Carla Smith
Miami Gardens
Summary
Detail-oriented Medical Billing and Collections Specialist with comprehensive skills in accounts receivable management and claims resolution. Demonstrates a strong commitment to improving collections through meticulous follow-up, accurate payment posting, and effective patient communication. Proven ability to navigate complex billing procedures while ensuring compliance with industry regulations.
Overview
18
18
years of professional experience
Work History
Medical Billing and Collections Specialist
EReceivables Inc.
Coral Springs
02.2015 - 06.2026
- Managed billing and collections for outstanding insurance and patient accounts, ensuring timely reimbursement and efficient account resolution.
- Performed A/R follow-up on unpaid, denied, and underpaid claims by contacting insurance carriers and patients to resolve discrepancies and secure payment.
- Investigated denied, delayed, or underpaid claims and assisted with resolving issues related to eligibility, billing errors, authorization, and documentation.
- Reviewed account balances, claim submissions, and payer responses to identify billing issues and determine next steps for resolution.
- Analyzed aging reports and prioritized delinquent accounts, enhancing collections efforts and minimizing outstanding receivables.
- Collaborated with insurance representatives, patients, and internal teams to effectively address and resolve billing concerns and account issues.
- Posted payments, adjustments, and account updates accurately while maintaining detailed account notes and documentation.
- Maintained confidentiality of patient and financial information in compliance with HIPAA and company policies.
Medical Collections Specialist
All Medical Personnel
Hollywood
04.2008 - 01.2014
- Coordinated payment plans with patients to enhance affordability and facilitated financial counseling sessions to improve understanding of options.
- Processed collections on overdue accounts while maintaining compliance with regulations.
- Reviewed insurance claims for accuracy and ensured timely submissions to providers.
- Contacted insurance companies to verify claim payment status, ensuring prompt resolution and minimizing delays in revenue cycle.
- Wrote appeal letters to insurance companies for denial of claims.
- Collaborated with healthcare professionals to obtain necessary documentation for claims.
- Analyzed collection reports to identify trends and improve recovery strategies.
- Managed patient account inquiries and resolved billing discrepancies effectively.
Education
Medical Billing and Coding -
Florida Career College
Pembroke Pines, FLHigh School Diploma -
Miami Norland Senior High School
Miami Gardens, FLSkills
- Billing collections
- Accounts Receivable (A/R) Follow-Up
- Payment posting
- Payment reconciliation processes
- Denial resolution
- Insurance verification processes
- EOB review
- Aging Reports
- Billing systems
- Billing software
- ICD-10
- EHR experience
- Revenue support
- HIPAA Compliance
Timeline
Medical Billing and Collections Specialist
EReceivables Inc.
02.2015 - 06.2026
Medical Collections Specialist
All Medical Personnel
04.2008 - 01.2014
Medical Billing and Coding -
Florida Career College
High School Diploma -
Miami Norland Senior High School