CHELSEY SMITH
Clarinda,IA
Summary
Qualified health care professional poised to leverage medical experience and account management skills toward professional advancement opportunities in the medical field. Demonstrates remarkable leadership talents with a keen ability to remain calm and effective in demanding, fast-paced environments. Establishes a patient-focused team approach to providing direct and collaborative health care. Advanced administrative skills include a typing speed of 50 wpm and exceptional data entry skills.
Overview
7
7
years of professional experience
Work History
Billing/Insurance Specialist
Shenandoah Medical Center
Shenandoah, IA
08.2022 - Current
- Maintained confidentiality of patient finances, records, and health statuses.
- Followed up on denials, late payments, extensions and other special circumstances.
- Tracked pending authorizations to resolve discrepancies and avoid revenue loss.
- Maintained high standards of customer service by building relationships with clients.
- Utilized Software to document and track customer account details.
- Processed eligibility and benefits verification and authorization requests.
- Researched and resolved routine and complex issues.
- Communicated effectively with members of operations, finance, and clinical departments.
- Resolved discrepancies in insurance payments by collaborating with carriers.
- Monitored changes in insurance industry to stay compliant with relevant laws and regulations.
- Investigated and processed claims swiftly to keep customers satisfied.
- Utilized CRM software to manage client relationships.
- Prepared and reviewed insurance applications to verify compliance with regulations.
Office Manager/Assistant
Dr. Brian K. Rarick, DPM
Clarinda, IA
06.2017 - 04.2023
- Automated office operations for managing client correspondence, payment schedules and data communications
- Reduced financial discrepancies by accurately managing individual cases and billing processes
- Maintained impeccable office organization to support efficiency, professionalism and performance objectives
- Handled scheduling and managed timely appointments per patient
- Coded and entered daily billing sheets, dictation and EOB’s
- This included processing claims through Availity (clearinghouse) as well as paper claims to be mailed to individual insurance companies
- Input of all EOB’s that were sent via mail, fax or clearinghouse into each individual patient account
- Monitored payments due from patients and promptly contacted patients with past due balances
- Administered weekly payroll reports, quarterly reports and annual reports for IRS and corresponding state regulations
- Reviewed files and records per patient for accurate information for insurance and billing needs
- Prepared and deposited weekly payments.
Education
Associates of Science -
Ultimate Medical Academy
Medical Administrative Assistant Diploma -
Ultimate Medical Academy
09.2012
Skills
- Anatomy and Physiology
- File System Maintenance
- Medical Office Management
- Life Cycle of an Insurance Claim
- Patient Care Techniques
- Emergency Medical Response
- Military Medical Care
- Payment Posting & Medical Billing
- General Accounting
- Multi-Line Phone Management
- Positive Rapport Building
- Data Entry & Microsoft Office
Medicalworkexperience
Dr. Brian K. Rarick, DPM, Clarinda, IA, Office Manager/Assistant, 06/2017, Current, Automated office operations for managing client correspondence, payment schedules and data communications., Reduced financial discrepancies by accurately managing individual cases and billing processes., Maintained impeccable office organization to support efficiency, professionalism and performance objectives., Handled scheduling and managed timely appointments per patient., Coded and entered daily billing sheets, dictation and EOB’s. This included processing claims through Availity (clearinghouse) as well as paper claims to be mailed to individual insurance companies. Input of all EOB’s that were sent via mail, fax or clearinghouse into each individual patient account., Monitored payments due from patients and promptly contacted patients with past due balances., Administered weekly payroll reports, quarterly reports and annual reports for IRS and corresponding state regulations., Reviewed files and records per patient for accurate information for insurance and billing needs., Prepared and deposited weekly payments.
Coremedicalproficiencies
- Medical Assisting & Patient Care
- Medical Terminology
- Patient Processing
- Workers’ Compensation
- Medical Law & Ethics
- MS Office (Excel, Word, PowerPoint)
- Electronic Health Records (EHR)
- Electronic Medical Records (EMR)
- Pathophysiology for Medical Office
- Anatomy & Physiology
- Medical Transcription
- Office Accounting
- Pharmacology
- Office Management
- Medisoft Software
- Medical Billing
- Records Management
- HIPAA Compliant
References
- Amber Gerdts, 712-310-0675, Friend
- Brian Rarick, 712-542-4221, bkrdpm@gmail.com, Past Employer
- Darcie New, 712-303-0026, lilnew13@gmail.com, Friend-NSK Corporation
Timeline
Billing/Insurance Specialist
Shenandoah Medical Center
08.2022 - Current
Office Manager/Assistant
Dr. Brian K. Rarick, DPM
06.2017 - 04.2023
Associates of Science -
Ultimate Medical Academy
Medical Administrative Assistant Diploma -
Ultimate Medical Academy