Summary
Overview
Work History
Education
Skills
Timeline
Generic

Shamonique Smith

Dallas,Texas

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

11
11
years of professional experience

Work History

Billing Specialist

Jefferson Dental And Orthodontics
11.2022 - Current
  • 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.
  • Worked with multiple departments to check proper billing information.
  • Identified, researched, and resolved billing variances to maintain system accuracy and currency.
  • Processed and verified invoices to secure accuracy of billing information.
  • Prepared and submitted monthly billing reports to management for financial overview.
  • Responded to customer concerns and questions on daily basis.
  • Used data entry skills to accurately document and input statements.
  • 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
11.2017 - 11.2022
  • Collects and review all patient insurance information needed to complete the benefit verification process
  • Verify patient specific benefits and thoroughly document specifics for various payer plans including patient coverage, co pays, coinsurance, deductibles, OOP max, etc
  • Complete & fax Authorization forms to the appropriate insurance company & follow up on status
  • Documenting and initiating prior authorization process, claims appeals, etc
  • Completes quality review of work before sending information to clients
  • Performs related duties and special projects as assigned.
  • Explained benefits to plan participants in easy to understand terms in order to educate each on available options.
  • Implemented open enrollment system to streamline benefits processes for employees.
  • Resolved issues and inquiries from plan participants regarding health and welfare benefits and deductions through telephone, email, and in-person interactions.
  • Administered performance-based incentive and bonus plans, encouraging employee excellence.

Buyer

RR Donnelley
01.2017 - 11.2019
  • Develop an efficient and accurate system for monitoring all open purchase orders
  • Deliver a weekly purchase order report to management that indicates the vendor invoice number for all closed purchase orders
  • Work with the inventory management team to ensure that all deliveries satisfy the assigned purchase orders and report any back-ordered or missing products
  • Assist the Supply Chain Manager with maintaining proper inventory levels of materials used on a regular basis
  • Establish reliable lines of contact with field management team to ensure that all field purchase orders are accurate

Collections II

Hyundai Motor Finance
09.2016 - 01.2017
  • Process daily payments; go over budget and payment for customer to become current
  • Locate and monitor overdue accounts, using approved company resources
  • Record information via FEX about financial status of customers and status of collection efforts
  • Confer with customers by telephone or in person to determine reasons for overdue payments and to review the terms of sales /credit contacts
  • Advise customers of necessary actions and strategies for debt repayment
  • Perform various administrative functions for assigned accounts, such as recording address changes and maintain current critical contract and credit information on debtors
  • Arrange for debt repayment or establish repayment schedules, based on customers’ financial situations as agreed/ approved by collection manager
  • Maintain stated goals as set forth by Operations Manager on delinquency thresholds and loan loss rates (charge-off goals)

Insurance Verification Specialist

Medical Benefit Verification, Amerisource Bergen
02.2014 - 08.2016
  • Scheduled patients for, visits
  • Customer Service I took 80 – 100 incoming calls daily
  • Responsible for the collection and interpretation of physician orders for utilizing prior authorization needs, copays and any patient financial assistance
  • Office-managerial tasks including sort mail, write letters and mail, buy and stock office supplies, calendar appointments, copy and sort large volumes of documents, place phone calls and take messages, file management
  • Have knowledge of medical coding and medical terminology
  • Assist with my RN lead in researching diagnosis and insurance benefits to receive proper treatment
  • Educate members about Humana’s programs and additional services
  • Provide guidance to new members to the Medicare Advantage program
  • Simplifies complexity and integrates internal efforts to deliver an optimal customer experience
  • Research for any patient assistance programs for our underinsured and self-pay patients
  • Responsible for reviewing patients’ case and insurance coverage information to personalize the call contents to the patient
  • Choose the right HARP internal software insurance code following information provided on patients’ insurance
  • Study patients’ scanned requisition record and input all information relating to insurance coverage

Strategic account Manager

Amerisource Bergen Drug
09.2012 - 12.2014
  • Serve as a strategic client partner and an extension of their organization
  • Proactively identify and implement ICS services that address clients’ needs and help them achieve their business goals
  • Exceed client expectations by providing extraordinary service
  • Establish and nurture strong working relationships with internal and external business leaders, key stakeholders and work teams to ensure the successful delivery of services to clients and their customers
  • Troubleshoot issues and work with internal and external groups to quickly implement effective solutions, while minimizing any possible disruption to program operations; meticulously communicate with all involved parties through resolution
  • Responsible for meeting program timelines and making adjustments to 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
  • Foster seamless communication flow between these areas
  • Responsible for program process design, documentation and implementation
  • Continuously monitor, assess, identify and implement strategies to improve program
  • Assist 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
  • Develop and deliver meaningful client presentations as required
  • Properly maintain client contracts and program documentation
  • Meet travel expectations for on-site client meetings

Education

Bachelor Of Science - Pharmacology

Loyola University New Orleans
New Orleans, LA
05.2009

Skills

  • Strong negotiating skills
  • Impeccable attention to detail
  • Ability to work well with a team
  • Able to thrive in a high-stress and fast-paced environment
  • Ability to research and complete the task in timely manner
  • Fast learner
  • Excellent written and verbal communication skills
  • Invoice Processing
  • Claims Processing
  • Audit Procedures
  • Month-End Closing Procedures
  • Account Reconciliation
  • Data Analysis
  • Decision-Making
  • Account Posting
  • Billing Statement Review
  • A/P and A/R Expertise

Timeline

Billing Specialist

Jefferson Dental And Orthodontics
11.2022 - Current

Benefit Verification Specialist

Alliance RX Walgreens
11.2017 - 11.2022

Buyer

RR Donnelley
01.2017 - 11.2019

Collections II

Hyundai Motor Finance
09.2016 - 01.2017

Insurance Verification Specialist

Medical Benefit Verification, Amerisource Bergen
02.2014 - 08.2016

Strategic account Manager

Amerisource Bergen Drug
09.2012 - 12.2014

Bachelor Of Science - Pharmacology

Loyola University New Orleans

Similar Profiles

CREATE PROFILE
Shamonique Smith