Demarra Smith

Demarra C. Smith 3514 Pinto Rd. Kalamazoo, MI 49004 Telephone: - Email:- Healthcare Administrative Support Profile: I would provide administrative support experience that offers versatile office and management skills. I am a team player that also works independently and meets all expectations within specified periods of time, with quality performance. I am an excellent problem solver, with the ability to adapt to any situation. As well as manage multiple priorities under pressure, with a positive attitude. Education: Ashford University - Online ● Concentration Healthcare Management QC School of Event Planning ● Certified IEWP (International Event & Wedding Planner- Completed Ryan Horns ICD-9/CPT Coding course 2010 Graduate of Loy Norrix High School 2001 Experience: Radiation Business Solutions Joelton, TN April 2022 - Present Revenue Navigator ● Review client activities each day, reviewing the CPT and ICD-10 coding for accuracy and validity and as compared to chart documentation. Understand benefits for each patient’s plan and provide estimates and set up payment plans as needed. ● Ensure all insurance, demographic and eligibility information is obtained and entered in practice management system in an accurate and timely manner. ● Performs insurance verification process for all new and established patients. ● Minimize denied claims from front end errors to less than 1% by obtaining prior authorization requests for patient treatment and surgeries. ● Resolves patient questions and concerns regarding financial responsibility (deductible, co-insurance, patient responsibility) as needed. ● Make or report all needed changes/corrections as necessary as per client’s protocols. Enter authorization information in client’s EMR, and our internal billing system. ● Communicate all discrepancies and deficiencies to client daily/weekly as per the client’s preferred communication method. ● Participate in all required meetings with client/personnel, become one of the team. ● Stay up to date on all CPT/HCPCS/ICD-10 code changes and all payer policy coding requirements. ● Create relationships at the payer level to assist with initial authorization approval, reduce need for peer to peer and successful reversal of authorization denials. ● Interact with physicians, medical office personnel, patients, and internal team members to ensure the A/R cycle is completed in an accurate and timely manner. ● Aging over 90 days below 15% and DSO under 35 Stryker Corporation Portage, MI May 2021 - April 2022 Segmentation Specialist ● ● ● ● Enter segmentation request data into data base. Review CT Scans for conformity to required protocol. Segment CT Scan Data using specialized software to create 3D Anatomical Bone Models. Create Pre-Operative Surgical Plans for robotically assisted Total Hip and Total Knee Arthroplasty. ● Review CT segmentations and Surgical Plans for accuracy of anatomical landmark selection, and implant sizing and positioning. ● Upload completed Pre-plans to field based personnel. ● Document all activities according to prescribed methods and procedures. KNI Southwest Michigan Imaging - Kalamazoo, MI 2014 - 2021 Patient Services/Scheduling ● Schedule patient CT/MRI scans. ● Conduct implant research for MRI compatible devices and foreign objects placed in patients. ● Check patients in and out for appointments. ● Collect payments. ● Verify insurance ● Schedule ER/Inpatient scans ● Knowledge of insurances (Medicare, Medicaid, Commercial, and HMO plans). West Michigan Cancer Center – Kalamazoo, MI- Patient Services Coordinator ● ● Schedule patients for necessary tests; such as CT’s, MRI’s, Ultrasounds, PET scans, and Labs, etc. Answer incoming calls from patients, and outside facilities. ● ● Coordinate referrals to outside Physicians and facilities. Schedule future appointments for patients returning to WMCC. Borgess Ambulatory Care – Kalamazoo, MI- Patient Financial Specialist ● Worked with patients accounts. Setting up financial payment plans, receiving payments, posting credit cards, and cash, assist with financial assistance, and applying discounts for services provided. ● Collaborating with our collection agency, sending unpaid accounts to collections, and communicating when they have been paid. ● Attaching insurance to patient accounts, and billing insurance. ● Answering phones, mail returns, NSF fee’s, deceased patients, and responsible party accounts. ● Assist patients disputing charges, or services provided. ● Knowledge of major insurance’s, such as Medicare, Medicaid, Blue Cross Blue Shield, Medicare Advantage plans, Commercial payers, and many more. Borgess Medical Center - Kalamazoo, MI- Patient Access Associate - Level I ● I developed the ability to work in a fast paced environment, multi-tasking, strong organizational skills, and prioritizing to the needs of the department. Maintaining excellent customer relationships with patients, physicians, nurses, social workers, visitors, and all other hospital personnel. Works professionally, takes accountability, and pride in work. Demonstrates flexibility in all work areas, and cross trained to multiple areas. ● Verified insurances, collection of co-pays, and accurate patient demographics, ensuring appropriate billing for the hospital and patient services. Able to find resolution for past due accounts, and self pay balances. Utilizing resources to calculate the co-pay, obtaining installment plans, knowledge of financial screeners to identify other payers, workers comp, or COBRA coverage. Knowledge of third party payers, Medicare, Medicare HMO's, commercial, Tricare, miscellaneous insurances, and classification of insurances. Knowledge of departing and coding charts to bill correctly. ● Participates as a team player, encourages professional growth amongst peers, and works independently on assigned tasks ● Assisted doctors, nurses, and other medical staff by completing physician orders, paging other physicians when needed, appointment scheduling for referrals, directing all calls to their correct destination, all within a timely manner. Bronson Family Practice - Portage, MI- Practice Support Assistant/ Medical Records ● Scheduled patient appointments, canceled appointments, multi phone use, checked patients in and out, collected co-pays, and past due accounts, obtained charts when needed quickly, updated patient demographics, and insurances, entered insurance for billing, and verified insurance. Accountable for money coming in to the office, and balancing drawer at the end of each shift performed. Assisted the office staff with all clerical duties needed to provide a professional and efficient office setting. ● I maintained responsibility for all medical records, mailing and receiving records, faxing in accordance with confidentiality, and obtaining appropriate consent from patients. Bronson Hospital - Kalamazoo, MI 2006 Resource Cashier ● Collection of co-pays, or any other medical bill payments, balanced collections from Breast Feeding Center, Pharmacy, and the Gift Shop at the end of every shift. Prepared money batches daily, and made daily deposits. Balanced money drawers accurately and, efficiently at the end of each shift. Professional Skills ● Availity, Unlimited Financials, Waystar, Epic, Medipac, Protouch, Solcom, FirstNet Cerner, Powerchart, CBCnovis, Tiger Mysis, Accretive workbench, C-SNAP, multi-phone system, paging system, and Medifax. ● Medical terminology, HIPPA, JCAHO, physician transcribing, CPT, HCPCS, and department coding experience, Insurance authorization. References available upon request