Anila Smith has over 20 years of experience in community outreach, family services, and billing. She holds a Master's degree in Health Administration and B.S. in Human Resources. Her experience includes roles as a Services Coordinator providing intake, education, and referral for families, a Behavioral Health Specialist developing treatment plans and goals for clients, and a Provider Claims Representative processing medical claims. She has strong skills in case management, policy and compliance, and negotiating service contracts.

1. ANILA SMITH
10112 Clark Street, Philadelphia, PA 19116
215-715-6461
anilamathew1969@yahoo.com
* Over twenty years of community and family outreach and over five years of billing service
experience. Proven results-oriented leader and creative problem-solver; Extensive experience
managing the day-to-day operations of unit personnel; Working Knowledge of community
resources and how to access services for families and children.
EDUCATION
• Master of Health Administration University of Phoenix Levittown, PA 2009
• B.S. Human Resources Geneva College Beaver Falls. PA 1997
• A.A. Psychology Philadelphia, PA 1991
• Certificate of Health Insurance Russ Financial Schools, Philadelphia, PA 2008
EMPLOYMENT EXPERIENCE
NHS Eearly Intervention Langhorne PA 2014-Present
Services Coordinator
• Provides general service management and screening which includes intake, education
(services available and application procedures, developmental assessment) and referral of
residents to service providers in the general community, emergency assistance).
• Monitors the ongoing provision of services from community agencies and keeps the case
management and provider agency current with the progress of the individual. Manages
the provision of supportive services; where appropriate.
• Serves as a liaison to community agencies, networks with community providers and
seeks out new services available to the residents.
• Provides Community enrichment groups; home visits and parent groups; transition
assistance
Allegheny Valley School
Behavioral Health Specialist 1998-2002
• Evaluation of MR clients, writing and implementing goal plans based on each client
needs, charting any medical changes in client due to meds or physical disabilities
• Supervised staff on all activities including daily living with clients, training staff on all
paper work pertaining to facility requirements; Lead the interdisciplinary process in
assessing the desires, strengths, and needs of the individuals in Residential service;
Developed goals and objectives, and evaluated progress toward independence
• Oversee and work with the various department heads to ensure goals are met and files are
processed in accordance with agency and state mandates
• Modify treatment activities and approaches as needed in order to comply with changes in
clients’ status
• Learn about new developments in their field by reading professional literature, attended
courses and seminars, and established and maintained contact with other social service
agencies
AmeriHealth, Philadelphia PA 2013-2013
Provider Claims Service Representative:
• Identifies problems and adjust work activities in accordance to departmental process
• Follows internal process and procedures to ensure activities are handled in accordance with
departmental and company policies/procedures; Reviews Claims and applies processing rules
to determine allowable benefits for payment.
• Reviews services for appropriateness of charge and medical necessity and ensures that prior
authorizations and precertification guidelines are implemented

2. Anila Smith (cont’d)
• Determines file, as appropriate to support payments decisions.
PHMC, Philadelphia PA 2009-2010
Supports Coordinator:
• Reviewed all case managements plans with outside agencies; Provided Grant information and
resources to families of youths and other care providers
• Assisted with placement options to children and youths (PUNS review and Waivers’)
• Manage and maintain the program database and ensure its accuracy (HICS)
• Coordinated with clients and third party payer sources
• Collected, recorded, and handled status of payments
• Assists team in sourcing potential opportunities and outreach events to clients
• Set up training workshops for staff
• Assist in overall mission and goals of the agency
Delta Community Support, Feasterville, PA 2006 –2008
Project Director:
• Supervised, trained, and provided administrative direction to 30-staff team in residential setting
• Knowledgeable in assessment, intervention, policy, procedure, compliance, and confidentiality
of financial arrangements
• Negotiated residential service contracts with sponsors and group home providers
• Perform compliance audits, checking accuracy of information and eligibility
• Managed collecting and recording of payments in conjunction with reviewing insurance claims
and forms
• Plan and manage monthly committee meetings, including agenda, and minutes
• Manage scheduling of client site visits and conducts site visits as needed
• Prepare and submit reports to agency director
Little World Family Daycare, Philadelphia, PA 2003-2006
Owner and Operator:
• Intake of client information for city records, such as health information, emergency contacts
information and other miscellaneous forms for maintenance of license
• Manage all HR activities, provided personnel assistance in identifying, evaluating, and
resolving human relations and work performance problems within the company
• Facilitate communication and improved employee-human relations skills
• Participate in resolving labor relations issues and assisted in screening applicants for training
programs