Dominique Smith
Memphis,TN
Summary
Healthcare Billing and Revenue Cycle professional with experience in EOB/ERA processing, insurance and patient payment posting, cash posting, account reconciliation, claims follow-up, and accounts receivable. Highly detail-oriented with a strong ability to review billing information, identify payment discrepancies, process accurate adjustments, and maintain accurate patient account balances. Experienced in high-volume healthcare environments while meeting productivity, quality, accuracy, and turnaround-time expectations. Strong understanding of the healthcare revenue cycle with a proven ability to research and resolve billing and payment issues efficiently.
Overview
4
4
years of post-secondary education
9
9
years of professional experience
Work History
Accounts Receivable Specialist
R1 RCM, Holdco
12.2024 - 09.2026
- Entered and verified patient, insurance, and medical record information in electronic systems to maintain data integrity and support billing processes.
- Reviewed documentation for accuracy and completeness and resolved discrepancies before processing.
- Researched billing discrepancies and reviewed account information to identify resolutions, improving accuracy in patient billing.
- Entered and verified patient, insurance, and medical record information in electronic systems to maintain data integrity and support billing processes.
- Reviewed documentation for accuracy and completeness and resolved discrepancies before processing.
Revenue Account Specialist
Cigna
04.2020 - 12.2024
- Processed and posted 100–150+ insurance and patient payments daily with a high level of accuracy.
- Analyzed Explanations of Benefits (EOBs), claim denials, and remittance advisories to resolve complex insurance variances and execute precise account adjustments.
- Collaborated with leadership and external payer representatives to expedite resolution of unpaid claims and ensure accurate remittance posting.
- Streamlined insurance verification processes with healthcare providers to improve accuracy and reduce delays.
- Adhered strictly to Standard Operating Procedures for all billing, cash posting, and adjustment operations under general supervision.
- Maintained updated knowledge of insurance policies and reimbursement practices.
- Addressed patient billing inquiries and efficiently resolved discrepancies to enhance customer satisfaction.
Medical Billing Specialist
Baptist Memorial Health Care
01.2018 - 04.2020
- Posted high-volume payments, manual adjustments, and contractual allowances accurately across diverse payer categories.
- Reviewed claims and EOBs to verify correct pricing, identified out-of-balance payments, and routed discrepancies for proper adjustment.
- Collaborated with healthcare providers to resolve billing discrepancies.
- Reviewed patient accounts to ensure accuracy and completeness of information.
- Processed appeals related to denied or rejected claims in a timely manner.
- Maintained up-to-date knowledge of healthcare regulations affecting revenue cycles.
Education
Kirby High School
Memphis, TN 08.2010 - 05.2014
Skills
- Cash Posting
- Medical Billing
- Claim Adjustments
- Explanation of Benefits (EOB)
- MS Excel
- Remittance Processing
- Cross-Functional Communication
- Independent Time Management
- Production Goals
- Data entry
- Revenue cycle management
- Attention to detail
- Effective communication
- Customer relationship management
- Problem solving
- Analytical thinking
- HIPAA compliance
Timeline
Accounts Receivable Specialist
R1 RCM, Holdco
12.2024 - 09.2026
Revenue Account Specialist
Cigna
04.2020 - 12.2024
Medical Billing Specialist
Baptist Memorial Health Care
01.2018 - 04.2020
Kirby High School
08.2010 - 05.2014