Summary
Overview
Work History
Education
Skills
Timeline
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Maurica Smith

Creve Coeur,MO

Summary

Detail-oriented Patient Access Representative with proven skills in insurance verification and HIPAA compliance. Committed to enhancing patient access and streamlining processes to improve service delivery.

Dedicated professional with a strong background in customer service and patient access. Skilled in managing workflows and ensuring regulatory compliance, contributing to improved patient experiences and operational efficiency.

Overview

8
8
years of professional experience

Work History

Patient Access Representative

Mercy Hospital St. Louis
Creve Coeur, MO
11.2023 - 02.2026
  • Verified insurance eligibility and benefits to facilitate accurate patient billing.
  • Managed patient check-in processes to ensure smooth and efficient workflow.
  • Collaborated with healthcare teams to enhance patient access and service delivery.
  • Monitored compliance with regulatory requirements in patient information handling.

Benefits Specialist

Homer G. Phillips Memorial Hospital
St Louis, MO
12.2020 - 11.2023
  • Collaborated with HR teams to streamline benefits enrollment processes and improve employee access.
  • Resolved issues and inquiries from plan participants regarding health and welfare benefits and deductions through telephone, email, and in-person interactions.
  • Observed strict procedures to maintain data and plan participant confidentiality.
  • Implemented open enrollment system to streamline benefits processes for employees.

Senior Risk Associate

Edward Jones
St Louis, MO
08.2018 - 12.2020
  • Analyzed transaction patterns to identify potential fraudulent activities and mitigate risks.
  • Detected fraudulent activities by conducting thorough investigations and analyzing transactional data.
  • Leveraged statistical models to identify high-risk transactions, optimizing resources towards areas requiring enhanced scrutiny.
  • Reviewed customer accounts for unusual activity or patterns indicative of potential fraud risks, flagging concerns for further investigation.

Education

Sanford Brown School of Health Careers
Hazelwood, MO

Skills

  • Customer service
  • Insurance verification
  • HIPAA compliance

Timeline

Patient Access Representative

Mercy Hospital St. Louis
11.2023 - 02.2026

Benefits Specialist

Homer G. Phillips Memorial Hospital
12.2020 - 11.2023

Senior Risk Associate

Edward Jones
08.2018 - 12.2020

Sanford Brown School of Health Careers

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Maurica Smith