Lorraine Smith
Enfield,CT
Summary
Hard Working Patient Accounts Representative. With over 10 years of experience working with Insurance/Medical Field. Extensive knowledge of computer office skills and proven multitasking abilities. Committed to maintaining professional relationships with clients to increase profitability and drive business results.
Analytical professional in the insurance field, known for high productivity and efficiency in task completion. Skilled in risk assessment, policy development, and regulatory compliance. Excel at problem-solving, communication, and decision-making to deliver optimal outcomes.
Overview
21
21
years of professional experience
1
1
Certification
Work History
Field Underwriter/Broker
Business Owner
Enfield, CT
07.2017 - Current
- Helping Clients with Life Insurance Coverage-Final Expense, Term, Whole Life, IUL’s and Juvenile Policies with over 20 different Carriers.
- In person and over the phone.
Patient Account Representative
Hampden Franklin Cardiology
Springfield, MA
01.2023 - 08.2025
- Review patient accounts for their upcoming appointments.
- Help them set up payment plans if they are not current with their account balances.
- Help them to understand their bill.
- Post patient and insurance payments.
- Make outbound and receive inbound phone calls.
- Provided customer service to patients regarding billing inquiries and account information.
- Initiated collection activities on delinquent accounts while adhering to HIPAA guidelines and regulations.
- Worked closely with insurance companies to obtain authorization for services rendered.
- Maintained confidentiality of patient information in compliance with HIPAA regulations.
Patient Account Representative
Trinity CBO/J. Morrissey
Bloomfield, CT
07.2019 - 03.2020
- Reviewed Patient Accounts for refunds and corrected insurance adjustments.
- Reviewed Patient Accounts if bad debt then put them into collections.
- Timely filing adjustments, Medicaid contractual adjustments, read EOB’S, moved money.
Patient Account Representative
Holyoke Medical Center
Holyoke, MA
04.2019 - 07.2019
- Received Inquiries from patients, families and external payors.
- Collaborated with all relevant parties to resolve billing issues, insurance claims and patient payments.
- Reached out to patients once insurance was billed in order to obtain payments due.
- Accessed patient information, maintained strict confidentiality compliant with HIPPA regulations.
- Took co-payments, noted into patient accounts.
- Contacted patients after insurance was calculated to obtain payments.
Data Entry Specialist
Trinity CBO/J. Morrissey
Bloomfield, CT
12.2017 - 12.2018
- Entered MD Provider Charges for Mercy Behavioral Health.
- Verified Inpatient/Outpatient Hemodialysis and MRI Charges for approval payments for Manager.
- Entered MRI Charges for Outpatient.
- Checked incoming patient bill for co-payments deciding whether patient responsibility or insurance.
Patient Billing
Riverbend Medical/J. Morrissey Temp
Westfield, MA
05.2017 - 08.2017
- Answered Telephones.
- Read EOB’S and Patient Billing Statements.
- Ran Patient Credit Cards and mailed Receipts.
- Used Epic Software Program.
- Followed up with returned mail.
- Created batches and posted payments for self-pay.
- Helped Clients with payment plans.
Unit Secretary
St. Francis Medical Center
Hartford, CT
09.2007 - 05.2017
- Admitted, discharged Patients from Epic Software Program.
- Organized Patient Charts, filed.
- Answered Telephones and Patient Call Bells.
- Booked Consultations with Physicians for Patients.
- Ordered Supplies for the floor.
- Reported Census information Patient Bed Board.
- Assisted Patients in their rooms with simple tasks when RN/CNA’s were unavailable.
Physician Recruiter
Aetna Workers Comp
Hartford, CT
05.2005 - 09.2007
- Negotiated, recruited and executed Physician Contracts in accordance with company standards in order to maintain and enhance provider network.
- Contracted, communicated with physicians to join Aetna Provider Network.
Claims Benefit Specialist
Aetna
Hartford, CT
05.2004 - 09.2005
- Analyzed and approved routine claims.
- Reviewed, applied appropriate guidelines in claim coding, diagnosis, member identification process.
- Answered routine phone inquiries hospital billing (Medicare).
Education
Health Claims-Billing and Coding -
Branford Hall Career
01.2001
Business Courses -
Mercy High School
01.1980
Skills
- Licensed Life Insurance Agent
- Customer Service
- Communication
- Policy analysis
- Risk assessment
- Customer service
- Financial review
- Attention to detail
Certification
- Licensed Life, Health, Accident
- Intermediate Excel/Word
- Certified Special Needs Personal Care Assistant
- Intermediate Level Excel and Microsoft Word
- Typing 50 WPM with accuracy
Timeline
Patient Account Representative
Hampden Franklin Cardiology
01.2023 - 08.2025
Patient Account Representative
Trinity CBO/J. Morrissey
07.2019 - 03.2020
Patient Account Representative
Holyoke Medical Center
04.2019 - 07.2019
Data Entry Specialist
Trinity CBO/J. Morrissey
12.2017 - 12.2018
Field Underwriter/Broker
Business Owner
07.2017 - Current
Patient Billing
Riverbend Medical/J. Morrissey Temp
05.2017 - 08.2017
Unit Secretary
St. Francis Medical Center
09.2007 - 05.2017
Physician Recruiter
Aetna Workers Comp
05.2005 - 09.2007
Claims Benefit Specialist
Aetna
05.2004 - 09.2005
Health Claims-Billing and Coding -
Branford Hall Career
Business Courses -
Mercy High School