Medical Billing Front Desk

JoAnn Smithwick, LPC, MPH

Carrollton, Texas *****

adrfda@r.postjobfree.com • 813-***-****

Summary Revenue Cycle Specialist Profile

Educated, motivated, and results-driven Revenue Cycle expert with demonstrated capacity for providing leadership and consultation within dynamic healthcare environments. Reliable organizer and emotionally intelligent leader. Combines strong communication, technical, financial, and business expertise to guide project planning, control costs, and meet deadlines.

Areas of Expertise

Data Analytics

Process Enhancements

Medical Billing & Coding

Claims Management

Electronic Medical Records

Project Management

Healthcare Reimbursement

Customer Service Excellence

Revenue Cycle Management

Education

Master of Public Health Administration, Business & Professional Counseling (MBAC)

Liberty University, Lynchburg, VA

Bachelor of Arts, Business / Public Health Administration

Trevecca Nazarene University, Nashville, TN

Bachelor of Science, Leadership & Business

Dallas Christian College, Dallas, TX

- Licensure & Certifications -

Texas National Counselors Exam (LPC-I)

State of Texas, 2019

Career Experience

BayMark Medical 2020 - present

Director of Business Office Support Services, (March 2020 to present)

Responsible for the Office Based Opioid Treatment and Residential Treatment Centers up-front operations and for the organizing revenue cycle management part of the substance abuse disorder programs. This included activities related to admissions, registration, and precertification/preauthorization, insurance verification, financial counseling, and on-site cash collections, ensuring optimal patient relations, and performance standards are maintained. In addition, responsible for training, directing, and auditing the Business Office Services Coordinators, Front Desks, Intakes, Admission Clerks, Patient Account Representatives, and Fiscal Clerks. Essential Duties are as follows:

Travels to different clinics to direct the planning and facilitating all patient registration functions in order to ensure effective cash flow through quality data gathering, focusing on upfront cash collections, finding funding solutions for uninsured patients, improved customer satisfaction, improved employee satisfaction and maximum reimbursement for clinic services rendered to patients.

Coordinates activities with the Vice President of Revenue Cycle Management.

Facilitates communication between the clinics and other departments within the National Support

Center.

Provides guidance and direction in acquisitions due diligence.

Provides guidance and direction in de novo program openings.

Develops training materials related to the company’s EMR.

Provides guidance and direction in company EMR conversions.

Provides front desk guidance and develops policies and procedures for grant patient qualification and verification.

Develops and implements goals and objectives for the Front Office area that support the missions and objectives of the clinic and BayMark.

Collaborates with the National Support Center leadership to prioritize clinic initiatives and objectives

Implements, monitors, and revises annual goals, objectives, and performance standards for each functional area of departmental responsibility.

Monitors, tracks, and evaluates staff productivity and performance and provides summary reports to executive management on a monthly basis.

Manages front-end fiscal clerks and administrative coordinators

Assist in managing, developing, implementing and execution of all training plans on new acquisitions.

Updates process and procedural documentation for new acquisitions while facilitating training.

Christus Healthcare, Irving, TX 2012 – 2020

Senior Applications Analyst, (2016 - 2020)

Offered consultation, leadership, and assistance regarding claims handling, charges, and payer compliance. Promoted workflow improvements to enhance revenue cycle, applied innovative solutions to ensure quality and continuity, and supported workforce development and training efforts to sustain staff competencies.

Updated and supported Meditech system dictionaries for admitting, charge and procedure entry, company and payer level edits.

Assessed and supplied data integral to systems analysis, enrolled numerous facilities in effective electronic remit and payment programs, and maintained docket of requests via Service Now system.

Generated revenue and data mining reports utilizing advanced knowledge of key applications including Microsoft Excel, Word, PowerPoint, OneNote, and OneDrive.

Applications Auditor, (2012 – 2016)

Led Patient Financial Services in securing timely submission of claims representing $12B in monthly revenue. Directed AR functions including cash applications, collections, and EOB applications. Observed, maintained, and serviced billing systems while securing enterprise wide enrollment in electronic payment systems.

Coordinated cross functionally with stakeholders within revenue cycle to secure continuity, accuracy, and the timely collection of all relevant patient data.

Served as consummate problem solver and innovative thinker, auditing ICD 10 and CPT coding, billing, methods and billing processes while securing compliance with all regulatory guidance.

Earned reputation for effectually multi-tasking, setting, and adjusting priorities to meet the evolving needs of the Audit and Compliance, Patient Financial Services, and Shared Services teams.

WellCare, Inc, Tampa, FL 2007 – 2008

Operations Department Supervisor, (2008)

Oversaw up to 32 associates, including 16 claims examiners and auditors, delivering comprehensive claims and payer management. Supported technical and procedural improvements, distributed and monitored completion of daily workload, and served as front line liaison for troubleshooting service line issues.

Scrutinized payer trends, implemented workflow and process enhancements that drove efficiencies, and boosted accuracy while increasing productivity.

Evaluated associate performance, set goals and expectations, and served as mentor, role model, and teacher while setting the standard for excellence.

Revenue Reconciliation Analyst, (2007 – 2008)

Directed team accountable for accurate and timely premium reconciliation across all government business lines. Served as fiscal liaison between corporate finance, regional finance, and regulatory teams. Evaluated contractual agreements, implemented automated tools, and advanced improved policies and procedures.

Served as project lead for the development and implementation of improved automated reconciliation tool and made recommendations for resource utilization, prioritization, and effectual timeline execution.

Coordinated with leadership to create new accrual process for membership and premiums related to outstanding cash variances.

Additional prior experience includes Claims Analyst with Perot Systems, Inc.

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