Cathy Smith
Walla Walla,WA
Summary
Motivated professional eager to embrace new challenges. Demonstrates a strong work ethic, adaptability, and exceptional interpersonal skills. Proven ability to work independently and rapidly acquire new skills.
Overview
17
17
years of professional experience
Work History
CONTRACT VENDOR (SURG/RAD PA SPECIALIST)
TruBridge RCM
Mobile, US
11.2022 - Current
- Managed vendor contracts for surgical and radiology PA services, ensuring compliance and operational efficiency.
- Optimized vendor contracts using data-driven insights, reducing operational costs.
- Streamlined vendor processes to enhance service delivery and minimize costs.
- Collaborated with cross-functional teams to improve vendor performance and patient care outcomes.
- Analyzed vendor performance metrics to pinpoint improvement areas and implement corrective actions.
- Facilitated regular vendor meetings to address challenges and promote continuous improvement initiatives.
- Developed innovative strategies to enhance PA approval rates utilizing industry best practices.
- Meticulously reviewed complex medical documentation to ensure regulatory compliance.
IVS/PRE-AUTHORIZATION SPECIALIST
Barrow Brain and Spine
Phoenix, US
11.2013 - 08.2022
- Optimized IVS procedures, leading to improved patient outcomes and increased operational efficiency in neurosurgical interventions.
- Pioneered improvements in IVS procedures, leading to better patient outcomes and streamlined neurosurgical interventions.
- Streamlined pre-authorization processes, reducing approval time and enhancing patient care efficiency at Barrow Brain and Spine.
- Refined pre-authorization workflows to expedite approvals and enhance patient care efficiency at Barrow Brain and Spine.
- Built relationships with insurance providers to facilitate pre-authorization processes and reduce treatment delays.
- Meticulously managed insurance verifications, ensuring accurate coverage assessments and minimizing claim denials for complex procedures.
- Managed insurance verifications to reduce claim denials for complex neurosurgical procedures.
INSURANCE VERIFICATION-TEMP
Desert Medical Careers
Phoenix, US
04.2013 - 11.2013
- Streamlined insurance verification processes, reducing turnaround time and enhancing overall efficiency.
- Optimized insurance verification procedures, leading to faster claim processing and improved patient satisfaction.
- Conducted thorough insurance verifications, ensuring accuracy and compliance with regulations.
- Implemented quality control measures that minimized errors and discrepancies in insurance verifications.
- Worked closely with healthcare providers and insurance companies to resolve complex verification issues.
- Fostered relationships with healthcare providers and insurance companies, enhancing communication and operational efficiency.
- Meticulously reviewed insurance policies, identifying coverage gaps and potential issues.
- Consistently met and exceeded performance targets.
TEAM LEAD/EDUCATOR
Anthem College - Phoenix
Phoenix, US
01.2009 - 04.2013
- Directed a team of educators, enhancing student engagement and academic performance with innovative strategies.
- Developed comprehensive curricula that improved student outcomes and increased overall satisfaction.
- Implemented strategic teaching techniques to address diverse learning needs effectively.
- Facilitated workshops that enhanced faculty development and improved instructional quality.
- Guided junior staff, promoting a collaborative environment and supporting professional growth.
Education
BACHELOR OF SCIENCE - HEALTHCARE MANAGEMENT
Anthem College - Phoenix
Phoenix, AZ11-2013
Associate of Applied Science - Medical Assisting
Anthem College
Phoenix, AZ05-2008
DIPLOMA - LPN
Flint Hills Technical College
Emporia, KS07-2003
Career Diploma - Medical Assisting
Apollo College of Medical/Dental Careers
Tempe, AZ05-1983
Skills
- Physician order verification
- Authorization processing
- Claims resolution
- Medical coding
- Insurance verification
- EMR systems (Cerner, Centricity & Meditech) proficiency
- Insurance knowledge
- Medicaid state specific process for CA, AZ, NM, IL, WI and TX
- Patient privacy compliance
- Collaboration in healthcare
Timeline
CONTRACT VENDOR (SURG/RAD PA SPECIALIST)
TruBridge RCM
11.2022 - Current
IVS/PRE-AUTHORIZATION SPECIALIST
Barrow Brain and Spine
11.2013 - 08.2022
INSURANCE VERIFICATION-TEMP
Desert Medical Careers
04.2013 - 11.2013
TEAM LEAD/EDUCATOR
Anthem College - Phoenix
01.2009 - 04.2013
BACHELOR OF SCIENCE - HEALTHCARE MANAGEMENT
Anthem College - Phoenix
Associate of Applied Science - Medical Assisting
Anthem College
DIPLOMA - LPN
Flint Hills Technical College
Career Diploma - Medical Assisting
Apollo College of Medical/Dental Careers