Sherylitta Smith
Silver Spring ,MD
Summary
A career with a progressive company that will use my education, skills and abilities in a professional capacity, where I can effectively contribute to the operations of a successful business environment.
Overview
22
22
years of professional experience
Work History
Diresct Support Specialist (part-time)
Compass, Inc
Beltsville, Maryland
01.2024 - Current
- Supports Autistic Individuals with daily living and independent skills
- Provides direct care and safety to individuals
- Administers correct and timely medication consistent with the Physician Medical Order Form (PMOF) and the Medication Administration Record (MAR) and ensures three-way check.
- Ensures compliance with applicable regulations and laws relating to care of individuals with disabilities.
- Knowledgeable of routine and emergency medical procedures
- Coordinates transportation for clients to appointments and community events.
- Provides emotional support to clients during times of distress or crisis situations.
- Maintains accurate records of client progress in accordance with agency policies and procedures.
Credit/ Collections Representative, II
Children's National Medical Center
WASHINGTON, DC
01.2017 - 07.2025
- Responsible for resolving open account balances
- Followed-up with commercial insurances for claim statuses
- Submitted denied medical claims with Medical Records and other requested information to insurances for review and reconsideration of payment
- Reviewed payments against payment fee schedules and contract for accuracy of allowances
- Managed patients accounts to ensure timely payment of outstanding balances.
- Resolved patient inquiries related to claim and billing t issues.
Physician Billing Analyst
INOVA Health Systems
03.2012 - 12.2016
- Responsible for managing and resolving open balance accounts
- Prepared and submitted appeals to Workers Compensation insurances
- Followed-up with attorneys regarding workers compensation litigations and settlements
- Corrected and re-posted charges and payments as needed for billing
- Submitted denied medical claims with documentation to insurances for review and reconsideration of payment
- Reviewed payments against payment fee schedules for accuracy of allowances.
- Submitted claims electronically and manually
Patient Coordinator
Andrews Air Force Base, Malcolm Grow Medical Center
11.2003 - 11.2011
- Provided benefit and care information to active duty dependents and retired military families
- Followed up with commercial insurances
- Managed billing encounters for pharmacy, clinical, laboratory and radiology visits
- Maintained a working knowledge of ICD-9 and CPT codes
- Responsible for denials, write offs, and payments from insurance companies
- Conducted billing of claims on HCFA 1500 and UB92 print forms
- Verified patient coverage and benefits with insurance carriers
- Trained staff on military database Consolidated healthcare system (CHCS) and Third Party outpatient collections systems (TPOCS)
- Knowledge HIPAA and JCAHO
Education
Howard University School of Continuing Education
05.2000
Skills
- Medical Terminology
- ICD-9 Coding
- CPT-4 Coding
- Citrix
- EMR
- All Scripts
- Streamline
- Cerner
- Star Navigation
- MANDT Training
- CMT (Certified Medication Technician)
- CPR
- First Aid
- Insurance claims management
- Claim denial resolution
- Medical coding knowledge
Timeline
Diresct Support Specialist (part-time)
Compass, Inc
01.2024 - Current
Credit/ Collections Representative, II
Children's National Medical Center
01.2017 - 07.2025
Physician Billing Analyst
INOVA Health Systems
03.2012 - 12.2016
Patient Coordinator
Andrews Air Force Base, Malcolm Grow Medical Center
11.2003 - 11.2011
Howard University School of Continuing Education
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