Keri Smith

• Responsible for auditing client data and generating high quality recoverable claims for the clients.
• Audit standard reports and paid claims to identify over and under-payments of claims,
• Review transaction types, client contracts/vendor agreements, and client data with limited supervision of how to identify potential over or underpayments which includes: Data Mining, Claim Adjudication, Contract Compliance, Provider Billing & Duplicate Payment Reviews, Policy & Reimbursement Analysis.

• Schedule Physical Therapy Appointment from referrals via fax, email or calls
• Ensured accurate registration and eligibility verification, obtained pre-cert/authorizations, made financial arrangements,
• Performed cashiering functions including receiving payments for services and daily deposits
• Worked registration errors and editing pre-bill to ensure all claims are coded correctly for billing
• Assist Therapist with Plan of Cares while monitoring patients records for updates as needed.

Patient Financial Services Follow-Up Rep - Worked follow-up for all payors. Ensured claims paid correctly. according to the contract. Reviewed denials and sent to correct modality for review/correction or submitted appeals.

Billing Department Team Lead - Responsible that all claims billed daily, monitor billers work queues, assist Coordinator and Manager with reports, spreadsheets and other functions as needed per PFS Director.

Patient Access Rep II – Revamped orientation/training for all Patient Access and ER registration staff. Managed daily operations of ER registration and Patient Access, Ensured quality assurance measures and departmental policies/procedures were followed. Researched continued knowledge of changes and updates on registration for educating staff. Excellent communications with all hospital departments and physicians’ offices. Ensured employees receive formal performance feedback and maintain documentation for Manager and Director. Worked closely with PFS Managers and Director to maintain knowledge on backend to help improve frontend processes.

Consumer Access Supervisor – Directly Managed 33 team members for ED Registration and Patient Access Admissions. Oversaw the performance of the team and held each staff member accountable for the performance of assigned day-to-day activities, Engaged with staff to ensure all staff is promptly and accurately helping patients with their needs by implementing Bi-weekly Staff meetings, Monitored staff productivity levels, quality of output, and resolved workplace-related issues in a timely manner to promote a culture of accountability driving towards continuous performance improvement. Ensured all staff functions met or exceeded key performance indicators. Managed team members’ schedules. Served as liaison to other revenue cycle teams including external constituents/stakeholders. Participated in enterprise-wide projects, work groups, task forces, councils, and committees. Traveled to other facilities for training when needed. Adhered to Compliance Plan Adhered to labor and budget guidelines. Monitor team time and attendance according to policy, Assist in the development and monitoring of KPIs and facilitates communication of KPIs as requested, Responsible for training and evaluating team members while coordinating and team members’ training and continued education sessions, Work with Talent Acquisition for staffing needs, Responsible for ensuring team members are oriented to the department at time of hire.