Tracy Smith
PALMA SETTIMI, INC.
Marietta,Ga.
12
years of professional experience
Dynamic Billing and Practice Management specialist with extensive experience in non-profit and hospital patient financial services, as well as private practices. Recognized for exceptional analytical and problem-solving abilities, complemented by strong communication and interpersonal skills, while thriving under pressure and meeting tight deadlines. Seasoned finance professional prepared to take on managerial responsibilities in accounts receivable, with a proven track record of streamlining processes, optimizing cash flow, and enhancing financial reporting. Committed to fostering team collaboration and maintaining robust client relationships, driving overall financial health through expertise in credit control, collections, and financial analysis.
Work History
ACCOUNT RECEIVABLES MANAGER
- -500 invoices plus a week for collections. 10 clients . Daily Posting of payments . Weekly Reconciliation.. posting of Credit Card payments checks and ACH/Wires . Email follow-ups And decision making for clients to go into collections.. Enter orders and complete returns. also work with a factor obtaining credit for specific clients. Authorize payment plans for delinquent accounts . Request post dated checks for slow payers
11 Years 9 Months
- - Support Billing Supervisor with essential billing and collection activities for the Behavioral Health Division for multiple locations
- - Managed Accounts Receivable, including follow-up on denials, rebilling and ensuring maximization of cash flow
- - Facilitate clinician certifications of Medicare provider enrollment, Medicaid OPRA Forms, update EMedNY, EPACES, NPPES, and commercial and managed care provider profiles
- - Review and complete sliding scale applications
- - Ensured the front Desk staff diligently verified insurance coverage and entered coverage into the system accurately
- - Tracked authorizations for Psychological Testing and any other services that may require pre cert
- - Ran the Scheduler report for Eligibility
- - Worked paper and electronic denials through Change Healthcare
- - Direct billing for School Based Patients for co-payments and any other patient responsibility
- - Sent monthly billing for deductible and co-insurance balances
- - Assist clients with choosing the insurance that may best fit their needs when it comes to Behavioral Health
- - Attend OMH provider monthly calls and Managed Care Webinars
- - Assure all eligible clinicians are enrolled as OPRA providers and Medicare Providers
- - Update Facility Rosters with new clinicians and remove non-active clinicians
- - Credentialing applications for new insurance companies as well as re-credentialing for expired or soon to expire contracts
- - Update the clinics with insurance updates that are sent from the carrier’s pertaining to any BH changes to come
- - Post paper payments and download electronic payment
- - Monthly reconciliation of Managed Care, Medicaid, Medicare and Commercial Care payment
- - Make all outpatient appointments for both adults and children including referrals from CRISIS, E.R., INPATIENT and outside sources
- - Gather demographic information, insurance and psych history
- - Verify insurance information and obtain authorization for services
- - Call patients back and set up consultations
- - Pre-register patients
- - Appointment day, patient completes paper work and pays co-pay if applicable
- - Medical Records for Out-Patient Clinic
- - Mail out all medical records for patients, attorneys and other facilities
- - Complete statistics for the Department of Mental Health, quarterly reports which include referral sources for Psych in-patient services, partial hospital programs, and other emergency services
- - Create productivity report every month for children and adults and keep track of how many in-takes are done every month for each clinician
- - Track new cases monthly
- - Bill services to the insurance company
- Non-Profit Outpatient Mental Health Facility
Education
HSD
Skills
Medical Manager
Anasazi
Cerner
Power Chart
Centricity
IDX
A2K
Patient Keeper
MS Word
Outlook
Excel
Medical Terminology
Emdeon Clearing House
Credentialing
Surgical Coordinator- Authorization Specialist - Billing background in Orthopedic-Gastroenterology-Pulmonary – Internal Medicine and Behavioral Health
Collections expertise
Financial records and reporting
Transaction processing
Cash management
Accounts receivable
Staff management
Account reconciliation
Account analysis
Account updating
Payment schedule determination
Report reviewing
Aging report creation
Debt collection
Aging balance management
Timeline
ANDRUS CHILDREN CENTER, Yonkers, NY
05.2010 - 02.2022Read More
Lehman College
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ACCOUNT RECEIVABLES MANAGER
PALMA SETTIMI, INC.
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Roosevelt H.S.
HSD
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