Marcella Smith has over 20 years of experience in medical billing and revenue cycle management. She has held positions as a revenue cycle manager, medical billing manager, and billing supervisor/manager. In these roles, she oversaw billing departments, managed accounts receivable, trained staff, ensured proper credentialing and coding practices, and maintained relationships with medical practices and insurance payers. She is proficient in various medical billing software programs, coding, and credentialing practices.

1. MARCELLA SMITH CPC
719 BELMONT AVE, FOLSOM PA, 19033 484-547-8486 MSMITHHPM1@VERIZON .NET
EXPERIENCE
M ALVERN, PA FRESENIUS VASCULAR CARE 2014-2016
R EVEUNE CYCLE MANAGER- NORTH REGION
 Responsible for all accounts receivable for locations within the north region of the united states including
Vascular locations in Pennsylvania, New jersey, New York, Connecticut and Rhode island
 Managed daily workflow and distribution of workflow hiring and disciplinary actions up to and including
termination of 10 employees and 1 team lead.
 Responsible for collections of average gross charges of $28 million dollars monthly while maintaining A/R
over 90 days at 17% or below, looking to maintain 90 day= 7% , 120 days= 5%, 150 days =5%.
 Learning all payers in respective states and their requirements for accurate timely billing of claims
 Working with credentialing department to insure all physicians are correctly credentialed with all involved
payers to optimize cash flow
 Responsible for maintaining relationships with all sites in order to ensure correct practices for intake,
verification, referral and authorization processes
 Work directly with region trainer to update sites on any requirement changes made by payers
 Responsible for the creation, implementation, and training of all policy and procedure best practice
functions by state and payer for North region.
 Responsible for pilot program which allows charges to be reviewed by billers prior to being rele ased for
correct coding ,authorization and referral requirements
SPRING CITY ,PA Healthcare Provider Management 2006-20014
MEDICAL BILLING MANAGER
 Responsible for input and output of all insurance and third party medical and legal
Claims multiply medical specialties (9 practices at any given time)
 Review coding on charge slips and multiply EHR systems before release of claims
 Oversee and train charge entry and payment posting staff
 Educate physicians, medical staff and patients on insurance medical policies and coordinate financial
responsibility for healthcare delivery
 Coordinate all aspects of credentialing between medical offices or facilities and third party payers
 Support practice transitions to EHR systems as well self-train on these systems thru online education
videos and training guides
 AR cycle specialty, review every practice on a revolving schedule to insure best revenue outcome
 Direct relationship with all members of each practice from physicians to front desk to provide support for
all needs from insurance verification to coding and use of modifiers as well as patient needs in relation to
copays, deductibles and other responsibilities to communicate proper personal information and insurance
to practice for proper claim outcome
PHILA,PA
Graduate Hospital Department of
medicine
2004-2007
BILLING DEPARTMENT MANAGER
 Complete oversight of medical claim and third party revenue cycle for a multi-million dollar,70 physician
 Medical education and Research foundation
 Leader in implementing new practice management system to create better production and efficiency.
Created Billing department employee systems and policies
 Responsible for the training and management of a staff of 12 employees designated to the billing
department.

2.  Assisted in set up of new practices, conformation of provider file information used to set up new billing
system.
 Reviewed polices for better coding and reimbursement as well as fee reviews for maximum payment
from insurance providers
FOLSOM,PA ARC Account Receivable Concepts 1997-2004
BILLING SUPERVISOR- FOLLOW UP DEPARTMENT
 Assist in setup of new practices, confirmation of provider file information used to set up new billing
system
 Collections of outstanding Balances
 Reviewed policies for better coding and reimbursement As well as fee review for maximum payment from
insurance payers
 Direct contact with all aspects of client’s offices from physicians to front desk to assist in improving
practice performance.
 Responded to patients needs directly in relation to balances due
EDUCATION
N UEMANN UNIVERSITY CODING COURSE 2011
CP C CERTIFIED AND CURRENT AAPC MEMBER UPLAND CHAPTER ICD9/ICD10
D E LAWARE COUNTY COMMUNITY COLLEGE
I N TERBORO HIGH SCHOOL
.
O THER EXPERIENCE
 Software systems – DOCTOR.COM, KARREO, MYWAY, ALLSCRIPTS, and HEALTH FUSION. IMAGINE,
NAVICURE AND NEXTGEN
 proficient with Navinet, Promise, Emdeon, Caprio Gateway also use many direct payer sites
Proficient with workers’ compensation and auto insurance billing. Inpatient and nursing facility claims.
 Proficient with Microsoft Word & Excel, and Adobe Acrobat.
 Practices specialties billed for Colon rectal, rheumatology, cardiology ,wound care, infectious disease,
Pediatric Cardiology, primary care(multiply) , Physical Therapy, Podiatry ,interventional radiology, Foot
surgeon, OB/GYN, Infectious Disease,
R EFERENCES
References are available on request.