Roxanna Smith, CPC, CPB
Patient Account Representative for Wilmington Physicians Group LLC at Clinton Memorial Hospital- Claim this Profile
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Topline Score
Bio
Dawn Richards
Roxanna is a pleasure to have on my team. She is extremely committed to doing the best job possible at any task she is given. She regularly takes the initiative to enhance her long list of skills by taking courses, webinars and researching. She goes above and beyond on a daily basis. Regardless of what is going on in her personal or professional life she gives 110%.
Andrea DeVellis
Roxanna is a very detailed and concise biller who goes above and beyond to insure the success of the organization she works for.
Dawn Richards
Roxanna is a pleasure to have on my team. She is extremely committed to doing the best job possible at any task she is given. She regularly takes the initiative to enhance her long list of skills by taking courses, webinars and researching. She goes above and beyond on a daily basis. Regardless of what is going on in her personal or professional life she gives 110%.
Andrea DeVellis
Roxanna is a very detailed and concise biller who goes above and beyond to insure the success of the organization she works for.
Dawn Richards
Roxanna is a pleasure to have on my team. She is extremely committed to doing the best job possible at any task she is given. She regularly takes the initiative to enhance her long list of skills by taking courses, webinars and researching. She goes above and beyond on a daily basis. Regardless of what is going on in her personal or professional life she gives 110%.
Andrea DeVellis
Roxanna is a very detailed and concise biller who goes above and beyond to insure the success of the organization she works for.
Dawn Richards
Roxanna is a pleasure to have on my team. She is extremely committed to doing the best job possible at any task she is given. She regularly takes the initiative to enhance her long list of skills by taking courses, webinars and researching. She goes above and beyond on a daily basis. Regardless of what is going on in her personal or professional life she gives 110%.
Andrea DeVellis
Roxanna is a very detailed and concise biller who goes above and beyond to insure the success of the organization she works for.
Credentials
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CPC
AAPCOct, 2017- Nov, 2024 -
Certified Professional Biller
AAPCNov, 2015- Nov, 2024
Experience
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Clinton Memorial Hospital
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Hospitals and Health Care
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200 - 300 Employee
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Patient Account Representative for Wilmington Physicians Group LLC
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Oct 2014 - Present
Audits billing information after front office registration to insure demographic claims accuracy. Electronic claims submission, payment posting and account reconciliation. Maintains contact with Physicians and front office staff for problem resolution and provides support to insure timely and accurate claims filing. Supports physicians with research for accurate CPT and ICD-10-CM coding of surgical and office procedures. Audits billing information after front office registration to insure demographic claims accuracy. Electronic claims submission, payment posting and account reconciliation. Maintains contact with Physicians and front office staff for problem resolution and provides support to insure timely and accurate claims filing. Supports physicians with research for accurate CPT and ICD-10-CM coding of surgical and office procedures.
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Adecco
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Switzerland
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Staffing and Recruiting
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700 & Above Employee
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Administrative Assistant
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Oct 2013 - Oct 2014
Assigned to Clinton Memorial Hospital - working as professional billing department accounts representative Assigned to Clinton Memorial Hospital - working as professional billing department accounts representative
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Humana
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United States
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Insurance
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700 & Above Employee
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MRA Record Retrieval Specialist
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Feb 2011 - Aug 2012
The Medical Record Retrieval Specialist travels to provider offices within the local region and scans medical records into a secure system. The records are reviewed by Humana's coding team. Building trust through direct contact with physician and hospital staff scheduling appointments for medical record retrieval must be familiar with all aspects of a patient chart and the records in it to include progress notes, lab reports, radiology reports, etc... Carried a laptop and personal scanner to obtain copies of medical records into secure computer system so they may be reviewed by Humana's medical record coding staff for multiple issues worked the HEDIS review for Medicare. Acting as both a broker and consultant regarding resources and assisting them to obtain resources needed, helping others in problem solving Continuously learning and encouraging others to learn. Show less
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Adecco
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Switzerland
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Staffing and Recruiting
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700 & Above Employee
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MRA Medical Record Retrieval Specialist
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Aug 2010 - Feb 2012
Contract employee assigned to Humana Insurance Company as a Medicare Risk Adjustment Medical Record Retrieval Specialist. Building trust through direct contact with physician and hospital staff scheduling appointments for medical record retrieval must be familiar with all aspects of a patient chart and the records in it to include progress notes, lab reports, radiology reports, etc... Contract employee assigned to Humana Insurance Company as a Medicare Risk Adjustment Medical Record Retrieval Specialist. Building trust through direct contact with physician and hospital staff scheduling appointments for medical record retrieval must be familiar with all aspects of a patient chart and the records in it to include progress notes, lab reports, radiology reports, etc...
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Helping Hand Home Healthcare, LLC
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Grand Blanc Michigan
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Medical Billing Administrator
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Feb 2008 - Nov 2009
Preformed all aspects of billing from RAP to EOI for Home Healthcare Agency, forms used UB-04. Analysis of patient accounts to monitor payments from insurance companies including Medicare, Medicaid, Blue Cross and various other companies. Verifying insurance eligibility for patients, process any required insurance authorization, training of new employees as to the proper processing of the patient data that had been obtained by the nurse case managers. Enter data on the OASIS system. Patient chart review for appropriate information to full fill Medicare requirements for Home Health episodes prior to final billing process. Show less
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Aerotek
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United States
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Staffing and Recruiting
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700 & Above Employee
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Billing Specialist
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Sep 2007 - Feb 2008
Contract employee leased to H-Care durable medical equipment as an account/billing specialist. Tracking authorizations for Health Plus Insurance Company. Tracked insurance payments for Health Plus and posted payments to accounts. Contract employee leased to H-Care durable medical equipment as an account/billing specialist. Tracking authorizations for Health Plus Insurance Company. Tracked insurance payments for Health Plus and posted payments to accounts.
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Billing
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Goodrich, MI
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Medical Billing Specialist
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Oct 2006 - Sep 2007
Data Entry/ Billing specialist worked as an account specialist processing patient data sheet. Tracking insurance company payments and posting payments on accounts Data Entry/ Billing specialist worked as an account specialist processing patient data sheet. Tracking insurance company payments and posting payments on accounts
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Tri-State Ear Nose & Throat
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Ashland, KY
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Billing Manager
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Aug 2005 - Aug 2006
Managed billing staff, tracking of patient accounts, processing of payments. Analysis of patient account for timely payment of accounts. Analysis of insurance payments and outstanding account payments. Train new staff as to the proper processing of the patients information and the proper entry of data into the company software. Managed billing staff, tracking of patient accounts, processing of payments. Analysis of patient account for timely payment of accounts. Analysis of insurance payments and outstanding account payments. Train new staff as to the proper processing of the patients information and the proper entry of data into the company software.
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Orthopedic Care Center
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Ashland, KY
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Insurance Billing Clerk
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Oct 2003 - Aug 2005
All aspects of billing the patients account from time of encounter until time of insurance payment. Electronic transmission of claims to various insurance carriers. Also worked the reception desk as needed. Wrote up surgical orders for patients that were to be having surgery, scheduling surgical procedures. Collection of past due account. All aspects of billing the patients account from time of encounter until time of insurance payment. Electronic transmission of claims to various insurance carriers. Also worked the reception desk as needed. Wrote up surgical orders for patients that were to be having surgery, scheduling surgical procedures. Collection of past due account.
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Performance Brokerage Services, Inc.
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United States
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Motor Vehicle Manufacturing
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1 - 100 Employee
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Administrative Assistant
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Jun 2002 - Jul 2003
Direct contact with Insurance companies dealing with Life insurance and annuity contracts. Directly dealt with Insurance Agents after the sale of the annuity, handling submission of annuity contracts to insurance company. Follow up for status of all annuities sold; follow up to life insurance medical status. Maintained a spread sheet with current annuity interest rates. Direct contact with Insurance companies dealing with Life insurance and annuity contracts. Directly dealt with Insurance Agents after the sale of the annuity, handling submission of annuity contracts to insurance company. Follow up for status of all annuities sold; follow up to life insurance medical status. Maintained a spread sheet with current annuity interest rates.
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RL King Agency
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United States
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Insurance
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1 - 100 Employee
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Administrative Support Specialist
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Aug 1999 - May 2002
Assist Insurance Agent in enrollment of groups for medical insurance. Direct contact with insurance companies to make sure that all information required for enrollment had been received. Traveled with Agent to do group enrollments out of town. Helped employer groups work on claim issues that employees were having trouble solving on their own. Customer service based dealing with insurance companies. Assist Insurance Agent in enrollment of groups for medical insurance. Direct contact with insurance companies to make sure that all information required for enrollment had been received. Traveled with Agent to do group enrollments out of town. Helped employer groups work on claim issues that employees were having trouble solving on their own. Customer service based dealing with insurance companies.
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Anthem Blue Cross and Blue Shield
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United States
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Insurance
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700 & Above Employee
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Support Specialist
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Oct 1996 - Aug 1999
Started as the receptionist after 6 months of service I was transferred to the administrative assistant position where I was the assistant to a sales representative. Assist the sales representative process group enrollments, and enrollment materials. Customer service based field. Started as the receptionist after 6 months of service I was transferred to the administrative assistant position where I was the assistant to a sales representative. Assist the sales representative process group enrollments, and enrollment materials. Customer service based field.
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Education
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2005 - 2007
Anthem College-Phoenix
Associates, Science -
1979 - 1980
U.S. Grant J.V.S.
Business Managment
Community
