Shelby Smith

• Performed regular audits of medical records for compliance with regulatory requirements, maintaining a high level of data integrity

• Conducted quality improvement and customer satisfaction surveys to evaluate patient care.

• Catalogued patient data in clinical databases and registries according to regulatory practices.

• Provided customer service support to patients who had questions about their bills or payments due.
• Maintained detailed records of all billing activities including denials, adjustments, and payments received.
• Contacted insurance providers to verify insurance information and obtain billing authorization.
• Communicated with insurance providers to resolve denied claims and resubmitted.

• Answered, screened and processed high volume of calls daily with call management system and web-based communications.
• Resolved customer inquiries, questions and concerns to consistently offer quality service and meet performance Criteria.
• Used available resources to provide efficient and accurate solutions for customer service requests.
• Communicated with insurance providers to resolve denied claims and resubmitted.