Specialist II – Ancillary Scheduling/Adult Emergency Room
University of Mississippi Medical Center
05.2021 - Current
- Enhanced data accuracy by implementing efficient validation processes and quality checks.
- Improved operational efficiency by collaborating closely with IT teams to enhance existing infrastructure supporting the organization''s databases.
- Responsible for assigning accurate medical record numbers, completing medical necessity/compliance checks, providing proper patient instructions, collecting and properly entering insurance information, collecting payments from patients and maintain the integrity of the patient demographics in EPIC
- Played an active role in the onboarding process of new employees and provided mentorship, ensuring a smooth transition into their respective roles within the data integrity team.
- Perform timely and accurate patient throughput functions such as financial screening including utilizing systems and other means to verify eligibility, benefits, and medical necessity, obtaining prior authorization, calculating and collecting co-pays and other out-of-pocket- amounts due from patients, insurance coverage and financial clearance are met with a high degree of reliability and the Master Patient Index is properly maintained at all times
- Reduced downtime during critical periods by proactively addressing potential IT issues before they escalated.
Access Financial Coordinator/Patient Access Data Integrity Specialist I
University of Mississippi Medical Center
04.2018 - 05.2021
- Calculates patient liability/deposit, discusses financial obligations with the patient, including requesting and collecting payment, correctly processing and documenting payment, and accurately reconciling and balancing batches, and referring patient to financial counseling if needed
- Worked to uphold or increase standards for patient satisfaction including but not limited to advanced directives, insurance verification and authorization, verify patient information including demographic and medical, and minimal patient care.
- Follows and complies with all patients, protection rules including but not limited to HIPPA, EMTALA, JCAHO, and any applicable state and federal regulations
- Communicates with insurance companies and other departments concerning benefits and certification/authorization with RTE (Real Time Eligibility)
- Collect payment from 45% of patients based on verified insurance obligations, established self-pay rates, or required financial assistance co-pays
- Improved customer satisfaction scores through application of superior conflict resolution and problem-solving skills
Recovery Specialist I
Cahaba GBA
12.2017 - 04.2018
- Answering phone inquiries and processing correspondence received in relation to the work performed for the Medicare Secondary Payor Contract
- Ensuring payments and adjustments of claims have occurred in accordance with MSP laws and initiates recovery of mistaken payments in accordance with the laws established
- Optimized workflow processes for increased efficiency, enabling the team to handle more cases effectively.
- Maintained detailed documentation on all case activities, ensuring compliance with industry regulations and company policies.
- Improved client satisfaction through timely communication and resolution of account discrepancies.
- Demonstrated a high level of initiative and creativity while tackling difficult tasks.
Production Technician
Nissan Canton Manufacturing and Assembly Plant
07.2015 - 12.2017
- Collaborated closely with cross-functional teams for seamless coordination of production activities and timely delivery of finished goods.
- Trained and supervised production personnel to properly use production equipment and apply best practices.
- Developed and enhanced personnel work instructions to clear up confusion and boost performance.
- Built product subassemblies or final assemblies and monitored and adjusted production processes or equipment for quality and productivity.
- Monitored inventory levels, ensuring adequate stock of raw materials and consumables for uninterrupted production operations.
- Assisted in quality control measures by performing routine inspections of products against established standards.
Patient Access Specialist
Baptist Health Systems
05.2013 - 07.2015
- Responsible for completing an efficient and organized registration, admission and insurance verification of all emergency room patients
- Must ensure that accurate information is collected, input accurate information into patients’ charts and adhere to the confidentiality of the information
- Make sure patients are aware of their rights as determined by HIPPA regulations and company policy.
- Enhanced patient satisfaction with increase of 25% by providing efficient registration and scheduling services.
- Increased accuracy in patient record-keeping through diligent data entry and regular database maintenance.
- Supported the implementation of new processes or technologies from Lawson to Paragon for improved workflow efficiency in the department.
Education
A.A. Medical Billing and Coding -
Hinds Community College
Jackson, Mississippi05.2010
B.B.A. Marketing/Minor Psychology -
Mississippi State University
Starkville, Mississippi05.2000
Skills
- Root Cause Analysis
- Reliability
- Data Documentation
- Code Review
References
References are available upon request.
Timeline
Patient Access Data Integrity Specialist II – Ancillary Scheduling/Adult Emergency Room
University of Mississippi Medical Center
05.2021 - Current
Access Financial Coordinator/Patient Access Data Integrity Specialist I
University of Mississippi Medical Center
04.2018 - 05.2021
Recovery Specialist I
Cahaba GBA
12.2017 - 04.2018
Production Technician
Nissan Canton Manufacturing and Assembly Plant
07.2015 - 12.2017
Patient Access Specialist
Baptist Health Systems
05.2013 - 07.2015
A.A. Medical Billing and Coding -
Hinds Community College
B.B.A. Marketing/Minor Psychology -
Mississippi State University