Megan Smith
Winder,GA
Summary
Personable and detail-oriented individual with strong analytical skills and dedication to accuracy. Possesses solid understanding of medical billing processes and proficiency in handling patient information with confidentiality. Aims to streamline claims processing and improve reimbursement efficiency.
Overview
6
6
years of professional experience
Work History
Medical Billing Specialist
Amerimed EMS
11.2024 - 01.2025
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Located errors and promptly refiled rejected claims.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Identified and resolved patient billing and payment issues.
- Managed patient accounts effectively, resolving discrepancies and addressing outstanding balances in a timely manner.
- Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Provided exceptional customer service to both patients and insurance representatives, resolving inquiries quickly and professionally.
- Prepared billing correspondence and maintained database to organize billing information.
Medical Claims Specialist
NetClaims Medical Management
04.2023 - 10.2024
- Verified patient eligibility for medical claims and determined benefit coverage.
- Submitted and tracked medical claims to insurance companies via electronic or paper methods.
- Resolved issues related to denied or underpaid claims in a timely manner.
- Processed appeals on rejected or partially paid claims, including filing additional paperwork as needed.
- Adhered to HIPAA regulations while managing confidential patient information.
- Audited provider bills for accuracy before submission to insurance companies.
- Responded promptly to customer inquiries regarding claim status updates.
- Reviewed denials, rejections, and underpayments from insurance carriers.
- Inputted data into the system, maintaining accuracy of provider coding information and reported services.
- Documented file notes clearly and concisely in SydaMed.
Certified Medical Assistant
Medicine Wheel Clinic
05.2021 - 03.2023
- Assisted physicians and nurses with patient exams, including taking vital signs, preparing exam rooms, and updating medical records.
- Performed administrative duties such as scheduling appointments, answering phones, and filing paperwork.
- Provided support to patients by helping them fill out forms and answering their questions about health care services.
- Prepared specimens for laboratory testing and performed routine laboratory tests.
- Collected urine samples from patients for drug screens or pregnancy tests when necessary.
- Maintained cleanliness in examination rooms by stocking supplies and disposing of used materials properly.
- Answered patient calls promptly and directed inquiries to the appropriate department when needed.
- Managed inventory of medical supplies ensuring adequate stock levels were maintained at all times.
- Monitored lab results for accuracy and alerted physicians immediately if any abnormalities were detected.
- Processed payments from patients accurately using cash registers or computerized systems.
- Secured patient information and maintained patient confidence by completing and safeguarding medical records.
- Organized charts, documents and supplies to maintain team productivity.
- Measured vital signs and took medical histories to prepare patients for examination.
- Collected, labeled and stored laboratory specimens properly prior to testing.
- Performed venipuncture and capillary punctures on donors to collect blood samples for testing.
Certified Medical Assistant
Northeast Georgia Physicians Group
07.2019 - 06.2020
- Assisted physicians and nurses with patient exams, including taking vital signs, preparing exam rooms, and updating medical records.
- Performed administrative duties such as scheduling appointments, answering phones, and filing paperwork.
- Provided support to patients by helping them fill out forms and answering their questions about health care services.
- Prepared specimens for laboratory testing and performed routine laboratory tests.
- Administered injections, immunizations, medications, wound dressings and other treatments according to physician instructions.
- Conducted diagnostic tests such as EKGs or hearing screenings in accordance with established protocols.
- Educated patients on preventive care topics such as diet and exercise habits or medication compliance.
- Maintained cleanliness in examination rooms by stocking supplies and disposing of used materials properly.
- Ensured that all equipment was functioning correctly prior to use during patient examinations or treatments.
- Answered patient calls promptly and directed inquiries to the appropriate department when needed.
- Relayed messages from patients to physicians about concerns, condition updates or refill requests to facilitate treatment.
- Secured patient information and maintained patient confidence by completing and safeguarding medical records.
- Interviewed patients to verify information, record medical history and confirm purpose of visit.
- Performed venipuncture and other blood collection procedures according to established standards.
Education
Medical Assisting Diploma - Medical Assisting
Lanier Technical College
Gainesville03-2019
Skills
- Provider Relations
- Medical Coding
- Medical Billing
- Payment posting
- Claims Processing
- HIPAA knowledge
- Insurance Verification
- Medical Terminology
- Telephone Etiquette
- Data Entry
- Compassionate
- Quick problem solver
- Medical Records Management
- Calm and level-headed under duress
- Account Management
- Electronic Medical Records
Timeline
Medical Billing Specialist
Amerimed EMS
11.2024 - 01.2025
Medical Claims Specialist
NetClaims Medical Management
04.2023 - 10.2024
Certified Medical Assistant
Medicine Wheel Clinic
05.2021 - 03.2023
Certified Medical Assistant
Northeast Georgia Physicians Group
07.2019 - 06.2020
Medical Assisting Diploma - Medical Assisting
Lanier Technical College