Natasha Smith

• Work directly with departmental managers to develop more efficient ways of distributing information throughout the office.
• Develop necessary documentation, such as Excel spreadsheets and protocols.
• Monitor outstanding inquiries and work with management staff to identify and resolve areas of non-compliance.
• Troubleshoot and resolve technically challenging problems related to Cerner and EPIC issues.
• Support daily operational needs, including managing schedules, huddle topics, staffing coverage, and PTO approval.
• Train and instruct new employees in job duties and department policies.
• Assist with recruiting, interviewing, and selecting employees.
• Supervise Patient Service Representatives to ensure adherence to quality standards, deadlines, and proper procedures, correcting errors or problems.

Contributed to the development and implementation of a new filing system for patient records.

Managed office supply inventory to ensure budget adherence.

Efficiently managed and organized medical records for over 2,000 patients, ensuring accuracy and timely availability of critical information to healthcare providers.

Coordinated and scheduled more than 500 medical procedures and appointments per month, maintaining an on-time rate, and contributing to a reduction in patient complaints related to scheduling.

Generated and analyzed reports on patient demographics and trends, providing valuable insights for strategic decision-making and improving patient care.

• Maintained timeliness in claims processing through monitoring and tracking of aged, pended, and open reports
• Managed claim entry to facilitate streamlined tracking and processing
• Succeeded in addressing and resolving a variety of member concerns like claims disputes, billing queries, and challenges with accessing care
• Reviewed and adjudicated claims according to provider and health plan contractual agreements as well as claims processing guidelines
• Took initiative to obtain all necessary information for claims that required additional handling
• Regularly monitored outstanding inquiries, actively working with management to identify and address areas of non-compliance
• Review and verified quality audit reports
• Reconcile audit discrepancies, corrects in system and makes appropriate changes to avoid recurrence
• Respond to and resolve provider and health plan claim inquiries.