Ciara Smith
Owings Mills,MD
Summary
Detail-oriented team player with strong organizational skills. Ability to handle multiple projects with a high degree of accuracy.
Overview
13
13
years of professional experience
Work History
Rate Analyst
University Of Maryland Medical System
01.2023 - Current
- Reduced errors in medical billing by meticulously reviewing patient records and ensuring accurate coding.
- Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
- Maintained strong working relationships with healthcare providers, fostering clear communication regarding billing-related matters.
- Managed patient accounts effectively, resolving discrepancies and addressing outstanding balances in a timely manner.
- Efficiently processed refunds or adjustments for patients when necessary, ensuring accuracy and compliance with company policies.
- Participated in departmental meetings, sharing insights and ideas for improving overall medical billing efficiency and revenue generation.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Collected payments and applied to patient accounts.
- Filed and updated patient information and medical records.
- Prepared billing correspondence and maintained database to organize billing information.
Reimbursement Specialist
Maxim Healthcare Services, Inc
11.2019 - 01.2023
- Verified technical reimbursement questions for providers, billing and coding staff
- Reviewed uninsured accounts, verifying medical assistance application process
- Maintained confidentiality and integrity of patient data by calling insurance companies to talk about the claim process
- Drafted documents based on payer guidelines and submitted to necessary parties
- Enforced adherence and federal reporting regulations by performing regular compliance audits
- Worked with billing department to reduce contract implementation errors
- Identified opportunities for coverage access to address reimbursement billing errors and future payments
- Verified clients' of all insurance claim coverages while coordinating with providers
- Determined medical necessity, using individual insurance carrier regulations
- Facilitated payment of invoices due by sending bill reminders and contacting clients
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements
- Prepared and attached all required claims documentation including referrals, treatment plans or other required correspondence to reduce incidence of denials
- Prepared billing statements for patients, ensuring correct diagnostic coding
- Submitted refund requests for claims paid in error
- Applied payments, adjustments and denials into medical manager system.
Front Office Coordinator
Pivot Physical Therapy
10.2017 - 11.2019
- Job responsibilities include managing daily operations of the Front Desk and ensuring myself and other team members adhere to the policies and procedures set
- Scheduling patients and verifying insurance to ensure payment will be received, properly documenting all patient files and updating their information
- Work directly with the Physical Therapist to prepare the client for treatment and assist as needed
- Ensure the office team follows all HIPAA policies and protects the clients information
- Answer all phone calls and greet patients
- Complete all coding for patient insurance and case information
- Contact insurance companies to verify coverage and obtain authorizations to submit to billing department
- Float to other offices to train new employees and assist with setting up new offices
- Tracked office expenditures and managed office contracts, keeping meticulous records on all transactions.
Physical Therapist Technician
Advantage Life Physical Therapy
09.2016 - 10.2017
- Responsibilities include registering patients and setting future appointments
- Assisting Physical Therapist with patient exercises
- Medical Billing and coding for all patients to ensure payment in a timely manner
- Scheduling and answering phones, faxing and various office duties
- Oversaw regulatory and strategic initiatives to ensure accuracy of medical claims
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements
- Reviewed and verified benefits and eligibility with speed and precision
- Prepared billing statements for patients, ensuring correct diagnostic coding.
Cashier
JCPenney
05.2015 - 04.2016
- Responsibilities included cash handling, customer service, assisted customers in finding clothing and accessories, stock shelves, maintain and clean areas, processed credit applications and returns, loss prevention
- Trained as Managers Assistant in Men's Department.
Server , Customer Service
Davina Jeans Events
01.2011 - 07.2014
- Responsibilities included serving guests, setup and breakdown of events, ensuring all guests of the events needs were met in a timely manner
- Inventory of all decor, linens, plating and any other items for the event.
Education
General Studies -
Lansdowne High & Academy Of Finance
Baltimore Highlands, MD01.2015
Skills
- Customer Service/Front Office
- Medical Billing/Coding
- Scheduling/Answering phones/Faxing/Emails
- Financial calculation/Analysis
- Collaborative Teamwork
- Competitive Analysis/Data Entry
- Epic systems
- Excel/Word Spreadsheet Proficiency
- Medical Terminology Knowledge
- Claims Processing
Authorized To Work
Yes
Personal Information
Willing To Relocate: Anywhere
Timeline
Rate Analyst
University Of Maryland Medical System
01.2023 - Current
Reimbursement Specialist
Maxim Healthcare Services, Inc
11.2019 - 01.2023
Front Office Coordinator
Pivot Physical Therapy
10.2017 - 11.2019
Physical Therapist Technician
Advantage Life Physical Therapy
09.2016 - 10.2017
Cashier
JCPenney
05.2015 - 04.2016
Server , Customer Service
Davina Jeans Events
01.2011 - 07.2014
General Studies -
Lansdowne High & Academy Of Finance
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