Tamika Smith
Tampa,FL
Summary
Committed job seeker with a history of meeting company needs with consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.
Overview
5
5
years of professional experience
Work History
Insurance Underwriter
Ameritas
Lincoln, NE
07.2023 - 12.2023
- Maintained detailed records of underwriting decisions and processes.
- Developed recommendations for policy terms and conditions based on evaluation results.
- Evaluated claims data from previous policies to identify trends or patterns that may indicate a higher level of risk associated with certain types of policies.
- Analyzed customer's financial records, medical history, and other risk factors to assess the level of risk involved in providing coverage.
- Ensured compliance with all applicable laws, regulations, and guidelines related to insurance underwriting activities.
- Reviewed and evaluated customer's applications to determine eligibility for insurance coverage.
Medical Biller and Coder
Principal Solutions
Omaha, NE
08.2020 - 06.2023
- Ensured timely filing of all claims within established guidelines.
- Analyzed patient accounts for errors, inaccuracies or discrepancies in billing documentation.
- Applied HIPAA privacy and security regulations while handling patient information.
- Collected co-pays and other payments from patients at time of service.
- Answered phones promptly in a professional manner.
- Processed a high volume of incoming claims in accordance with established policies and procedures.
- Processed claims according to established quality and production standards and made corrections and adjustments to solve problems.
- Maintained accurate records of all processed claims in accordance with departmental requirements.
- Coordinated benefits with medical insurance plans and Medicare providers.
- Evaluated the validity of assigned claims by verifying that services are medically necessary according to established guidelines.
- Maintained accounts payable files and records in an organized manner.
- Processed invoices and payments in accordance with company policies and procedures.
- Entered data into accounting system to maintain accurate financial records.
Medical Biller and Coder
Conifer Health
Omaha, NE
08.2018 - 08.2020
- Ensured timely filing of all claims within established guidelines.
- Analyzed patient accounts for errors, inaccuracies or discrepancies in billing documentation.
- Filed and submitted insurance claims.
- Adhered strictly to HIPAA guidelines when handling confidential patient information.
- Provided customer service support to patients regarding billing inquiries.
- Assessed medical codes on patient records for accuracy.
- Maintained current CPT, HCPCS codes library as well as ICD-9, 10 CM diagnostic codes.
- Processed corrections and adjustments as needed to ensure accurate payment from third party payers.
- Monitored aging accounts receivable report weekly to identify unpaid balances due.
- Worked closely with physicians to obtain additional clinical information when needed for accurate coding assignments.
- Reviewed received payments for accuracy and applied to intended patient accounts.
- Resolved denied claims by researching payer requirements and preparing appeals.
- Documented and filed patient data and medical records.
Education
Medical Billing And Coding -
Kaplan University
Omaha, NE04-2014
Skills
- Technical Knowledge
- Documentation
- Claims Handling
- Sales Support
- Data Interpretation
- Data Collection
- Time Management
- Reliability
- Analyzing Data
- Multitasking
- Professional Demeanor
- Attention to Detail
- Excellent Communication
Timeline
Insurance Underwriter
Ameritas
07.2023 - 12.2023
Medical Biller and Coder
Principal Solutions
08.2020 - 06.2023
Medical Biller and Coder
Conifer Health
08.2018 - 08.2020
Medical Billing And Coding -
Kaplan University