Summary
Overview
Work History
Education
Skills
References
Languages
Timeline
Generic

E. Adriana Smith

Bensenville,IL

Summary

Highly skilled Billing Specialist with background in managing complex billing systems, ensuring accurate invoicing and maintaining financial records. Strengths include deep understanding of accounting procedures, proficiency in billing software, and ability to handle high volume workloads efficiently. Previous roles involved proactively resolving billing issues, improving internal tracking processes, and contributing to successful audits.

Overview

15
15
years of professional experience

Work History

Billing Specialist

Josselyn Center
Northbrook, IL
04.2024 - Current
  • Resolved discrepancies between customers' remittances and invoices received.
  • Answered customer inquiries regarding billings, payments, account status.
  • Investigated incorrect billings and processed refunds as necessary.
  • Maintained accurate records of collections, adjustments and denials in the system.
  • Processed credit card transactions through Point-of-Sale terminals or online systems.
  • Worked closely with patients to discuss payment arrangements when needed.
  • Worked with team members to identify and develop process improvements.
  • Submitted claims to insurance companies.
  • Communicate with insurance companies, clients, and internal teams to resolve discrepancies.
  • Identify trends in claims denials and recommend corrective actions to prevent further issues.

Billing Specilast/Office Manager

Vista Linda EyeCare
Mount Prospect, IL
05.2013 - 02.2024
  • Apply adjustments and credit balances to patient accounts, insurance, and medical providers in network.
  • Process pending items including charges, payments, and personal information updates via inbound calls.
  • Assist in educating onboarded teammates on new insurance and HIPAA guidelines for current year.
  • Complete medical records requests and corresponding invoices from physician offices and medical facilities.
  • Evaluates patient's financial status and establish budget payment plans and reports the status of delinquent accounts to manager.
  • Handle collections on unpaid accounts while adhering to company benchmarks as assigned.
  • Provide specialty billing and coding recommendations and share information to the billing team.
  • Miscellaneous administrative duties (i.e., filing, scanning, archiving, etc)
  • Respond to inquiries and correspondence from insurance companies, patients, and other third party payers in a professional and timely manner.
  • Rebill claims, ensuring that all information contained on the claim is accurate and complete.
  • Insurance verification to confirm member eligibility

Customer Service Representative

Essilor of America
Hoffman Estates, IL
10.2011 - 05.2013
  • Set up and activated customer accounts.
  • Answered inbound calls, chats and emails to facilitate customer service with Oracle
  • Provided back-order reports for all CSRs
  • Printed invoices for return lenses for customers.
  • Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
  • Answered incoming calls and emails, providing frontline customer support or assistance with product and service transactions.
  • Drove financial performance of assigned area by ensuring sales profit goals were achieved by identifying and delegating responsibilities for employees.

Optician

The Eye Boutique
Niles, IL
01.2010 - 12.2011
  • Assisted patients and customers with choice of frames to best fit budgetary requirements and style preferences.
  • Recommended specific lenses, coatings and frames to suit individual client needs.
  • Verified and Billed patient's insurances for VSP, EYEMED, DAVIS, MEDICAD, MEDICARE
  • CMS1500
  • Facilitate workflow, coding, and outbound calls to insurance carriers to investigate rejects and denied claims for individuals and dependents.
  • Facilitated optimal care by exploring past histories, systemic illnesses and current medications with patients.
  • Instructed patients on insertion, removal, cleaning, care and proper handling of contact lenses.
  • Provide specialty billing and coding recommendations and share information to the billing team.
  • Process pending items including charges, payments, and person information updates via inbound calls.
  • Complete medical records requests and corresponding invoices from physician offices and medical facilities.
  • Verified and Billed patient's insurances for VSP, EYEMED, DAVIS, MEDICAD, MEDICARE

Education

Medical Assistant

Westwood College
01.2006

High School Degree -

Streamwood High School
01.2003

Skills

  • Email/Chat Support
  • Insurance claims
  • EHR/EMR Navigation
  • CPT and ICD-10 diagnosis coding
  • Customer service
  • Collections
  • Medicare and Medicaid
  • Commercial insurance
  • Benefits verification
  • Active listening
  • Claims processing
  • Credit balance adjustments
  • Insurance verification
  • Fast-paced environments
  • Data entry accuracy
  • HIPAA Compliance
  • Medical billing and collections

References

REFERENCE Available upon request

Languages

  • Fluent in English and Spanish

Timeline

Billing Specialist

Josselyn Center
04.2024 - Current

Billing Specilast/Office Manager

Vista Linda EyeCare
05.2013 - 02.2024

Customer Service Representative

Essilor of America
10.2011 - 05.2013

Optician

The Eye Boutique
01.2010 - 12.2011

Medical Assistant

Westwood College

High School Degree -

Streamwood High School

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E. Adriana Smith