Monique Smith
Deptford,NJ
Summary
Organized team leader with over 20 years of experience in Healthcare who builds positive rapport, inspires trust and guides teams toward achievement of organizational goals. Strong facilitator adept at working cross-departmentally with co-management and top-level leadership. Excellent trainer and mentor.
Overview
23
23
years of professional experience
Work History
Team Lead, Payment Accuracy – RCA
Cotiviti Healthcare
10.2017 - Current
- Lead partner in the implementation of Aetna’s HRP platform for the Medicare and Individual Family Commercial lines of business.
- Created extensive HRP onboarding package and training documentation, and provided HRP training for new hires and multiple Aetna teams.
- Trained new team members by relaying information on company procedures and role requirements.
- Promoted a positive work environment for 20 employees by fostering teamwork, open communication, and employee recognition initiatives.
- Enhanced overall team performance by providing regular coaching, feedback, and skill development opportunities.
- Collaborated with other department leads to streamline workflows, improve interdepartmental coordination, and achieve business goals collectively.
Financial Systems Analyst
Crozer Keystone Health Network
08.2016 - 10.2017
- Reviewed patient accounts and analyzed reports for physician practices, identified payer trends, managed over $30 million in aging AR, and resolved coding and billing errors.
Healthcare Consultant
Resolution Consulting
10.2012 - 04.2014
- Provided consultant services, implemented industry standard processes, resolved over $2M in insurance overpayments, and identified incorrect coding issues.
Accounts Receivable Representative
HBCS
01.2010 - 10.2012
Patient Accounting Manager
Onsite Neonatal Partners
07.2007 - 11.2010
Medical Billing Collector
Professional Receivables Network
01.2003 - 08.2006
Claims Resolution Specialist
Aetna Healthcare
08.2001 - 12.2002
Education
24 credits towards BA degree -
Temple University
60 credits towards BA degree -
Rutgers University-Camden
05.2005
Skills
- Platform Implementation
- Project Management
- Strategic Thinker
- Training
- Data Analysis
- Concept Research & Development
- Coaching and Mentoring
- Performance monitoring
- Customer Focus
Timeline
Team Lead, Payment Accuracy – RCA
Cotiviti Healthcare
10.2017 - Current
Financial Systems Analyst
Crozer Keystone Health Network
08.2016 - 10.2017
Healthcare Consultant
Resolution Consulting
10.2012 - 04.2014
Accounts Receivable Representative
HBCS
01.2010 - 10.2012
Patient Accounting Manager
Onsite Neonatal Partners
07.2007 - 11.2010
Medical Billing Collector
Professional Receivables Network
01.2003 - 08.2006
Claims Resolution Specialist
Aetna Healthcare
08.2001 - 12.2002
24 credits towards BA degree -
Temple University
60 credits towards BA degree -
Rutgers University-Camden
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