Dara Smith
Laurel,MD
Summary
Experienced administrative professional with 6+ years in provider services. Works productively with facilities, provider groups and individual professionals. Knowledgeable about application requirements for government and private insurance plans.
Overview
7
7
years of professional experience
Work History
Provider Credentialing Specialist
CareFirst BlueCross BlueShield
03.2023 - Current
- Collaborated with healthcare providers to gather necessary information for accurate credentialing decisions.
- Managed multiple priorities effectively, resulting in the on-time completion of credentialing tasks for numerous providers simultaneously.
- Conducted audits of provider files, ensuring all necessary documents were up-to-date and compliant with regulatory requirements.
- Monitor license and credential expiration dates and advise staff members of required "renew by" dates.
Human Resources and Administrative Assistant/Recruiter
Integrated Logistics Services Of Maryland
09.2021 - 04.2023
- Conducted phone interviews to assess applicants relevant knowledge, skills, experience and aptitudes.
- Conducted reference checks, background screening and other pre-employment checks to verify information on applicant's resume.
- Coordinated schedules to arrange management interviews with applicants.
- Built strong relationships with internal and external candidates to ensure an excellent hiring experience.
Patient Financial Advisor (Contract)
Adventist HealthCare
10.2020 - 01.2021
- Enhanced patient financial satisfaction by providing clear explanations of billing policies and procedures.
- Proactively identified opportunities for process improvement within the department, contributing valuable input as part of ongoing performance evaluations.
- Maintained strict compliance with HIPAA regulations when handling sensitive patient information during all stages of the billing process.
Patient Service Coordinator
Medstar Medical Group
11.2019 - 10.2020
- Managed sensitive patient data with strict adherence to HIPAA regulations, ensuring privacy and confidentiality at all times.
- Provided patient with after-visit summary and scheduled next appointment to maintain continuous care and facilitate treatment plan.
- Responded effectively to challenging situations involving distressed or dissatisfied patients while maintaining a calm demeanor and positive attitude.
- Scheduled appointments to enter appointment date and time into computerized scheduler.
Patient Access Representative
University Of Maryland Capital Region Health
06.2017 - 04.2019
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
- Stayed calm under pressure to and successfully dealt with difficult situations.
- Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
Education
Bachelor of Science - Small Business Administration And Management
Bowie State University
Bowie, MD05.2023
Skills
- HIPAA Compliance
- Provider enrollment
- Data Management
- Insurance procedures
- Report Generation
- Document Review
- Data Acquisition
- Regulatory Compliance
- Employee Onboarding
- Management collaboration
- Documentation and Recordkeeping
- Remote Conferencing and Communication
Timeline
Provider Credentialing Specialist
CareFirst BlueCross BlueShield
03.2023 - Current
Human Resources and Administrative Assistant/Recruiter
Integrated Logistics Services Of Maryland
09.2021 - 04.2023
Patient Financial Advisor (Contract)
Adventist HealthCare
10.2020 - 01.2021
Patient Service Coordinator
Medstar Medical Group
11.2019 - 10.2020
Patient Access Representative
University Of Maryland Capital Region Health
06.2017 - 04.2019
Bachelor of Science - Small Business Administration And Management
Bowie State University