Kimberly Smith
Weatherford,TX
Summary
Skilled Accounts Receivable Specialist with ten years of experience in the daily collections of high volume accounts receivable departments. Adept in managing all customer disputes and resolved discrepancies. Proficient in developing internal reports to capture data for reporting. Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills. Analytical Medical Biller successful at resolving disputes and billing inquiries. Detail-oriented individual with ten years of experience performing intricate billing procedures with undeniable level of detail. Familiar with private and commercial insurance carriers.
Overview
22
22
years of professional experience
Work History
Interior Designer, Account Receivable, & Estimator
MG Lewis Designs and Construction
Weatherford , TX
2022.02 - Current
- Analyzed account details for discrepancies and researched outstanding balances with customers.
- Conducted site visits to assess the condition of existing structures or potential job sites.
- Collaborated with architects, engineers and other stakeholders to ensure estimates were accurate and comprehensive.
- Coordinated with vendors, suppliers and subcontractors to obtain pricing information for budgeting purposes.
- Reconciled discrepancies between actual material costs versus initial estimates.
- Assisted with selecting appropriate materials such as paint colors, wall coverings, flooring options, lighting fixtures and window treatments.
Medical Claims and Billing Specialist
AT&c Revenue Services
Helotes , TX
2015.03 - 2016.03
- Reviewed medical records to ensure accuracy of billing information and patient data.
- Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.
- Calculated billing charges, prepared and submitted claims to insurance companies.
- Monitored accounts receivable activity to ensure timely payment of invoices.
- Resolved discrepancies between customers' remittances and invoices received.
- Answered customer inquiries regarding billings, payments, account status.
- Investigated incorrect billings and processed refunds as necessary.
- Maintained accurate records of collections, adjustments and denials in the system.
- Reconciled daily cash receipts with total deposits on bank statement.
- Generated periodic reports summarizing account balances and collection activities.
- Worked closely with patients to discuss payment arrangements when needed.
- Developed financial reports detailing accounts receivable aging status.
- Submitted claims to insurance companies and researched and resolved denials and explanations of benefit rejections.
- Processed invoice payments and recorded information in account database.
Claims and Collections Analyst
Parallon Dallas Shared Services
Irving , TX
2014.07 - 2015.03
- Maintained detailed records of customer accounts, including contact information, account status updates and payment histories.
- Negotiated repayment terms and settlements with customers in order to resolve outstanding debts.
- Ensured compliance with state and federal regulations pertaining to debt collection practices.
- Reviewed and processed medical insurance claims for accuracy, completeness and compliance with insurance regulations.
- Performed data entry of patient information into practice management software.
- Resolved any discrepancies or errors in billing documents through research and negotiation with payers.
- Reconciled accounts receivable on a regular basis and reported any discrepancies to the supervisor.
- Prepared monthly reports detailing account activity, billed amounts, payments received, denials.
- Analyzed EOBs for accuracy and compliance with contractual arrangements between provider and payer.
- Generated appeals for denied claims as necessary based on guidelines set forth by the provider's contracts.
- Interpreted coding instructions according to CPT and HCPCS codes when reviewing claim forms prior to submission.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Performed quality control of data entry system to verify proper posting of claims and payments.
- Meticulously tracked and resolved underpayments.
- Maintained timely and accurate charge submission through electronic charge capture, including billing and account receivables (BAR) system and clearing house.
ER Registration and Discharge Clerk
North Richland Hills Hospital
North Richland Hills , TX
2011.04 - 2014.06
- Performed data entry of patient demographic information into the hospital system.
- Maintained up-to-date records of all patient encounters in the medical record system.
- Processed referrals for specialist care services according to established protocols.
- Collected copayments from patients at time of visit, accurately entered payment information into computerized billing system, and reconciled daily cash transactions.
- Explained hospital policies and procedures to new patients prior to registration.
- Scanned documents into electronic health record system for permanent storage.
- Coordinated with physicians' offices on upcoming admissions, discharges, transfers as required.
- Initiated pre-registration processes including obtaining authorizations from payors as needed.
- Facilitated communication between physicians' offices, radiology departments, laboratory departments. related to patient care needs.
- Reviewed incoming orders for completeness and accuracy before entering them into the computer system.
- Verified patient insurance information and processed payments.
- Assisted with scheduling appointments, tests, and procedures.
- Applied HIPAA privacy and security regulations while handling patient information.
- Verified demographics and insurance information to register patients in computer system.
Case Manager and Financial Counselor
Arlington Cancer Center
Arlington , TX
2009.12 - 2011.03
- Facilitated communication between clients, families, caregivers, social services and other agencies to ensure client needs were met.
- Assessed clients' needs, developed service plans and monitored progress towards goals.
- Provided referrals to appropriate health care providers or other community resources.
- Assisted with applications for government benefits such as Medicaid or Social Security Disability Insurance.
- Coordinated transportation services for clients who lacked access to reliable transportation.
- Provided financial counseling to clients on budgeting, credit management, and debt repayment strategies.
- Conducted comprehensive financial assessments with clients to identify their current financial situation and develop appropriate action plans.
- Advocated for patients by contacting insurance carriers and obtaining necessary benefits information.
- Assisted patients without healthcare coverage to find resources, services and assistance needed.
- Assisted clients with planning for and funding retirements using mutual funds and other strategies.
Patient Service Representative III
Texas Oncology
Weatherford , TX
2006.03 - 2006.12
- Verified insurance information, collected payments, and scheduled appointments.
- Processed referrals from primary care physicians to specialists for further treatment or evaluation.
- Ensured all necessary paperwork was completed prior to patient visits.
- Informed patients about payment options, billing policies, and procedures related to their visit or procedure.
- Inputted patient demographic data into electronic health record system.
- Reviewed patient accounts for accuracy on a regular basis.
- Adhered to HIPAA regulations when handling confidential patient information.
- Obtained proper authorization and identification to release confidential medical records.
- Obtained insurance verification and authorization to submit financial clearance of patient accounts.
- Obtained necessary signatures for privacy laws and consent for treatment.
Administrative Assistance, Credentialing Coordinat
Baylor Surgical Center USPI - Medical Surg
Fort Worth , TX
2005.01 - 2006.01
- Submitted claims to insurance companies and researched and resolved denials and explanations of benefit rejections.
- Drove integrity of accounting information by recording, verifying and entering accounts payable and accounts receivable transactions.
- Collected, posted and managed patient account payments.
- Submitted claims to insurance companies.
- Assessed billing statements for correct diagnostic codes and identified problems with coding.
- Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
- Input statement information, reconciled accounts and resolved discrepancies.
- Maintained database of provider information, including contact details and licensure expiration dates.
- Coordinated with departments within the organization to facilitate smooth completion of credentialing process.
- Tracked changes in policy or procedure that may affect credentials of providers.
- Provided administrative assistance to executive team members.
Registration and ER Discharge
All About Staffing - HCA/Parallon
Irving , TX
2002.01 - 2006.01
- Operated cash register to process cash, check, and credit card transactions.
- Generated daily reports of sales activity for management review.
- Prepared deposits according to established procedures.
- Verified accuracy of all paperwork prior to submission for processing.
- Scanned documents into digital formats ensuring accuracy of content.
- Verified insurance coverage and obtained authorizations as needed.
- Collected co-payments and other payments from patients.
- Entered patient demographic and financial data into computer system accurately.
- Maintained current knowledge of departmental policies, procedures, regulations, laws. related to the registration process.
- Worked collaboratively with medical staff to ensure accuracy in patient registrations.
Education
Associate of Arts - Interior Design
Wade College
Dallas, TX2022-05
High School Diploma -
Mckinney Boyd High School
Mckinney, TX1985-05
Skills
- Color and material application
- Product Specifications
- Dispute Resolution
- Invoice Processing
- Payment Negotiation
- Microsoft Excel
- Insurance Verification
- Medical coding understanding
- HIPAA Compliance
- Payment posting
- Investigative research
- Word Processing
- Account Monitoring
- Payment Processing
- Adjustment posting
- Bill processing
- Medical Billing Processing
- Account Reconciliation
- Patient Billing
- Financial Counseling
Affiliations
- Horse back riding
- Camping
- Pilates workout
- Missionary work
- Gardening
Timeline
Interior Designer, Account Receivable, & Estimator
MG Lewis Designs and Construction
2022.02 - Current
Medical Claims and Billing Specialist
AT&c Revenue Services
2015.03 - 2016.03
Claims and Collections Analyst
Parallon Dallas Shared Services
2014.07 - 2015.03
ER Registration and Discharge Clerk
North Richland Hills Hospital
2011.04 - 2014.06
Case Manager and Financial Counselor
Arlington Cancer Center
2009.12 - 2011.03
Patient Service Representative III
Texas Oncology
2006.03 - 2006.12
Administrative Assistance, Credentialing Coordinat
Baylor Surgical Center USPI - Medical Surg
2005.01 - 2006.01
Registration and ER Discharge
All About Staffing - HCA/Parallon
2002.01 - 2006.01
Associate of Arts - Interior Design
Wade College
High School Diploma -
Mckinney Boyd High School
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