Mandy Smoak
Charleston
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
9
9
years of professional experience
Work History
AR Billing Specialist
Ensemble Health Partners
11.2021 - Current
- Maintained strong relationships with insurance providers through effective communication to ensure timely reimbursement for services rendered.
- Ensured compliance with all relevant regulations and industry standards by staying current on updates and changes in medical coding guidelines.
- EHR filing
- Working Denials, Filing Appeals, Correcting Claims
- Insurance Eligibility and Verification
Prior Authorization Specialist
Southeastern Spine Institute
08.2017 - 08.2020
- Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
- Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
- Analyzed medical records and other documents to determine approval of requests for authorization.
- Verified eligibility and compliance with authorization requirements for service providers.
- Prior Authorization and Refill Requests for medications.
Certified Medical Assistant
Tenet Healthcare Corporation
08.2015 - 08.2017
- Provided compassionate care for patients, addressing their concerns and ensuring a positive experience.
- Documented vital signs and health history for patients in clinic and hospital environments.
- Assisted Physicians in office procedures and maintaining patient medical records.
- Order Entry
- Scheduling appointments and submitting referrals
Education
Communication Services
Eastern Kentucky University
Richmond, KYParalegal Studies
Trident Technical College
Charleston, SCSkills
- Strong Communication Skills
- Strong Organizational Skills
- Excel and Microsoft Proficient
- CPT and ICD10 coding knowledge
- Cash posting
- Dispute Resolution
- Billing Software
Timeline
AR Billing Specialist
Ensemble Health Partners
11.2021 - Current
Prior Authorization Specialist
Southeastern Spine Institute
08.2017 - 08.2020
Certified Medical Assistant
Tenet Healthcare Corporation
08.2015 - 08.2017
Communication Services
Eastern Kentucky University
Paralegal Studies
Trident Technical College
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