Khadija Smith
TOMBALL,TX
Summary
Over 20 years experience as an analytical problem-solver with excellent communication skills. Effective at interviewing claimants, compiling records, and documenting findings. Well-versed in insurance policies, practices, and standards. Gifted in working with stressed, confused, and upset individuals requesting benefits information and supportive guidance to navigate complex systems. Effective at operating within regulations and department guidelines to manage telephone calls, emails, letters, and requests for assistance.
Overview
11
11
years of professional experience
Work History
Customer First Claims Rep
UMR
08.2022 - Current
- Excel in first-call resolution, improving customer satisfaction through effective problem-solving
- Build strong relationships by providing positive, informative responses to member and provider inquiries
- Analyze and processed complex claims, enhancing system efficiency and customer satisfaction
- Streamline claims resolution, boosting first-call resolution rates and member satisfaction.
PT Fulfillment Associate
Amazon
10.2020 - 02.2024
- Worked across all site job functions including receiving, stocking, and packing products and quality checks
- Operated carts, hand trucks, and other moving equipment to move merchandise
- Sorted and loaded perishable and non-perishable goods of all sizes and weights
- Expedited order processing, ensuring 100% accuracy and timely delivery to customers.
Temp to Perm IBC Lll
Aerotek/WU Physicians
02.2019 - 07.2022
- Boosted patient satisfaction by expertly navigating insurance queries and resolving billing issues
- Enhanced accuracy in patient billing through meticulous review and education on insurance plans
- Supported patients by facilitating direct contact with insurers, ensuring clarity on benefits
- Implemented effective negotiation strategies within department guidelines to arrange patient payments
- Analyzed patient accounts to identify billing discrepancies and advocated for resolution.
Collections Supervisor
Receivable Solutions Inc
03.2015 - 10.2018
- Assisted in all aspects of the Healthcare Revenue Cycle, which includes Billing, Cash Posting, Collections and Reconciliation
- Recouped 20% in fees using EPIC, CT Term, and FACS Workstation
- Performed monthly quality call audits while providing feedback and coaching
- Resolved escalated calls with a 90% success rate
- Mentored staff in collections and receivables, and boosted team success rate to 90%.
Client Relations Representative
Valarity LLC
08.2014 - 03.2015
- Streamlined accounts receivable processes, enhancing department efficiency
- Boosted efficiency in A/R processes, ensuring timely resolution of invoice discrepancies
- Managed detailed accounting operations, focusing on accuracy in A/R and collections
- Utilized various software such as PeopleSoft, EPIC, and FACS
- Fostered strong interdepartmental relations to maintain seamless client communications.
Temp to Perm Collector
Aerotek/Valarity LLC
08.2013 - 08.2014
- Negotiated and collected on past-due medical accounts, ensuring client confidentiality and adherence to compliance laws
- Efficiently managed incoming/outgoing calls, focusing on resolving past-due accounts and maintaining high client satisfaction
- Applied analytical skills to navigate and adhere to FDCPA, TCPA, HIPAA, UDAAP, enhancing compliance and operational efficiency
- Supported team in maintaining high standards of confidentiality and compliance, contributed to building client relationships.
Education
Media Studies -
University of Missouri
St. Louis, MO12.2012
Skills
- Excellent communication
- Reports generation and analysis
- Interviewing
- Microsoft Office
- Customer Needs Assessment
- Multi-Task Management
- Project Management
- Collections, Lead Development
- Financial records and processing
- Recruiting
Timeline
Customer First Claims Rep
UMR
08.2022 - Current
PT Fulfillment Associate
Amazon
10.2020 - 02.2024
Temp to Perm IBC Lll
Aerotek/WU Physicians
02.2019 - 07.2022
Collections Supervisor
Receivable Solutions Inc
03.2015 - 10.2018
Client Relations Representative
Valarity LLC
08.2014 - 03.2015
Temp to Perm Collector
Aerotek/Valarity LLC
08.2013 - 08.2014
Media Studies -
University of Missouri
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