Lolita Smith
Greenbelt,MD
Summary
Accomplished medical billing specialist with ten years of experience and exceptional track record of timely filing of claims and accurate account receivables through the use of technical expertise and time management skills. Ability to interpret, adapt and apply guidelines and procedures. Ability to analyze complex clinical scenarios and apply critical thinking. Looking to secure a remote position as a Medical Coding Specialist or Medical Billing Specialist.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Remote Accounts Receivable Specialist
Addison Group Staffing Agency
01.2023 - Current
- Temp to hire Pro Fee A/R Specialist with University of Maryland Medical Systems(Feb 2023 to present)
- Accountable for reduction of Accounts Receivable equal to goals set by senior management
- Organizes collection procedures in accordance with current laws, serves as appropriator of patient accounts and prioritizes multiple collection tasks with main objective to reduce uncompensated care
- Responsible for accurate and timely insurance claims follow-up and accounts receivable resolution for assigned payers
- Adhere to government regulations, payer contracts and insurance guidelines when performing insurance follow-up, resolving open accounts and appealing claims.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency
Remote Billing Specialist
Lifespan Behavioral Health Services
04.2013 - 12.2022
- Quickly promoted from Administrative Assistant to Account Manager in July 2013 under former Practice JSMDPA due to exceptional front office patient collections and later promoted to Billing Specialist in March 2016 under former Practice Greater Washington Psychiatry & Counseling/Hefuna Mental Health Wellness
- Resolved online clearinghouse claim edits for submission to payers after submission of over 200 insurance claims daily within firm timeframe and reviewed explanation of benefits to file secondary claims, post payments to accounts and key denials for follow through disputes and appeals
- Maintained comprehensive working knowledge of government billing regulations including Medicare/Medicaid, Commercial Insurance Payers and Workers' Compensation regulations
- Worked closely with Business Manager and accounting team regarding accounts receivable, monthly billing analysis and cash flow issues while successfully reconciling bank transactions and billing system reports with general ledger to prepare and make weekly bank deposits
- Implemented new EHR system and Clearinghouse systems, trained and interviewed staff for billing department.
- Entered data electronically to process charges, payments, denials, and adjustments
- Resolved routine patient billing inquiries and problems
- Verified patient account information against insurance program specifications
- Discussed coverage and eligibility issues or concerns with patients
- Interviewed patients to complete documents, case histories, or forms related to intake process or insurance.
Retail Sales
Target Corporation
08.2012 - 03.2013
- Delivered accurate pricing through tickets, labels, and signs
- Drove sales by completing price changes quickly and accurately
- Maintained signs and labels to communicate accurate prices to customers and follow signing and merchandising process
- Assisted customers on sales floor and resolve customer concerns quickly and accurately
- Cross trained and worked in other areas of the store as needed
- Maintained a clean and safe work area.
Education
Associate of Science - Health Sciences
Ultimate Medical Academy
Clearwater, FL01.2024
Skills
- Written and verbal communication
- Critical thinking skills
- Attention to detail
- Independent thinker – requires minimal supervision
- Organized
- MS Excel
- MS Word
- MS PowerPoint
- EPIC, ICANotes, DrCloud, MDCare, Allscrpits
- Typing Speed: 36 WPM
- Investigative Research
- Payment Management
- Accurate Payment Posting
- Codes Reviewing
- Aging Reports Analysis
- Research and Due Diligence
- Claims Processing
- Process Improvements
- Account Reconciliation
- Statement Preparation
Certification
- ExpertRating, New York, NY, Medical Billing Certification 01/2019
- ExpertRating, New York, NY, Medical Coding Certification 08/2018
Key Qualifications
- Medical Practice Management Systems
- Medical Terminology
- Medical Records HIPAA Compliance
- Insurance Verification
- Insurance Claim Processing
- Reimbursement Processing
- Revenue Cycle Management
- Medicare / Medicaid Government Payers Third Party Payers
- CPT & ICD-10 Coding
- Medical Billing
- Medical Office
- Medical Administrative
- Patient Registration
- Data Entry
Honors Awards
- Ultimate Medical Academy Dean's List
- Ultimate Medical Academy Honor Roll
- Alpha Beta Kappa Honor Society
Volunteer Experience
Futurescape City Tours In Partnership with Arizona State University, Washington, DC - Research Associate
09/2013 -11/2013
- Participated in a discussion about how technology has shaped the past and the present of the city of Washington, DC.
- Experienced nanotechnology through a guided walking tour of the city.
- Worked with scientists and engineers
- Photographed the past, present, and future of the city.
- Shared opinions about desirable futures.
Timeline
Remote Accounts Receivable Specialist
Addison Group Staffing Agency
01.2023 - Current
Remote Billing Specialist
Lifespan Behavioral Health Services
04.2013 - 12.2022
Retail Sales
Target Corporation
08.2012 - 03.2013
Associate of Science - Health Sciences
Ultimate Medical Academy