Trysenia Smith
Walpole
Summary
Trained and dedicated billing professional passionate about the healthcare system. Experiences with ICD-10 coding, medical terminology, data management, VOB, authorization and other administrative tasks. Experienced with various computerized programs and electronic health records.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Verification of Benefits Specialist
WALDEN BEHAVIORAL CARE
01.2021 - Current
- Responsible for investigating resolution of patient responsibility
- Contact insurance companies to verify patient insurance coverage
- Maintain a system for initial and subsequent verification of benefits
- Prepare call notes, initiate, or execute the corrective measures
Revenue Cycle Associate
STEWARD HEALTHCARE
09.2019 - 01.2021
- Submit claims to commercial insurance payers
- Queue accounts for secondary billing
- Complete payers follow up maintaining a daily average of45-50 accounts per day
- Reconcile payments and contractual adjustments
- Manage payer appeals process
- Experienced with reordering and adding medical insurance
- Communicate with patients regarding account balances and insurance matters
Surgical Insurance Coordinator
FRANCISCAN HOSPITAL FOR CHILDREN
03.2016 - 09.2019
- Trained in HIPPA compliance to access EMR for patient information
- Confirmed patient demographic information
- Verified patient insurance benefits
- Requested authorizations and referrals in a timely manner for surgical procedures
- Collected copays and deductibles in advance of patient services
- Worked closely with doctors, dental offices and surgical schedulers to ensure smooth process flow and excellent customer experience
- Prepared patient surgical packets
- Completed claims follow up, rebilling and appeals for surgical services
- Trained in patient registration and Admissions processes
Customer Care Representative II
DELTA DENTAL
08.2012 - 03.2015
- High level of knowledge and proficiency with all Delta Dental products and plan benefits
- Managed a large volume of incoming calls from members, providers and benefit administrators, reviewing EOBs, addressing plan benefit discrepancies and managing overall customer service complaints by providing the best resolution to resolve the problem
- Excelled in resolving complex issues independently
- Consistently met all performance benchmarks
- Assisted Liberty Mutual Dedicated Unit to meet yearly quality control goals
- Contributed to organizational results by providing unwavering support and commitment
Bank Teller
BANK OF AMERICA
02.2009 - 01.2011
- Greeted clients in a welcoming and friendly manner
- Performed cash management services
- Balanced cash drawers at the end of shift
- Maintained appropriate cash limits
- Processed loan expenses
- Opened new accounts for clients
Education
High School Diploma - undefined
Madison High School
Roxbury, MADuly appointed Notary Public - undefined
The Commonwealth of Massachusetts
Skills
- Detail Oriented
- High Level of Adaptability
- Insurance Eligibility
- Authorizations and Referrals
- Highly Organized
- Positive/Flexible Attitude
- Excellent Time Management
- Customer Service
- Work in a Team Environment
- Medical Terminology
- MS Office Suites
- Problem Solving
Certification
- State Driver's License
- Notary Republic
Timeline
Verification of Benefits Specialist
WALDEN BEHAVIORAL CARE
01.2021 - Current
Revenue Cycle Associate
STEWARD HEALTHCARE
09.2019 - 01.2021
Surgical Insurance Coordinator
FRANCISCAN HOSPITAL FOR CHILDREN
03.2016 - 09.2019
Customer Care Representative II
DELTA DENTAL
08.2012 - 03.2015
Bank Teller
BANK OF AMERICA
02.2009 - 01.2011
High School Diploma - undefined
Madison High School
Duly appointed Notary Public - undefined
The Commonwealth of Massachusetts
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