Moniciai Smith
1305 W Main St Unit 103 Tampa,FL
Summary
Knowledgeable Patient Access Specialist dedicated to providing superior support for patients in need of reliable information regarding insurance coverage, finance options and documentation requirements. Well-versed in scheduling and database management functions for streamlined communication and reduced correspondence backlogs. Excels at identifying client needs and concerns to improve engagement strategies and overall service. Offers demonstrated skills in case management and service coordination. Expertly handles complaints, inquiries and service questions to meet patients' access needs and correct problems related to care. Well-versed in policies, procedures and standards
Overview
8
8
years of professional experience
1
1
Certification
Work History
Patient Access Specialist
Amerisource Bergen -Lash Group
07.2022 - 04.2023
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Monitoring of Prior Authorization time periods, queuing of expiring Prior Authorizations for action to obtain Prior Auth renewals
- Identification of need for, submitting of, and obtaining of required Insurance Payor Prior Authorizations for treatment, including preparation and submission of payor specific authorization forms and medical necessity documentation.
Patient Access Specialist
Spectraforce
09.2021 - 07.2022
- Explained various admission forms and policies, acquiring signatures for consent.
- Organized and maintained records by updating and obtaining both personal and financial information from patients.
- Coordinating with other departments to ensure timely delivery of care.
- Verified demographics and insurance information to register patients in computer system.
Cleaning Specialist
DJM Cleaning
10.2021 - 12.2021
- Created inventory checklists and stocked housekeeping carts.
- Sanitized frequented areas and equipment using approved supplies.
- Maintained safety protocols through safe handling of equipment and chemicals.
- Replenished supply and managing inventory of cleaning supplies
Customer Service Specialist
Maximus ,Civic Operations Group
07.2021 - 09.2021
- Leveraged scripted template to guide interview process, ask required questions and conduct interactions with professionalism and empathy.
- Delivered healthy living and disease management information to specific population groups.
- Answered calls and interacted with community members to provide information on advocacy services.
- Assisted individuals with navigating health care systems, appointments and classes.
Customer Service Representative
RentPath
07.2021 - 07.2021
- De-escalated problematic customer concerns, maintaining calm, friendly demeanor.
- Upheld quality control policies and procedures to increase customer satisfaction.
- Answered incoming calls and emails, providing frontline customer support or assistance with product and service transactions.
- Participated in team meetings and training sessions to stay informed about product updates and changes.
Certified Nursing Assistant
Pennybyrn
05.2020 - 07.2021
- Fostered relationships with patients, caregivers and healthcare teams to achieve individual care plan targets.
- Documented activities and recorded information in EMR system.
- Maintained accurate, timely flow of information by completing thorough patient records and updating healthcare team on patient status.
- Examined and treated patient lacerations, contusions and physical symptoms and referred patients to other medical professionals.
Certified Nursing Assistant
Safe Haven Health Care
01.2020 - 04.2020
- Rendered hands-on nursing care under direct RN supervision, adhering to medical center policies and procedures.
- Looked for physical, emotional and symptomatic changes in patient condition and obtained necessary care for medical concerns.
- Assisted residents in preparing for activities and social programs.
- Conducted routine checks on patient vitals, blood pressure, blood sugar and heart rate.
Security Guard Officer
Securitas Security Services USA
04.2017 - 03.2019
- Completed required shift logs and reports, highlighting routine activities, suspicious circumstances and critical incidents.
- Detected emergency situations through keen listening and close observation to respond appropriately to alarms.
- Followed established security and safety procedures and posted orders to include enforcement of company rules, policies and regulations.
- Adhered to daily patrol schedules to support consistent security presence throughout property.
Security Guard Officer
Guard One Security Solutions
12.2016 - 03.2019
- Monitored premises and recorded activity in daily officer reports.
- Completed incident reports to record security or loss prevention incidents.
- Guarded restricted areas to prevent unauthorized entry.
- Deterred criminal activity, vandalism and general misconduct by providing expert and highly visible security presence at facilities.
Security Professional
Allied Universal Security Services
06.2016 - 03.2019
- Maintained updated knowledge of law enforcement tactics, policies and procedures.
- Supervised property entrances and exits and monitored employee safety.
- Implemented security software, programs and firewalls to minimize cybersecurity threats.
Security Analyst
NetApp
02.2015 - 05.2016
- Executed risk assessment and data processing system performance tests to verify and configure security settings for data processing and network access.
- Alleviated leakage of company proprietary data to unauthorized resources and analyzed past performance data to enhance operations.
- Completed vulnerability scans to identify at-risk systems and remediate issues.
- Designed and implemented plans to secure computer files against breach, destruction or accidental modification.
Education
Some College (No Degree) - IT Technical Support
Wake Technical Community College
Raleigh, NCCNA License - Certified Nursing Assistant
Woodruff Medical Training & Testing
Gainesville, GA05.2021
Criminal Justice
Wake Technical Community College
01.2016
High School Diploma -
Oak Ridge High School
Orlando, FL06.2010
Skills
- Microsoft Office
- Documenting and Recording Information
- Patient Confidentiality and Data Security
- Medical Terminology Expertise
- Co-Payment/ Co-insurance Collection
- Adverse Event
- Risk Mitigation
- PPE Use
- First Aid/CPR
- Federal and State Regulation Compliance
- CCTV Surveillance
- Inbound/ Outbound Calling
- EMR
- HCPCS Compliance
- ICD-9-CM Coding
- Customer Relations and Communications
Certification
- Certified Nursing Assistant
- Security License - 2017
- First Aid/CPR Certified
- Security Clearance
References
Christina Bethune 813-464-1210
Nadege Cousilant 772-240-2089
Daquwon Valentine 919-618-7625
Timeline
Patient Access Specialist
Amerisource Bergen -Lash Group
07.2022 - 04.2023
Cleaning Specialist
DJM Cleaning
10.2021 - 12.2021
Patient Access Specialist
Spectraforce
09.2021 - 07.2022
Customer Service Specialist
Maximus ,Civic Operations Group
07.2021 - 09.2021
Customer Service Representative
RentPath
07.2021 - 07.2021
Certified Nursing Assistant
Pennybyrn
05.2020 - 07.2021
Certified Nursing Assistant
Safe Haven Health Care
01.2020 - 04.2020
Security Guard Officer
Securitas Security Services USA
04.2017 - 03.2019
Security Guard Officer
Guard One Security Solutions
12.2016 - 03.2019
Security Professional
Allied Universal Security Services
06.2016 - 03.2019
Security Analyst
NetApp
02.2015 - 05.2016
Some College (No Degree) - IT Technical Support
Wake Technical Community College
CNA License - Certified Nursing Assistant
Woodruff Medical Training & Testing
Criminal Justice
Wake Technical Community College
High School Diploma -
Oak Ridge High School
- Certified Nursing Assistant
- Security License - 2017
- First Aid/CPR Certified
- Security Clearance
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