Ansley Smith
Timmonsville,SC
Summary
Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Compliance Specialist
Quick Med Claims
Pittsburgh, Pennsylvania
02.2024 - Current
- Auditing EMS claims to verify coding and billing accuracy.
- Maintaining ongoing education of Medicare and Medicaid regulations and guidelines.
- Assisting upper management with the implementation of compliance training tools and material.
- Performing a variety of audits in order to ensure overall quality assurance.
- Maintaining HIPAA compliance throughout all auditing and assigned projects.
- Assisting upper management in updating SOPs and billing guidelines as needed to maintain adequate compliance.
Compliance Specialist
TNAA Healthcare - Simplifi Managed Services
Little Rock (Remote), AR
03.2022 - 01.2024
- Organized and maintained confidential records for employee files, health records and protected information.
- Tracked assignment completion to provide weekly metrics to compliance manager.
- Reviewed and verified all compliance documents for incoming travel healthcare assignments.
- Maintained worker files and monitored any expiring documents and/or credentials.
- Assisted recruiters and client relationship team members with organizing work orders.
- Processed and distributed multiple reports including onboarding requirements and expirations.
- Corresponded across multiple departments including: clinical, client relationship, quality assurance, recruitment, etc.
- Formed meaningful relationships with contracted agencies and offered support through the onboarding process as well as throughout the entire contract.
- Assisted in special projects under direction of the compliance manager.
VA Medical Claims Specialist
BCBSSC
Columbia (Remote), SC
08.2020 - 03.2022
- Inputted data into the system, maintaining accuracy of provider coding information and reported services.
- Stayed current on HIPAA regulations, benefits claims processing, medical terminology and other procedures.
- Examined claims, records and procedures to grant approval of coverage.
- Checked documentation for appropriate coding, catching errors and making revisions.
- Collaborated with fellow team members to manage large volume of claims.
- Organized information by using spreadsheets, databases or word processing applications.
Cardiology Technician
McLeod Health
Florence, SC
12.2019 - 08.2020
- Administered continuous and 12-lead electrocardiogram monitoring, pace maker checks, holter monitors, and assisted with nuclear and exercise cardiac stress testing.
- Updated patients' records with readings taken from heart monitors or EKGs.
- Prepared patients for procedures by explaining process and obtaining consent from patient.
- Maintained medical supplies and equipment needed to provide patient care.
- Reviewed patient information to determine normal and abnormal heart patterns.
- Monitored patients' blood pressure and heart rates before, during and after procedures.
- Assisted in training technicians, medical students or other staff members.
- Performed equipment diagnostics, troubleshooting and evaluations.
Rehab Therapy Technician
Encompass Health
Florence, SC
11.2017 - 11.2019
- Monitored and assisted occupational, physical, and speech therapists during treatments.
- Assisted therapists in carrying out and improving treatment programs to provide optimal patient services.
- Assisted specialists with administering situational or diagnostic tests to measure client's abilities.
- Interacted with patients, family members and physicians to coordinate patient care.
- Transferred and transported patients from one area to another area.
- Answered phones, copied documents and updated schedule boards.
- Monitored treatment supply inventory and requisitioned low-stock items to prevent shortages.
- Prepared treatment area, mobility equipment and ambulatory aids for patient sessions.
- Prepared therapy areas for use and sanitized equipment and items after patient appointments.
- Managed intradepartmental infection control and equipment security.
Staff
Groucho's Deli
Florence, SC
03.2016 - 11.2019
- Relayed orders to service bar and kitchen via point-of-sale register system.
- Served food and beverages to patrons and confirmed complete orders.
- Presented menus and answered questions regarding items.
- Stocked service areas with supplies during slow periods.
- Assisted in preparing salads, appetizers and desserts to speed up food service.
- Presented food and beverages to guests at tables.
- Operated cash register or POS system to receive payment by cash, check and credit card.
- Completed daily recovery tasks to keep areas clean and neat for maximum productivity.
- Trained new team members in cash register operation, stock procedures and customer services.
Education
Bachelor of Science - Professional Studies
Charleston Southern University
Charleston, SCHigh School Diploma -
The King’s Academy
Florence, SCCertificate - Cardiology Technology
Professional Medical Training Center
Florence, SCSkills
- Compliance Reporting
- Data Analysis
- License Verification
- Policy Enforcement
- Interdepartmental Relationships
- Document Review
- Privacy and Confidentiality
- Multitasking and Organization
- HIPAA Compliance
- Medical Software Applications
- Verbal and Written Communication
- Administrative Support
- Computer Skills
- Customer Service
- Performance Evaluation
- Records Management
Accomplishments
- Promoted from Compliance Liaison to Compliance Specialist, in less than 12-months.
- Consistently maintained high customer satisfaction ratings.
- Routinely maintained audit scores of 100%.
- Assisted in training of new hires/transfers.
Certification
- Certified EKG Technician (CET)
Timeline
Compliance Specialist
Quick Med Claims
02.2024 - Current
Compliance Specialist
TNAA Healthcare - Simplifi Managed Services
03.2022 - 01.2024
VA Medical Claims Specialist
BCBSSC
08.2020 - 03.2022
Cardiology Technician
McLeod Health
12.2019 - 08.2020
Rehab Therapy Technician
Encompass Health
11.2017 - 11.2019
Staff
Groucho's Deli
03.2016 - 11.2019
High School Diploma -
The King’s Academy
Certificate - Cardiology Technology
Professional Medical Training Center
Bachelor of Science - Professional Studies
Charleston Southern University