Vanessa Smith
Las Vegas,NV
Summary
Detail-oriented individual with exceptional communication and project management skills. Proven ability to handle multiple tasks effectively and efficiently in fast-paced environments. Recognized for taking proactive approach to identifying and addressing issues, with focus on optimizing processes and supporting team objectives.
Overview
15
15
years of professional experience
1
1
Certification
Work History
NYU Langone
Patient Access Services
Las Vegas, NV
01.2025 - Current
- Demonstrated self-motivation and accountability in all tasks undertaken.
- Enhanced teamwork dynamics and maintained high productivity levels in individual tasks through effective interpersonal communication.
- Exhibited proficiency in swiftly mastering new concepts and adapting to diverse circumstances.
- Articulated ideas clearly and concisely in both verbal and written formats to enhance collaboration.
- Coordinated day-to-day activities, ensuring optimal collaboration and workflow among all team members.
- Engaged in continuous learning initiatives to elevate expertise and performance standards.
- Skilled at working independently and collaboratively in a team environment.
- Self-motivated, with a strong sense of personal responsibility.
- Managed approximately 30 incoming calls, emails and faxes per day from customers
Fulfillment Associate
Amazon
Las Vegas, NV
10.2024 - Current
- Operated warehouse equipment to ensure efficient order fulfillment.
- Inspected incoming and outgoing shipments for accuracy and quality control.
- Assisted in inventory management, tracking stock levels and reordering supplies as needed.
- Collaborated with team members to optimize picking and packing processes.
- Resolved customer inquiries related to order status and product availability efficiently.
- Assisted in the training of new fulfillment associates, sharing best practices and offering support as needed.
- Coordinated with logistics teams to streamline shipping schedules and delivery timelines.
- Trained new associates on operational procedures and best practices.
- Consistently hit rate180 per hour
RCM Patient Collection Specialist
MedEvolve
Little Rock, AR
08.2022 - 04.2024
- Conducted thorough reviews of open accounts to identify opportunities for effective collections.
- Analyzed unpaid accounts and documented repayment progress in regular status reports for financial oversight.
- Ensured accuracy in record-keeping to facilitate effective reporting on collection processes.
- Conducted thorough account reviews with clients to ensure accurate and efficient collection agency referrals.
- Reviewed and adjusted client accounts based on established protocols and detailed explanation of benefits (EOB) to ensure compliance and clarity.
- Conducted thorough investigations of historical data related to patient debt.
- Managed relationships with third-party collection companies to maintain compliance with client protocols.
- Reviewed and explained Explanation of Benefits (EOB) to ensure accurate communication of claims and benefits
- Resolved client account questions with professionalism and efficiency, ensuring a positive client experience.
- Keep current on informational changes in billing/collection procedures
- Crafted and dispatched correspondence to patients, emphasizing the importance of resolving overdue payments.
- Researched and implemented innovative collection strategies to optimize revenue recovery.
- Managed approximately 30 incoming calls, emails and faxes per day from customers
Claims Representative
Centene
Little Rock, AR
11.2018 - 03.2022
- Analyzed and confirmed claims to ensure correct identification of member eligibility and benefits entitlements.
- Documented claim file activities with precision and timeliness to reinforce operational integrity.
- Tracked and documented outstanding claim cases, implementing corrective actions to facilitate prompt resolutions.
- Conducted detailed processing and adjudication of claims, ensuring strict alignment with established company policies and regulatory requirements.
Mental Hospital Tech
Pinnacle Pointe Behavioral Hospital
Little Rock, AR
01.2018 - 03.2019
- Facilitated patient engagement through structured activity services, providing ongoing care observation and role modeling within interdisciplinary treatment framework.
- Assessed patient responses to treatment plans while enforcing safety protocol adherence.
- Managed approximately 30 incoming calls, emails and faxes per day from customers
- Trained new staff on operational procedures and behavioral management techniques, enhancing team effectiveness.
- Developed and enforced safety procedures to mitigate risks within the hospital environment.
- Streamlined patient intake processes, improving overall efficiency and reducing wait times for services.
- Led crisis intervention efforts, employing de-escalation techniques to maintain a safe environment for patients and staff.
Behavior Instructor
Methodist Behavioral Hospital
Maumelle, AR
04.2017 - 10.2018
- Utilize the Teaching Family Model to teach youth social skills. This includes: Preventive teaching, Effective praise, Corrective teaching
- Intensive teaching (tantrum management), Self government (house meetings, green cards, peer manager, problem solving, Motivation systems (point card management, facilitating tally up), Use only approved Crisis Prevention Intervention (CPI) when engaging in physical crisis intervention.
- Follow all policies and procedures. Abides by departmental attendance policy. Complete all required documentation on time and accurately according to policies as well as transition notes, Critical incident reports Observation and rounds reports, Restraint/seclusion forms
- Managed approximately 30 incoming calls, emails and faxes per day from clients
Reimbursement Billing Specialist
Nevada Toxicology
Las Vegas, NV
03.2016 - 03.2017
- Customer Service, Administrative duties
- Insurance Verification, Reconciliation
- Billing using CPT, ICD 9, ICD 10 and HCPCS
- Posting charges and EOB's, working the Aging Report and Correspondence.
- Knowledge of HIPAA, EMTALA, Privacy Policy.
- Submitted multiple claims to third party insurances electronically and by CMS 1500 HCFA Forms.
Internship
All American Surgical
Las Vegas, NV
10.2016 - 12.2016
- Customer Service, Administrative duties
- Registration and Discharge, Scheduling Appointments
- Insurance Verification, Reconciliation, Authorizations and Referrals
- Pulling and Making New Charts
- Billing and Coding from CPT, ICD 9, ICD 10 and HCPCS
- Posting charges and EOB's, working the Aging Report and Correspondence.
- Knowledge of HIPAA, EMTALA, Privacy Policy.
- Submitted multiple claims to third party insurances electronically and by CMS 1500 HCFA Forms
- Prepared client files for review by office manager, post payments, input client information into system, review of EOB's, follow up with patient claims, adhere to HIPAA at all times.
Room Reservation Clerk
BALLY'S HOTEL AND CASINO
Las Vegas, NV
12.2010 - 02.2016
- Handled multiple incoming customer calls efficiently, maintaining service quality during peak call times.
- Administered customer service management systems and databases, ensuring accurate data management and improved service delivery.
- Analyzed customer concerns regarding service pricing and technical difficulties by asking clear, specific questions.
- Evaluated performance metrics and ensured compliance with service and quality benchmarks in all review periods.
- Addressed and de-escalated challenging customer interactions to enhance satisfaction.
- Optimized customer interactions by managing high volumes of inbound and outbound calls.
- Directed customer interactions to maintain high service standards, utilizing empathetic communication and proactive problem-solving skills.
- Oversaw high call volume while maintaining professionalism and composure.
- Managed approximately 30 incoming calls, emails and faxes per day from customers
Education
Diploma - Medical Billing
Brightwood College
Las Vegas, NV12.2016
Skills
- Typing 40 wpm, CPR Certified (8 years)
- Receptionist (6 years)
- Medical Records (2 years)
- Clinical Trials
- Claims (4 years)
- Data Entry (5 year
- Data collection
- Windows
- Friendly, positive attitude
- Teamwork and collaboration
- Customer service
- Problem-solving
- Time management
Certification
- First Aid Certification
- BLS Certification
- Medical Coding Certification
Timeline
NYU Langone
Patient Access Services
01.2025 - Current
Fulfillment Associate
Amazon
10.2024 - Current
RCM Patient Collection Specialist
MedEvolve
08.2022 - 04.2024
Claims Representative
Centene
11.2018 - 03.2022
Mental Hospital Tech
Pinnacle Pointe Behavioral Hospital
01.2018 - 03.2019
Behavior Instructor
Methodist Behavioral Hospital
04.2017 - 10.2018
Internship
All American Surgical
10.2016 - 12.2016
Reimbursement Billing Specialist
Nevada Toxicology
03.2016 - 03.2017
Room Reservation Clerk
BALLY'S HOTEL AND CASINO
12.2010 - 02.2016
Diploma - Medical Billing
Brightwood College
Additional Information
- MEDICAL SKILLS ADMINISTRATIVE SKILLS
- - Billing
- - Collections
- - Reimbursement
- - ICD-10
- - CMS 1500
- - Post Payments
- - Super Bills
- - Schedule Patient Appointments
- - Medical Terminology
- - Patient Charting
- - EHR
- - Medical / Clinical Office Procedures
- - Scheduling
- - Customer Relations
- - Microsoft Outlook
- - CERNA and other Medical Software
- - Supervision and Team Work
- - Basic Medical Billing and Coding
- - HIPAA Compliance
- - Confidentiality