Summary
Overview
Work History
Education
Skills
Timeline
Generic

Shamonique Smith

Dallas

Summary

Knowledgeable about preparing invoices, processing payments and pursuing past-due balances. Well-versed in accurately coding different types of bills for clear recordkeeping and tracking. Team-oriented, dependable and performance-driven.

Overview

12
12
years of professional experience

Work History

Team Lead

OrthoEconomics
02.2024 - Current
  • Identifies delinquent accounts, aging period, and payment sources
  • Reviews each account via reports and other sources with an average productivity of 50 accounts per day
  • Reviews insurance balances
  • Performs collection actions including appeals and resubmitting claims
  • Resolves incoming patient calls
  • Reports to regular staff meetings as directed
  • Maintains strictest confidentiality
  • Excellent customer service skills
  • Tactfulness in dealing with insurance companies and patients regarding accounts in both verbal and written communications while always being professional and courteous
  • Resolves all incoming insurance correspondence pertaining to denials, incorrectly processed claims.

Billing Manager

Jefferson Dental And Orthodontics
11.2015 - 02.2024
  • Researched and resolved billing discrepancies to enable accurate billing
  • Assisted with billing inquiries and provided timely responses to enhance customer satisfaction
  • Monitored customer accounts to identify and rectify billing issues
  • Provided excellent customer service, developing and maintaining client relationships
  • Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments
  • Identified, researched, and resolved billing variances to maintain system accuracy and currency
  • Processed and verified invoices to secure accuracy of billing information
  • Responded to customer concerns and questions on daily basis
  • Audited and corrected billing and posting documents for accuracy
  • Verified accuracy of accounts payable payments, resulting in 98% reduction in payment errors and check reissues.

Benefit Verification Specialist

Alliance RX Walgreens
11.2016 - 11.2019
  • Collects and reviews all patient insurance information needed to complete the benefit verification process
  • Verifies patient specific benefits and thoroughly documents specifics for various payer plans including patient coverage, co-pays, coinsurance, deductibles, OOP max, etc
  • Completes & faxes Authorization forms to the appropriate insurance company & follows up on status
  • Documents and initiates prior authorization process, claims appeals, etc
  • Completes quality review of work before sending information to clients
  • Explains benefits to plan participants in easy-to-understand terms in order to educate each on available options
  • Resolves issues and inquiries from plan participants regarding health and welfare benefits and deductions through telephone, email, and in-person interactions.

Strategic Account Manager

Amerisource Bergen Drug
09.2012 - 10.2015
  • Served as a strategic client partner and an extension of their organization
  • Exceeded client expectations by providing extraordinary service
  • Established and nurtured strong working relationships with internal and external business leaders
  • Troubleshot issues and worked with internal and external groups to quickly implement effective solutions
  • Responsible for meeting program timelines and adjusting properly align with priorities
  • Key contact between all ICS functional business areas – Client Financial Services, Customer Service, Distribution Centers, Quality and Compliance, Training, Business Solutions and IT
  • Continuously monitored, assessed, identified and implemented strategies to improve program
  • Assisted in the development of training curriculum for all program team members, closely coordinating with the ICS Training Department
  • Responsible for the development and maintenance of client statements of work, custom work instructions and other documentation specific to manufacturer-sponsored programs
  • Developed and delivered meaningful client presentations as required
  • Properly maintained client contracts and program documentation
  • Met travel expectations for on-site client meetings.

Education

Bachelor Of Science - Pharmacology

Loyola University New Orleans
New Orleans, LA
05.2009

Skills

  • Medical/Ortho and Dental expertise(A/R)
  • Claims processing
  • Attention to detail
  • Auditing
  • Payment posting
  • Account Adjustments

Timeline

Team Lead

OrthoEconomics
02.2024 - Current

Benefit Verification Specialist

Alliance RX Walgreens
11.2016 - 11.2019

Billing Manager

Jefferson Dental And Orthodontics
11.2015 - 02.2024

Strategic Account Manager

Amerisource Bergen Drug
09.2012 - 10.2015

Bachelor Of Science - Pharmacology

Loyola University New Orleans

Similar Profiles

CREATE PROFILE
Shamonique Smith