Rotanda N. Smith
Humble
Summary
Dynamic I/S Charge Master Analyst with demonstrated expertise in data analysis and process enhancement at Harris Health. Skilled in optimizing revenue integrity and mentoring teams to surpass productivity benchmarks. Acknowledged for outstanding customer service and proficient communication, facilitating successful outcomes in intricate patient accounting and reimbursement processes.
Overview
25
25
years of professional experience
Work History
I/S Charge Master Analyst
Harris Health
Houston
07.2022 - Current
- Effectively monitoring inventory for Medicaid, Commercial and Medicare/Medicare Managed Care Advantage Plans
- Train new hires on PFS Follow-Up processes and procedures
- Conduct refresher training on new implementations
- Demonstrates articulate, professional and effective verbal/written communication skills
- Reviews accounts, takes appropriate action for and documents per departmental standards on clinical, administrative and technical denials
- Demonstrate leadership by creating implementation and improvements to assist staff in a productive workflow
- Completes employee Quality Assurance reviews
- Providing feedback to directors/managers on best practices for PFS department
A/R Payment Revenue Integrity Supervisor
Houston Methodist Hospital
Houston
07.2012 - 07.2022
- Coordinates and consolidates payer-specific reimbursement data
- Performs complex patient accounting transactions and documentation
- Provides significant input for and assistance with the implementation of team-oriented process improvement initiatives
- Effectively manage assigned A/R inventory
- Follow and adhere to departmental standards
- Provide accurate follow up on payer denials and rejections
- Maintain/exceed weekly productivity standards
- Provide customer service to outside vendors/customers
- Uphold revenue integrity according to contractual agreements
- Submitting Appeals for underpayments
Patient Account Specialist III
Houston Methodist San Jacinto Hospital
Baytown
03.2007 - 07.2012
- Reconcile Medicaid weekly cash deposits
- Review weekly R&S report to capture any denials and rejections
- Cross train employees in Medicaid process
- Crossed trained in Medicare (RTP report, denials, and claims pending issues)
- Met production standards monthly
- Prepare and submit appeals for Traditional Medicaid
- Review accounts for accurate reimbursement
- Submitting Appeals for underpayments, no authorizations and medical necessity
Patient Access Service Coordinator
Houston Methodist Sugar Land Hospital
Sugar Land
08.2005 - 03.2007
- Overseeing the process of the ED and financial services for the facility
- Upfront collections for deductibles, co-insurance and self-pay accounts
- Patient Registration
- Assisting staff with daily task
- Assist in training new staff
- Adhere all departmental policies and procedures
- Finalizing all end of month reports
- Implemented fast track protocol
- Processed all cash receipts on daily collections
Patient Access Service Supervisor
Cypress Fairbanks Medical Center
Houston
08.2000 - 08.2005
- Overseeing the patient registration area of the Emergency Room/Outpatient Services
- Training incoming new staff
- Finalizing end of month financial reports for upfront collections
- Ensuring all staff adhere to federal guidelines
- Reviewing and approving PTO request
- Insured adequate staffing
- Insurance verification
- Scheduling patients for outpatient testing
- Covered shifts as needed
Education
Minor Finance
University of Houston-Downtown
Houston, TX12-2026
AA - Business Administration
Lone Star College-Kingwood
Kingwood, TX01.2022
Skills
- Microsoft Office Suite
- Data analysis and reporting
- Process improvement strategies
- Team collaboration
- Customer service excellence
References
Available upon request
Timeline
I/S Charge Master Analyst
Harris Health
07.2022 - Current
A/R Payment Revenue Integrity Supervisor
Houston Methodist Hospital
07.2012 - 07.2022
Patient Account Specialist III
Houston Methodist San Jacinto Hospital
03.2007 - 07.2012
Patient Access Service Coordinator
Houston Methodist Sugar Land Hospital
08.2005 - 03.2007
Patient Access Service Supervisor
Cypress Fairbanks Medical Center
08.2000 - 08.2005
Minor Finance
University of Houston-Downtown
AA - Business Administration
Lone Star College-Kingwood
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