Carol Smith
Dallas,TX
Summary
A highly motivated manager with medical billing and coding training and 10+ years of customer service experience looking to further expand my leadership skills in medical front office operations.
Overview
22
22
years of professional experience
Work History
Insurance Verification Specialist
Bright Star Care Of Plano
04.2024 - Current
- Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Updated patient records with accurate, current insurance policy information.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Supported clinical staff by providing timely updates on the status of prior authorizations for various services.
- Reduced processing times by effectively managing a high volume of authorizations, referrals, and appeals.
- Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
- Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
Store Owner
The Postal Shoppe
04.2021 - Current
- Developed a loyal customer base with personalized assistance, attentive listening, and friendly interactions.
- Adapted store operations to meet changing market conditions and customer needs while preserving overall business stability.
- Maintained a clean, organized, and visually appealing store environment to create an inviting shopping experience.
- Enhanced customer satisfaction by providing exceptional service and addressing customer inquiries or concerns promptly.
Insurance Verification Specialist
Baylor Scott & White
01.2018 - 08.2020
- Ensures timely verification of insurance eligibility and benefits - Verifies financial clearance and calculates the patient's financial responsibility - Obtains appropriate referrals - Completes appropriate forms related to notification - Communicates with utilization review team
Office Coordinator
Sleep Medicine of Texas
01.2017 - 01.2018
- Provided excellent customer service, posts payments and makes deposits - Performed scheduling, prior authorizations and benefit verifications - Scheduled appointments and checks patients in and out
Store Manager
CEFCO
01.2013 - 01.2016
- Supervised employees - Provided performance feedback and coaching to staff - Managed inventory - Recruited, trained and developed personnel - Worked within teams to develop processes to promote business development
Office Manager
Vital Medical Supplies
01.2009 - 01.2013
- Directed and coordinated activities concerning the production, pricing, sales and distribution of products - Managed staff and scheduled according to business needs - Reviewed performance to ensure productivity
Training Manager
ACE Cash Express
01.2006 - 01.2009
- Educated and informed customers of available products - Resolved customer complaints while providing superior customer service - Monitored employee performance and encouraged professional development - Performed operational duties, including cash handling and reconciliation
Store Manager
Circle K
01.2003 - 01.2006
- Promoted excellent customer service - Hired, trained and developed personnel - Analyzed daily sales and expense information to maximize sales and profits - Ensured execution of company policies and procedures
Education
Certificate in Medical Office Specialist -
Kaplan College
Dallas, TX06.2011
Skills
Insurance Terminology
- Insurance Authorizations
- Answer Telephones
- Insurance Plan Verification
- Referral Coordination
- Certified Medical Administrative Specialist
- Prior authorization processing
- Customer Service
- Insurance benefits verification
Timeline
Insurance Verification Specialist
Bright Star Care Of Plano
04.2024 - Current
Store Owner
The Postal Shoppe
04.2021 - Current
Insurance Verification Specialist
Baylor Scott & White
01.2018 - 08.2020
Office Coordinator
Sleep Medicine of Texas
01.2017 - 01.2018
Store Manager
CEFCO
01.2013 - 01.2016
Office Manager
Vital Medical Supplies
01.2009 - 01.2013
Training Manager
ACE Cash Express
01.2006 - 01.2009
Store Manager
Circle K
01.2003 - 01.2006
Certificate in Medical Office Specialist -
Kaplan College
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