Angela M. Smith

**** *** *** ***** ******** MI **445

acvphx@r.postjobfree.com

Cell# 951-***-****

Education

Hart High School, Hart, MI,

****, ******* ********* *******, *** 3.0

Ross Medical Education Center, Muskegon, MI

1999, Certificate, Letter of recommendation upon request, Medical Assistant, GPA: 3.8

Experience

Owner Operator of ASC Revenue Recovery – Full Cycle Billing Outsourcing Company Since June.15

North Ottawa Medical Group. Grand Haven. MI April.2016 – Current

Position: Reimbursement Manager

Manage all facets of the billing cycle for 26 physicians in a West Michigan Medical group. Maintain the PQRS and meaningful use enrollment systems for all provider for the Medical group. Manage a team of 9 in office staff along with the Revenue cycle outsourcing company responsible for our AR management, roughly 7 staff members. Manage the coders for each physician location which include Internal Medicine, Family Practice, Gastroenterology, Pulmonary, Women’s Health, Bariatrics, General Surgery. Monthly Financial statistical reports for each location. Counseling and performance reviews for all employee’s. Adherence to Union rules and regulations of employee standards. Develops and trains staff to create a cohesive and effective billing and collection team. Efficiently uses computerized billing system to gather and analyze billing, claims remittance and collection data Reduces claim submission errors, driving low denial rates Ensures proper and prompt payments from insurance companies. Works to reduce DSO by managing aging of receivables and claim rejections.

Patient collection efforts and measures success of team collections. Reviews refunds and write-off requests. Oversees timeliness of all insurance appeals. Submits claims to insurance on more complex contracts. Responsible for understanding and managing new contracts and fee schedule. Effective at customer service in communicating billing issues for team working directly with patients.

Exagen Diagnostics. Vista Ca. Nov. 2014 – April. 2016

Position: Reimbursement Manager

Managed a team of 15 staff. I managed all areas of the billing from pre-billing, AR collections to cash posting. I had to also help maintain the Self-pay team with workflow for proper collections. Monitored and advised of system issues, billing issues and payer trends. Monthly Revenue collection of $1.4 million. Managing AR of $4 Million. Disciplined and counselled staff. Performance review’s yearly. Medicare and Medicaid experience with all 50 states as our test was performed all across the United States. Maintenance of billing software system. See as well all the job duties as above. I had all the same tasks and responsibilities in each roll.

Walgreen’s Infusion Services Corona Ca. Feb. 2014 – November. 2014

Position: Reimbursement Supervisor

Team builder, trainer, auditor and coach of existing and new employee’s. I monitored the daily tasks of the team to ensure proper revenue goals were met. I monitored the unbilled revenue for proper coding and correct contracted rates. Kept in close contact with staff on any held revenue to ensure claims were released in a timely fashion. On top of my supervisor roles I as well have and had my own workload of billing and collections. I now currently handle a large load of AR for revenue recovery, roughly $800,000. I as well have $500,000 in credits for resolution. I deal daily with complex Excel projects and deadlines set by management. I have to report status of patient accounts verses any risk involved, problem solving the resolution for optimum revenue recovery. The reason I am currently not in a supervisor position within this company is because of a move that was made from Michigan to California.

Lake Shore Home Health Care Muskegon Mi. Jan 2013 –Feb. 2014

Position: Billing Supervisor/Billing Coordinator for a Home Health Care Company

I was hired to coordinate the take back of the reimbursement department from an outsourcing company. I had to choose, load and program codes and contract rates onto the chosen software program. I trained, coordinated and implemented the day to day workflow of the reimbursement for proper cash flow and timely billing to each payer. Trained employees and monitored work for accuracy so that proper protocol per payer was adhered. Dispersed daily duties between employees of all functions of reimbursement. Communicated between Corporate and the branches to ensure proper paperwork is obtained for billing. Addressed any ongoing issues with payers, there were a few large payer issues that I had to resolve which was done successfully resulting in large amounts of revenue profit.

Life Care Solutions, Inc. San Diego Ca. June 2008 - Dec 2012

Position: Reimbursement Supervisor for a DME/Home Infusion Company

I managed the QA and AR team with the daily and monthly functions for up to as many as four different locations at one time. I monitored the daily tasks of our team to ensure that proper revenue and unbilled goals were being met monthly. I monitored the unbilled revenue for proper coding and correct contracted rates. I kept in close contact with staff on any held revenue to ensure claims were released in a timely fashion. I communicated with each branch of current issue’s that was holding up the releasing of the held revenue. I had to monitor and communicate with Management and each branch all payer issue, helping problem solve and resolve. When I started off at LifeCare I was a collector who quickly excelled within the company. The team that I was assigned to was announced Branch of the year 3 times in a row while I was on that team due to us exceeding all cash and branch goals set within LifeCare’s standards.

RCS, Westchester, IL 2006-2008

Position: Patient Accounts Associate/Team lead for Hospital Medical Claims Vendor

Account maintenance/resolve and supervision for Loyola Hospital as a team lead, Liaison for RCS and Loyola Hospital, Liaison for RCS and Cedar-Sinai Medical Center, ongoing staff training, quality control, problem solving, time studies, overseeing work flow between client and our company. Data compilation, call center, variety of exposure- I had worked with four different hospitals while with the company. Letter of recommendation upon request

Accomplishments: Team lead after three months with the company. Appointed trainer for new hires. Upon hire never fell below the third highest producing employee throughout duration with the company