Tonya R. Smith

Phone: 614-***-****

Email: ad4mo6@r.postjobfree.com

Objective Statement: Efficiently apply communication skills, troubleshooting knowledge, detailed organization, collaborative, utilization, quick learning, and strong work ethic to working with patients, employees, providing professional growth in Healthcare/and Business Management, Procurement, Senior Accountant, Case management, Home Health and hospice referrals, managed private duty nursing, clinical operations office management, pharmacy technician, Ohio department of Medicaid (ODM), CMS, SME, POS, Excel, PMM, CRM, PeopleSoft, SharePoint computer systems and operations, Covid- 19 Health Screener.

EDUCATION:

• 2021-Present- University of Phoenix, Arizona MBA Business Management

• 2015- 2020 University of Phoenix, Arizona BSHA/HMC Healthcare Management

• 1997-2002 Columbus State Community College Business Management

• Certificate in CPR and First Aid

• MRDD Disability

EMPLOYMENT EXPERIENCE:

Maximus Columbus Ohio

CMS Credentialing Specialist 2023 to 2024

● Department of Medicaid, Medical Credentialing Specialist for all medical professionals (MD, DO, CNP, LPCC, SLP, MSW, etc.)

● Medical facilities, affiliated office, and associated practices, credentialing all 50 states in the United States

.

AEP Columbus Ohio Senior Accountant 2023-2023 (Contract)

● Perform general ledger accounting functions, including journal entry process development and review, general ledger account reconciliation review for high-risk accounts, Sarbanes-Oxley compliance, balance sheet reviews, detailed account activity analysis through the development and use of data analytic tools and processes, and other complex responsibilities related to the closing process.

● Participate in the monthly accounting closing process, including the preparation, review, and presentation of monthly, quarterly, and year-to-date account variance analyses.

● Prepare, review, or assist with the preparation and review of internal management report, s ensuring the accuracy and completeness of financial data.

● Develop and cultivate positive business relationships between accounting and other AEP business partners.

Huntington Bank Columbus Ohio Count Order Processor 2022-2023 (Contract)

● Processed IRS levies, citations, garnishments, child support orders, and releases.

● Interact with attorneys, IRS, state, federal agents/police, courts, and customers.

● Received subpoenas and certified mailed documents, payroll records, reversal and deductions on statements.

Dove Healthcare Services LLC Columbus Ohio MRDD Disability Provider/Assistant 2022- Present

(Part-time)

● Provide care, assistance, and support with daily personal care, meals, eating, and daily functions and activities.

● Behavioral Health, ISP, DODD waiver Medicare/Medicaid Level 1, Passport waiver programs, Ohio department of Medicaid, case management, Sandata. Ohio Living Corporate Central Authorization Coordinator Westerville, OH 2021-2022

• Collaborates with discharge planners and marketing team to manage processes, protocols, and timeliness of all referrals to meet the comprehensive needs of the patients.

• Interacts with patients, physician offices, and staff during phone calls, triages priorities, and schedules SOC/ROC visits, as needed. Identifies and interprets clinical referral documents to assist with site coordination of clinical care priorities, i.e., same-day open cases, IV infusion services, wound care, etc. to ensure timely admissions.

• Monitors for home health, hospice, and private duty referrals and enters referrals into HCHB utilizing an electronic medical records platform. Attaches all referral documents in HCHB and processes referral workflow.

• Monitors and follows up continuously on all pending referrals, missing documents, F2F, diagnoses, or orders.

• Contacts patients to obtain necessary personal information to complete the referral, i.e., social security number, insurance information, etc.

• Completes all referrals by accessing the hospital's electronic health record system to obtain relevant information and documentation, i.e., insurance, history physical, face-to-face, etc.

• Enters data to initiate opening new patient files in the EMR and labels and attaches all clinical documents into the EMR for use by clinicians, office staff, authorizations, etc.

• Review payer eligibility and authorization notes in HCHB before scheduling SOC.

• Works with schedulers and team to coordinate all needs of staff and patients and assists with scheduling for timely initiation of care.

• Central Authorization with My Nexus, Medicare/Medicaid Molina, Care Source, Molina, Aetna, Buckeye, VA Optimum, Coram Infusion, etc. services for home health and hospice patients. Supreme Touch Home Services, LLC Columbus, OH Corporate Office Manager 2019 -2021

• Supervised patient scheduling, registration, financial counseling, medical records, billing, authorizations, clinical tracking, utilization management, clinical tracking, and operations.

• Coordination of the day-to-day operation of the practice, developing, implementing, and maintaining an office, case management referrals hospice, home health, pediatric, and private duty nursing.

• Interviews hire and train productive Home Health Aides, LPN, and RNs nursing media staff, marketing business, and recruitment.

• Serve as a member of the Advisory Committee

RPH on the GO – Covid-19 Health Screener, New Albany, OH 2020 -2020 (Part-time)

• Covid-19 Health Screener for all employees and staff workers upon entering the workplace or building.

• Health Liaison for employees and monitoring symptoms for Covid-19

• Tracking and documenting Covid-19 screening reports and relaying information on treatment and testing.

CDC Of Franklin County (Contract) Columbus, OH Administrative Assistant 2018 -2019

• Ohio CACFP Child Enrollment Packet pre-admissions process, Income Eligibility Application

(IEA).

• Monthly Meal Count Record for children 1 year to 5 years of age. USDA Child and Adult Care food program.

First Chiropractor LLC Patient Advocate (Contract) Columbus, OH 2018 – 2018

• Ensure that every patient is handled properly and effectively, and any issues are resolved.

● Advising patients by organizing various physical rehabilitation and healthcare-related support PCA Pharmacy (Contract) Columbus, OH Pharmacy Technician 2017- 2018

• Processed E-Scripts from physicians and clinical orders for prescriptions.

• Provided prescriptions for doctors' patients' nursing facilities, state and county affiliated, and retail.

• Relayed information to other pharmacies and suppliers for medications

• Verified insurance information

• Processed prescriptions and medications with the RX-Robot dispense.

• IV infusion prescriptions

National Churches of Residences Universal Health Columbus, OH 2017 - 2017

• Specialize in Alzheimer, Dementia, Parkinson’s disease, ADHD, and Down syndrome patients in adult day care environments, high, medium, and low functioning patients.

• Quality Care and customer service to help assist patients with life-skill responsibilities.

• Assisting with dietary, toileting, assistance with eating, medication administration, housekeeping, daily activities, food preparation, dressing, and daily tasks.

• Work cooperatively with customers to help assist patients with life skill responsibilities. Trio Pharmacy Dr. Ayesu Columbus, OH Pharmacy Technician 2016-20017

• Processed E-Scripts from physicians

• Provided customer service for doctors and patients

• Relayed information to other pharmacies and suppliers for medications

• Verified insurance information

• Processed prescriptions and medications with the RX-Robot dispenser. Ohio Health, Inc. Environmental & Nutrition Services Columbus, OH 2015-2016

• Maintained the conditions of the internal environment of the hospital

• Assistance with patients, physicians, nurses, paramedics, and medical staff

• Provided nutrition to all patients according to specific diet details for multiple units. GC Services, Inc. Dept. of Education Columbus, OH, Collection Representative 2014 -2015

• Performed collections for student loans, rehabilitation accounts, and deferments with total collections monthly of $150,000 - $350,000

• Prepared forbearances for federal student loans

• Processed loan payments and provided customer service EIS, LLC Columbus, OH Probate Legal Assistant 2010 -2013

• Managed collections on deceased probate accounts (specialty accounts): Capital One Auto, Sallie Mae. Encore/Midland Funding, Equable Accent Financial, Security Credit Services, Transworld System Inc.

• Received and placed 50 –100+ inbound/outbound calls daily

• Skip tracing

• Responsible for filing new probate claims on estates

• Managed all first-party contact with family/executors and third-party contact with legal assistants, paralegals, courts, and authorized parties

• Resolved probate claims with attorneys, including litigation, medical malpractice, and wrongful death cases

• Managed and processed e-pay payments for direct payment on claims filed

• Followed up on liens and filed releases with the court on paid accounts

• Faxed, ordered, and reviewed statements

• Performed verification on delinquent accounts,

• Requested repossession orders for vehicles

• Managed collection on inventory placement accounts valued at $8 -$10 million per month, Charter Properties Columbus Ohio Property Manager 2005-2008

• Managed operations budget within 5% variance for apartments, multiple residential and single- family rental properties

• Section 8, HUD, PRC vouchers, inspections, certifications for properties

• Collected on past-due accounts

• Prepared legal documents

• Resolved disputes

• Implemented customer service, occupancy, collections, legal documents, resolved disputes, media relations/advertising, administrative duties, and sales tracking 95% quarter reporting

• Supervisor/Hired maintenance staff and subcontractors of 20 to 30 employees. OSI Outsourcing Columbus, OH Loan AWG & Rehab Specialist 2002 - 2005

• Managed retention recovery on NSF, garnishments, and defaulted government loans

• Maintained monthly spreadsheets for VP, manager, and clients

• Responsible for processing all federal consolidation applications for various clients (Great Lakes, Sallie Mae, ECMC, IDOR, ED-Fund (California), Illinois, ASA AES, Iowa

• Managed all documentation for inbound and outbound calls follow-up on FDCPA regulations. Ashland Chemical Corp, Dublin, OH Customer Sales Representative 1998 -2001

• Established and managed all customer accounts in Louisiana, Kansas City, and Nebraska (150 accounts)

• Managed daily sales of $100,000- $350,000

• Traveled to accounts and attended yearly national sales meetings.

• Managed and provided marketing, technical, and chemical sales to outside sales representatives

• Resolved technical problems while assisting in new growth with old accounts and new accounts

• Monitored inventory status, product searches, pricing, and color matching

• Followed up with direct vendors regarding export and import freight deliveries

• Managed accounting of revenue, credits, debits, and special billing/orders Agee Clymer Morgan, Fulton & Associates Columbus, OH Legal Assistant 1991- 1997

• Lead office operations, records services, administrative, and service department functions.

• Performed duties as a receptionist, file room clerk, and file room supervisor

• Managed worker's compensation claims at BWC, including processing claims with the courts and customer service.

• Maintained legal secretary duties, which included typing, dispersing checks, making follow-up phone calls along with other duties as assigned.

• Maintained correspondence with doctors, medical staff, and attorneys. References available upon request(s)

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