Summary
Overview
Work History
Education
Skills
Timeline
Generic

Tammy Smith

Parrish,AL

Summary

Skilled Orthodontic Insurance Coordinator bringing 10 years of experience in coordinating, processing and troubleshooting insurance payments. Adept at managing collections and receivables, referral process and insurance billing functions. Successful in recommending strategies to improve revenue cycle management and workflow.

Overview

31
31
years of professional experience

Work History

Insurance Coordinator

PT Orthodontics
Hoover, AL
05.2014 - Current
  • Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
  • Filed insurance claims by obtaining and entering data related to patient, insurance provider, and medical code for procedures and services provided.
  • Investigated any discrepancies between client's stated needs and actual coverage requirements.
  • Coordinated and planned investigations of claims to confirm compensability and coverage.
  • Obtained maximum reimbursement by following up on unpaid claims and reviewing monthly aging reports.
  • Prepared and reviewed insurance-claim forms and related documents for completeness.
  • Analyzed weekly and monthly financial reports and reviewed accounts receivable reports and insurance contracts to facilitate revenue cycle management.
  • Informed patients of claims status after filing insurance claims.
  • Validated insurance and advised patients of benefits and coverage.
  • Submitted claims to insurance companies and clearinghouses.
  • Displayed strong telephone etiquette, effectively handling difficult calls.

Secretary/Insurance Coordinator

Dr. Jerry Boshell
Jasper, AL
10.2003 - 05.2014
  • Assisted with accounts receivable and accounts payable functions.
  • Answered telephone
  • Provided support to the Office Manager and other staff members.
  • Maintained filing systems for confidential documents; organized files for easy retrieval of information when requested.
  • Generated monthly reports detailing the number of claims processed by provider and insurer.
  • Performed insurance verification.
  • Processed requests for pre-authorization of treatments from providers on behalf of patients.
  • Submitted claims to insurance companies.

Bakery Manager

Wal-Mart Supercenter
Sumiton, AL
09.1992 - 05.2002
  • Kept department on-target to meet sales and profit objectives by minimizing waste and pursuing revenue generation opportunities.
  • Completed thorough opening, closing and shift change functions to maintain operational standards each day.
  • Managed 8 employees.
  • Implemented systems for tracking sales data from multiple outlets within the network.
  • Trained new bakery employees
  • Monitored inventory levels and placed new orders for merchandise to keep supply well-stocked.
  • Maintained inventory of supplies, ingredients and equipment used in the production process.
  • Performed administrative tasks such as scheduling employees
  • Trained, supervised and evaluated bakery staff on proper baking techniques and safety procedures.
  • Completed day-to-day duties accurately and efficiently.

Education

Business & Office Education - Business

Bevill State Community College
Sumiton, AL
05-1986

Skills

  • Customer Service and Assistance
  • Sales Support
  • Microsoft Office
  • Insurance Claims Processing
  • Insurance Knowledge
  • Dental Insurance Experience
  • Insurance Verification

Timeline

Insurance Coordinator

PT Orthodontics
05.2014 - Current

Secretary/Insurance Coordinator

Dr. Jerry Boshell
10.2003 - 05.2014

Bakery Manager

Wal-Mart Supercenter
09.1992 - 05.2002

Business & Office Education - Business

Bevill State Community College

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Tammy Smith