Janice Smiley
South Hill,VA
Summary
Results-driven Pharmacy Billing Specialist with expertise in billing systems, insurance verification, and customer service. Proven ability to streamline processes and resolve discrepancies, enhancing overall efficiency and compliance.
Overview
23
23
years of professional experience
1
1
Certification
Work History
Pharmacy Billing Specialist
VCU-CMH Hospital
South Hill, VA
08.2003 - Current
- Processed and reviewed patient billing accounts for accuracy and compliance with hospital policies.
- Coordinated insurance claims submissions, ensuring timely follow-up on outstanding balances.
- Implemented enhancements to billing procedures, improving efficiency in account resolution processes.
- Analyzed billing discrepancies and resolved issues, fostering better relationships with patients and insurers.
- Collaborated with clinical departments to optimize charge capture and revenue cycle management strategies.
- Monitored regulatory changes affecting billing practices, ensuring adherence to updated compliance standards.
- Researched and resolved billing discrepancies to enable accurate billing.
- Worked with multiple departments to check proper billing information.
- Contributed to improved financial reporting by reconciling discrepancies between invoiced amounts and actual payments received.
- Responded to customer concerns and questions on daily basis.
- Used data entry skills to accurately document and input statements.
- Audited and corrected billing and posting documents for accuracy.
Education
High School Diploma -
High School Diploma -
Park View
South Hill, VA05-1975
Skills
- Billing systems and software
- Insurance verification
- Invoice processing
- Customer service
- Problem-solving skills
- Team collaboration
- HIPAA compliance
- Patient confidentiality
- Pharmacy ethics
- HIPAA
Certification
- Certified [Job Title], [Company Name] - [Timeframe]
Timeline
Pharmacy Billing Specialist
VCU-CMH Hospital
08.2003 - Current
High School Diploma -
High School Diploma -
Park View