Beatrice Smith is seeking a position that utilizes her experience in billing systems, accounts receivable, and medical records. She has over 15 years of experience in roles such as billing representative, Medicaid/Medicare biller, and accounts receivable specialist at various hospitals in Illinois and Pennsylvania. Her responsibilities included submitting insurance claims, appeals, obtaining records, verifying eligibility, and following up on unpaid claims.

1. BEATRICE J. SMITH
6770 Buffington Road #3010
Union City, Ga 30291/ bjsmith10440@yahoo.com
267-945-2797
Objective
To seek a position that willallow me to display my highly organized business profession, with strong account billing
and account maintenanceexperience. Also, to display my strong self-motivation, interpersonal and communication
skills, with being noted for outstanding organization, problem solving and management skills.
BillingSystems/ Skills
IDX-term, Meditech, Nexgen, CIMCO, Medisoft, Centrix, NDAS, Epremis, NEBO and Ecare. Exceland Lotus
.Promise, Trac, On Demand, SMS Invision , Xactimedand Document Imaging. Typing 40-wpm. Code-correct.
Healthquest. Work station.Microsoft Word
Experiences
Southern Regional MedicalCenter Riverdale, Ga
A/RFollow-up Rep/ DRG Denial and Appeal Coordinator 09/2015-05/2016
Responsibilitiesconsistof:
*Follow up with insurance companies on open claimsincluding some Hospice and Forensics.
*Resubmit claimsfor payment to insurance companies.
*Process Appeals and DRG Denials
*Process allrequest for medicalrecords (Commercialand TraditionalMedicare).
*Submitted insurance appeal correspondences with Emergency room medicalrecords.
*Corrected payment adjustmentson allcorrespondences received from insurance on emergency room claims
Aria Health Philadelphia, Pa
BillingRepresentative 12/2014-- 07/2015
Responsibilitiesconsistsof:
*Reviews daily and monthly reports pertaining to charge control, specifically,OPD Service Report, Charge
Exception Reports, 72-Hours Reports, and Inpatient/Outpatientmonthly charge not matching service
Datareports.
*Edits Third party claimsfor submission to carriers, primary and secondary accounts. This includes
initialbilling, and rebillsand latecharges.
*Retrievesclaimsfrom XactimedArchive, as appropriate, for resubmission claims.
*Order medicalrecords when not availablein Chart One.
*Completesdaily batches, conducting research, communicating with insurance companies, attorneys
and patientsvia telephone, and accumulatingneeded documentation to expedite the resolution of outstanding
receivables
* Prepared appealsfor 180 days denied claimsfrom Medicaid

2. University of Illinois Chicago, IL
Medical BillerSpecialist 10/2009-11/2014
Responsibilitiesconsist of:
*Determine claimsstatus, research, and collecton unpaid and denied Medicaid claimsusing NEBO.
*Analyzed monthly reports, and reviewed aging accounts through a detailedTrailBalanceSheet.
*Follow-up with third payers on payment cycleof each payer.
*Reviewed registration insurance information and account coding were properly inputted.
*Corrected and resubmitted claimswhen errors were identified through follow-up.
*Making adjustments and write-offs to necessary accounts.
*Billed allOutpatient, Emergency Room, Observation and Surgery claimselectronically.
* Billingto outstanding account, and collectand follow-up on accounts.
*BilledallPhysic and Reoccurrence claims.
*Prepare necessary paperwork on refunds/credit balances for processing.
*BilledallMedicaid claimson UB92 (UB04) and 2360. Verified eligibility.
*Assist in new employee training.
* Worked rejection/denialreport.
Jackson Park Hospital Chicago, IL
Medicaid/MedicareBiller 10/2007-5/2009
Responsibilitiesconsist of:
*BilledallInpatient/Outpatient,Emergency Room, Crossover and 2360’s claimselectronically.
*Monitor accounts to determine the timelessof collection/verifiedcoverage and certifieddays.
*Billingto outstanding account, and collectand follow-up on accounts.
*Account receivabledata, make inquiries to insurance carriers.
*Prepare necessary paperwork on refunds/credit balancesfor processing.
*Determine claimsstatus, research, and collecton unpaid and denied Medicaid claimsusing NEBO.
* Worked rejection/denialreport.
Michael ReeseHospital Chicago, IL
Medicaid Biller 01/2005-10/2007
Responsibilitiesconsist of:
*BilledallMedicaid claimson UB92 (UB04) and 2360. Verified eligibility.
*Determine thru SASS which claimswere Discharge Planning or CMH.
*Verified certified/denieddays and non-reviewable accounts with HSI
*Making adjustmentsand write-offs to necessary accounts.
* Work with casemanagement for precertificationHIM approved days for Inpatient

3. Education
Northeastern Illinois University Chicago, IL
Business and HealthcareIndustry 09/1981- 06/1982
Moraine ValleyCommunity College Palos Hills,IL
Business and HealthCareIndustry 01/2005- 08/2005
ReferenceUpon Request