Medical Billing/Vollections
Resume:
LATASHIA N. SMITH
Houston, TX 77066
*********@*****.***
OBJECTIVE To obtain a position in which I am able to utilize my leadership skills, medical billing and collections knowledge, and people skills to reduce A/R and promote “Team Work”. I thrive on challenges and enjoy the task of accomplishing/completing a hard task.
PROFESSIONAL ACHIEVEMENTS TEXAS CHILDREN’S PEDIATRICS
Achieved consistently exceptional reviews in 2011, 2012, 2013, 2014 and on track for 2015
Promoted to Department Team Leader after 10 months
Given the task to monitor and handle all contract compliance in government department
FMA ALLIANCE
Reached $100,000 club of collections within 9 months of employment
Promoted to Unit Manager within a year
SKILLS Collections
Billing
Fast Learner
Microsoft Office Excel
Microsoft Office PowerPoint
Word Processing
Team Building
Team work
Productivity
Internet/Typing
Management
Contract Compliance
Medicaid & Medicare Knowledge
A/R reduction
WORK HISTORY TEXAS CHILDREN’S PEDIATRIC ASSOCIATES, TEAM LEADER, HOUSTON, TX
Sept 2011 – current
Duties included but not limited to:
• Collect on outstanding claims
• Ensure all claims paid according to contacted amounts and payment deadlines
• Ensure contract compliance with Medicaid payers
• Educate providers about Medicaid and Medicaid reimbursement
• Submit corrected claims as needed for reimbursement
• Research Medicaid payer denials
• Stay up-to-date on new Medicaid changes
• Train new hires and extern students
• Assist manager with any project request
• Answer questions regarding EPIC or Government processes from departmental staff and other entities within the CBO
• CBO University Presentations
• Consistently excellent performance reviews
• Determine factors to reduce A/R
• Preform quarterly audits
• Reduce DSO
KINDRED HOSPITAL, ACCOUNT REP SUPERVISOR, HOUSTON, TX
September 2006 - December 2009
Duties included but not limited to:
• Started as a medical biller/collector specializing in Medicaid and Medicare reimbursement
• April 2007 promoted to Supervisor of the collection department
o Responsible for training new employees
o Assisting the current 4 collectors
o Maintaining productivity numbers and A/R Days under 40
o Verifying that claims paid according to the contracted rate or Medicare/Medicaid fee schedule
o Audit accounts
• Manage and collect on insurance accounts that are >30 days past due
• Completing Medicare bad debt w/o timely for fiscal year audits
• Approve time off request according to coverage
TRIUMPH HEALTHCARE, ACCOUNT REP, HOUSTON, TX
January 2006 - September 2006
Duties included but not limited to:
• Collect on 13 LTAC facilities using Affinity
• Maintain A/R days under 45 days for all 13 facilities
• Ensure timely payment on claims and that claims were paid at the contracted rate
MARINER HEALTHCARE, COLLECTION SPECIALIST SUPERVISOR, HOUSTON, TX
October 2003 - January 2006
Duties included but not limited to:
• Collect on accounts >30 days
• Assist 27 skilled nursing facilities with registration, insurance verification, and authorizations
• Billed claims through SSI
• Monitor account reps productivity, time records, and billing records
• Assist management with payer reimbursement issues
• Train new hires
FMA ALLIANCE, UNIT MANAGER, HOUSTON, TX
February 2000 - October 2003
Duties included but not limited to:
• Manage 15 collectors
• Assist clients with any complaint issues
• Hire new employees with the assistance of the Director
• Write appeals for denied claims
• Ensure proper collections to maintain AR days under 120 days
• Ensure that collectors are following FDCPA and HIPPA laws
• Make decisions to divide collectors times to ensure timely collection of past due accounts
• Approve time off request
• Research payer issues and advise the Director
• Perform performance reviews
• Completed any disciplinary actions needed according to policy
EDUCATION BS, TEXAS SOUTHERN UNIVERSITY, HOUSTON, TX MAY 2011
Maintained a 3.2 GPA. Obtained Honor roll two years straight. Studied Chemistry and also took business and account classes.
PRAIRIE VIEW A & M, PRAIRIE VIEW, TX
Played softball on a full scholarship in which I was still able to maintain a 3.4 GPA. Received Athlete of the year my freshman year, captain of the softball team, and Cather of the year.
REFERENCES REFERENCES WILL BE PROVIDED UPON REQUEST
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