Angela Smith
Woman's Hospital
Geismar,Louisiana
36
years of professional experience
Dedicated professional with extensive experience in managing patient accounts and resolving billing discrepancies, ensuring accuracy and efficiency in all transactions. Proven expertise in patient registration, insurance verification, and addressing patient inquiries, utilizing effective communication strategies to foster trust and clarity. Committed to delivering seamless patient interactions while adhering to healthcare protocols, consistently enhancing patient satisfaction through compassionate service. Strong advocate for patient needs, driving positive outcomes in a fast-paced healthcare environment.
Work History
Patient Access Specialist (Meditech / Epic Experience)
3 Years 10 Months- Verified insurance eligibility, coverage benefits, and prior authorization requirements for scheduled procedures to ensure seamless patient access.
- Supported patient access and registration operations across main hospital mother/baby NICU and labor and delivery to facilitate efficient patient flow.
- Provided clear explanation of insurance benefits and patient financial responsibilities to strengthen patient understanding and satisfaction.
- Processed scheduled procedure prepayments with end-to-end ownership to support procedure scheduling.
- Confirmed insurance eligibility and benefits for patient accounts to minimize processing delays.
- Reviewed insurance coverage details and communicated patient financial responsibilities to enhance patient understanding and satisfaction.
- Delivered exceptional customer service by promptly addressing patient concerns with professionalism.
- Maintained patient confidentiality by ensuring HIPAA guideline compliance and adherence to hospital policies.
- Reviewed and confirmed insurance information with insurance companies to maintain accurate patient medical billing processes.
- Analyzed insurance payment sources and organized payer order to maintain proper chain of payment.
- Supported positive work environment through effective teamwork and clear communication with colleagues.
- Confirmed demographic data and updated billing records to prevent billing errors.
Billing Manager-Multiple Practices (Remote)
6 Years- Managed billing operations, charge entry, payment posting, and accounts receivable for multiple medical practices to ensure accurate financial tracking
- Applied CPT, and ICD-9, and ICD-10 coding guidelines
- Processed electronic claims and follow-up for Medicaid, Medicare, and Commercial insurance payers
- Processed electronic claims and conducted follow-up for Medicaid, Medicare, and Commercial insurance payers to ensure timely reimbursements
- Performed monthly account reconciliation, balancing and financial closeout for multiple medical practices
- Addressed patient billing inquiries and processed credit card payments, enhancing patient satisfaction and streamlining payment processes
- Responded to patient billing inquiries and processed credit card payments
Medical Coder (Hybrid)
2 Years- Reviewed and applied CPT, ICD-9, and ICD-10 coding guidelines to ensure accuracy in coding and billing
- Investigated denied claims and submitted appeals.
- Managed charge entry and ensured timely claim submission to meet month-end closing deadlines
Medical Coder/PRN (Remote)
2 Years- Interpreted and implemented CPT and ICD-9/ICD-10 codes in daily processing to ensure accurate billing
- Reviewed office dictation to verify correct coding and compliance with industry standards
- Assigned ICD-10-CM, CPT, and HCPCS codes from clinical documentation.
- Reviewed medical records for coding accuracy and compliance with payer guidelines.
- Audited charts to identify coding discrepancies and documentation gaps.
Medical Coder
22 Years- Applied CPT and ICD-9 coding guidelines and reviewed operative reports and process notes for coding accuracy
- Oversaw daily operations of the Coding Department and assisted the Assistant Administrator
- Managed insurance claims, billing, and appeals for Medicare, Medicaid, and commercial payers, optimizing reimbursement processes
- Verified insurance benefits and maintained patient demographics, charges, adjustments and refunds
- Supervised the Coding Department and assisted the Assistant Administrator
- Prepare weekly production reports and coordinated office supply ordering
Skills
Understanding of healthcare terminology
Medical billing specialist
Efficient claims processing
Access authorization validation
Insurance coverage verification
Eligibility determination
Patient information processing
Effective multitasking skills
Attention to detail
HIPAA compliance
Reference
References available upon request
Timeline
Patient Access Specialist (Meditech / Epic Experience)
Woman's Hospital
01.2023 - CurrentRead More
Billing Manager-Multiple Practices (Remote)
Convergent Solutions
01.2015 - 01.2021Read More
Medical Coder (Hybrid)
Woman's Hospital
01.2013 - 01.2015Read More
Medical Coder/PRN (Remote)
Convergent Solutions/CVT
01.2013 - 01.2015Read More
Medical Coder
CVT Surgical Center
01.1991 - 01.2013Read More