SANDRA SMITH
Bella Vista Ar,AR
Summary
Adept at HIPAA compliance and fostering collaborative relationships, I significantly enhanced claim processing efficiency at Walmart. My expertise in medical billing and unwavering attention to detail led to a notable increase in revenue and client satisfaction, showcasing my ability to deliver top-notch results in demanding environments. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
37
37
years of professional experience
1
1
Certification
Work History
Insurance Bill Processing
Self Employed Services
Bella Vista Ar 72714
10.1998 - Current
- Ensured compliance with HIPAA regulations while managing sensitive patient information during the billing process.
- Achieved timely resolution of denied or underpaid claims through thorough research and concise appeals submissions.
- Maintained excellent professional relationships with insurance company representatives, facilitating efficient claim processing and reimbursement.
- Collaborated with healthcare professionals to obtain necessary documentation for claim submission and payment.
- Enhanced client satisfaction by efficiently processing insurance claims and addressing billing inquiries.
- Increased revenue by accurately coding medical procedures according to industry guidelines.
- Minimized claim errors by staying updated on insurance regulations, medical terminology, and procedural codes.
- Expedited reimbursements with effective communication between providers, payers, and patients regarding claim status.
- Responded to inquiries from callers seeking information.
- Checked documentation for accuracy and validity on updated systems.
- Reviewed and verified addresses, phone numbers, names, ages and values.
- Verified client information by analyzing existing evidence on file.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
Health Ins Bill Processor
Walmart
Bentonville, AR
01.1987 - 06.1997
- Interacted regularly with peers and management to pursue continuous improvement of facility operations and promote teamwork-focused environment.
- Supported team members in their tasks, contributing to overall team success.
- Entered data into computer tracking system and filed paperwork according to procedures.
- Increased productivity by effectively managing workload and prioritizing tasks.
- Enhanced team collaboration, sharing best practices for efficient processing techniques.
- Received and reviewed incoming documents and materials.
- Assisted colleagues as needed, fostering a positive work environment based on teamwork and mutual supportiveness.
- Participated in continuous training initiatives, staying up-to-date on relevant regulations, policies, and best practices within the processing field.
- Provided outstanding customer service by promptly addressing inquiries and resolving issues.
- Adhered to strict deadlines for processing applications, ensuring timely approvals and client satisfaction.
- Demonstrated flexibility when adapting to new processes or guidelines while maintaining consistently high levels of productivity.
- Reduced errors with meticulous attention to detail and thorough review of documentation.
- Developed expertise in various processing systems for increased efficiency and accuracy.
- Consistently exceeded performance expectations with a focus on delivering top-notch results.
- Contributed to the achievement of department goals through consistent high-quality work.
- Collaborated with other departments to optimize production workflows.
- Examined incoming materials and compared to documentation for accuracy and quality.
- Met production targets and tight deadlines by collaborating closely with team members.
Education
Coosa Valley Academy
Harpersville, AL05.1982
Skills
- HIPAA Compliance
- Patient confidentiality
- Professionalism and Ethics
- Data entry proficiency
- Medical coding knowledge
- Document Review
- Attention to Detail
- Critical Thinking
- Decision-Making
- Claims Processing
Certification
In October of 2019 I became certified in the state of California in order to process workers compensation bills for Wal-Mart Claims Management. My latest class was in October of 2023.
Timeline
Insurance Bill Processing
Self Employed Services
10.1998 - Current
Health Ins Bill Processor
Walmart
01.1987 - 06.1997
Coosa Valley Academy