Summary
Overview
Work History
Education
Skills
Timeline
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Erica Smith

North Reading,MA

Summary

Dedicated and detail-oriented professional with a strong background in healthcare administration and patient care. Skilled in effectively managing medical records, scheduling appointments, and providing exceptional customer service. Committed to delivering high-quality care and contributing to the overall success of the healthcare team. Seeking a position in the medical field to leverage education and experience for a meaningful impact.

Overview

23
23
years of professional experience

Work History

Reimbursement Team Lead

Reprosource Fertility Diagnostics, Inc.
03.2015 - Current
  • Maintain accounts receivable (AR) for assigned payers
  • Process patient accounts for optimal payer reimbursement
  • Identify, quantify and communicate any payer issues effectively
  • Research medical policies to ensure compliance and determine next action needed on denied claims
  • Determine patient financial responsibility using established protocols
  • Provide training and mentorship to new reimbursement specialists hires
  • Create comprehensive guide sheets and training materials
  • Approve/process patient and insurance refunds diligently
  • Handle patient phone queue during high-volume periods
  • Process patient payments accurately
  • Established patient payment plans to facilitate billing
  • Responded to and resolved client inquiries via phone and fax proficiently
  • Reviewed and processed patient and insurance correspondence meticulously
  • Executed complex claims processing via corrected claim, appeal, adjustments

Medicare Collector

Genesis Health Care
02.2009 - 01.2015
  • Edit claims prior to intermediary transmission to avoid delays
  • Collaborate with business office managers at skilled nursing facilities to correct errors on claims and resolve old balances
  • Generated weekly aging reports to monitor processing status
  • Bill Medicare secondary claims efficiently
  • Adjust patient billing accounts as needed (deductible, coinsurance, etc.)
  • Submit monthly excel spreadsheets of summarizing account status

Customer Service Representative

BJ’s Wholesale Club
08.2002 - 01.2009
  • Address customer questions and concerns promptly
  • Manage tax files with accuracy
  • Handle returns, exchanges and phones
  • Process business and personal memberships efficiently

Education

Certificate - Medical Billing

Northern Essex Community College
Haverhill, MA

Skills

  • Client support
  • Excel proficiency
  • PowerPoint
  • Billing accuracy assurance
  • Debt recovery strategies
  • Instructional facilitator
  • Proficient in ICD-10 classification
  • Healthcare billing expertise
  • Insurance eligibility verification
  • Proficient in medical language
  • Medical coding expertise

Timeline

Reimbursement Team Lead

Reprosource Fertility Diagnostics, Inc.
03.2015 - Current

Medicare Collector

Genesis Health Care
02.2009 - 01.2015

Customer Service Representative

BJ’s Wholesale Club
08.2002 - 01.2009

Certificate - Medical Billing

Northern Essex Community College

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Erica Smith