Lori L. Smith
Pottstown,PA
Summary
Highly motivated employee pursuing a position to further develop and utilize my professional and analytical skills for growth within the organization. Strong work ethic, adaptability, and exceptional interpersonal skills.
Overview
22
22
years of professional experience
Work History
Medical Biller, Accounts Receivable - Remote
Conifer Health Solutions
Frisco, Texas
04.2013 - Current
- Responsible for all matters related to billing, payments, refunds, and collections for patients and insurance companies.
- Reviews insurance contracts and contract pricing by ICD-9 and CPT codes to verify contractual rates are applied.
- Examines claims with coding issues denied and files reconsideration letters and appeals.
- Accesses payor websites to locate all EOB and correspondence.
- Daily outreaches to insurance companies and patients to obtain bill information.
- Manages and tracks desk inventory, creates reporting, and resolves high priority and aged inventory.
- Identifies trends and issues for management to assist with improving billing processes.
- Performed follow up activities on unpaid claims with insurance companies or other third party payers by phone or written correspondence.
- Reviewed account information to confirm patient and insurance information is accurate and complete.
- Assessed billing statements for correct diagnostic codes and identified problems with coding.
- Provided training and support to new staff members regarding billing processes.
- Completed and submitted appeals for denied claims.
Front Desk Coordinator Temporary
Transamerica
06.2012 - 03.2013
- Transferred incoming calls to appropriate individuals within the organization.
- Maintained internal phone list for all employees.
- Provided administrative support to coworkers, taking on additional tasks during high-volume periods.
Social Security Disability Scheduler
Genex Services, Inc.
01.2008 - 12.2010
- Explained serves to claimants and scheduled appointments to complete social security applications.
- Documented all claim activity such as appointment confirmations and calls.
- Determined status and assigned cases to team members based on social security status, and closed claims using established procedures.
- Handled daily departmental mail and distributed it to recipients.
- Worked effectively in team environments to make the workplace more productive.
- Completed day-to-day duties accurately and efficiently.
- Maintained updated knowledge through continuing education and advanced training.
Administrative Assistant
Globus Medical
08.2006 - 12.2007
- Performed administrative support to Leadership, Sales & Marketing, Accounting, and Product Development team.
- Support included training assistance, travel arrangements, organizing conference calls and on-site meetings, maintaining office supplies, and handling all incoming/outgoing mail.
- Managed incoming calls while providing information or transferring callers to appropriate personnel.
- Greeted visitors in a professional manner, responding to inquiries and directing them to appropriate personnel.
- Coordinated and scheduled meetings, including room reservations, catering, and technical setup, for seamless execution.
- Coordinated catering services for various functions, including sales trainings and department meetings.
- Updated contact lists regularly when changes occur in employee status or contact information.
- Kept office equipment functional and supplies well-stocked to promote efficient operations.
Claims Assistant/TERI Specialist
Genex Services, Inc.
01.2003 - 07.2006
- Managed 100+ cases for terminally ill claimants with discretion and urgency.
- Interviewed claimants to prepare applications and appeals for SSDI benefits.
- Requested and reviewed medical records for submission to the Social Security Administration.
- Documented all inquiries and requested status update from SSA.
- Supported attorneys with completion of tasks within allotted deadlines.
- Verified details with policyholders and requested additional information.
- Collaborated with team members to develop strategies for resolving difficult cases quickly and efficiently.
Education
Human Service Management -
University of Phoenix
12.2015
Skills
- Quick Learner
- Time Management
- Analytical
- Troubleshooting
- Independent and Team
- Oral and Written Communication
- Customer Service
- Medical Terminology
- Microsoft Office Suite
- Claims management
- Insurance verification
- Accounts receivable
- Customer service
- Data Entry
- Team collaboration
- Regulatory compliance
- Disability claims process
- Encrypted data management
- Medical billing
- Claim submission
- Claims processing
- ICD-10
- Electronic claims
- Teamwork and collaboration
- Insurance collections
- Account reconciliation
- Database systems
- Claim review
- Data entry
- HIPAA compliance
- Insurance billing
- Account follow-up
- CPT knowledge
- Insurance claims
- Payer contracts
- Medical record security
- Medical terminology
- Provider Portals
- EPIC
- Meditech
- Navinet
Timeline
Medical Biller, Accounts Receivable - Remote
Conifer Health Solutions
04.2013 - Current
Front Desk Coordinator Temporary
Transamerica
06.2012 - 03.2013
Social Security Disability Scheduler
Genex Services, Inc.
01.2008 - 12.2010
Administrative Assistant
Globus Medical
08.2006 - 12.2007
Claims Assistant/TERI Specialist
Genex Services, Inc.
01.2003 - 07.2006
Human Service Management -
University of Phoenix