Sr Claim Benefit Specialist
Current
Apr 2024 - Present
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Bailey Smith Email & Phone Number
Senior Claim Benefit Specialist | Healthcare Reimbursement | Medical Claims Processing | Prior Authorizations | Medical Terminology | Medical Coding | HIPAA | Training & Mentoring | Medicare & Medicaid
at
Meritain Health
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✓ Verified Jun 2026
3 data sources
Profile completeness 86%
Current company
Role
Senior Claim Benefit Specialist | Healthcare Reimbursement | Medical Claims Processing | Prior Authorizations | Medical Terminology | Medical Coding | HIPAA | Training & Mentoring | Medicare & Medicaid
Location
Mayflower, Arkansas, United States
Company size
Who is Bailey Smith? Overview
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Quick answer
Bailey Smith is listed as Senior Claim Benefit Specialist | Healthcare Reimbursement | Medical Claims Processing | Prior Authorizations | Medical Terminology | Medical Coding | HIPAA | Training & Mentoring | Medicare & Medicaid at Meritain Health, a company with 1111 employees, based in Mayflower, Arkansas, United States. AeroLeads shows a matched LinkedIn profile for Bailey Smith.
Bailey Smith previously worked as Sr Claim Benefit Specialist at Meritain Health and Reimbursement Review Services Associate III at Conduent. Bailey Smith holds Bachelor Of Science - Bs, Public Health Education And Promotion from University Of Arkansas At Little Rock.
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Meritain Health
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Profile bio
About Bailey Smith
Remotely Making a Lasting Impact, One Claim at a Time: Fueled by Passion, Precision, & Humor! Proficient in reviewing ICD-9 and CD-10 codes, HCPC CPT procedure codes, and navigating HCFA 1500 and UB04 claim forms. My experience extends to Medicaid (Medi-Cal), Medicare, and coordinating benefits (COB/COBA crossover) claims, utilizing EOBs to identify discrepancies, and ensure accurate payment processing. I excel in identifying and reporting claim irregularities, including overpayments and underpayments, to mitigate financial risks. I am passionate about mentoring and guiding other claim benefit specialists to enhance team performance and ensure consistency in claim processing standards. Key Skills:Claims AdjudicationData EntryHealthcare ComplianceMedical Coding (ICD-9, ICD-10, HCPCS)Medicaid & Medicare ProgramsRevenue Cycle ManagementCost Containment MeasuresClaims Review & AnalysisTeam Leadership & MentoringRemote/TelecommutingMedical Claim ProcessingBenefit EligibilityIndependent ResearchPrior AuthorizationsHealth Insurance PlansHIPAAElectronic Health RecordsHealthcare ReimbursementMedical TerminologyClaim AuditingProficient in Microsoft Excel, Outlook, and Google DocIndustries: Hospitals and Healthcare, Health Insurance, Medical Providers, Third Party Administrators (TPA)
Current workplace
Bailey Smith's current company
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Meritain Health
6 roles
Bailey Smith work experience
A career timeline built from the work history available for this profile.
Reimbursement Review Services Associate Iii
Current- Process around 200-300 claims weekly.- 100% Clerical Accuracy and 100% Financial Accuracy.- Helped in reducing the average claim resolution time from 15 to 20 days down to under 5 to 10 days through streamlined processes.- Maintain 100% compliance with HIPAA regulations in handling sensitive patient information.- Review claim submissions, verify.
Sep 2023 - Present
Medical Claims Processor
- Completed an 8-month contract assisting ABA, a TPA in reducing their backlog of aged cases by 100%.- Responded to CSR email inquiries within 48 hours. - Processed around 500 cases weekly while maintaining 98% accuracy.- Independently researched plan documents and benefit summaries from over 10 different varieties of level-funded, self-funded, and MEC.
Jan 2023 - Aug 2023
Disability Claims Adjudicator Iii
- Reduced State of Arkansas SSA cost by 15% with effectively summarizing all the claimant’s medical records, pain reports, and function reports, avoiding unnecessary consultative examinations. - Managed caseload of 120 disability claims consisting of initial, reconsideration, continuing disability review, and disabled child level claims.- Maintained an.
Nov 2016 - Nov 2019
Disability Claims Adjudicator Ii
- Managed a caseload of 70 claims consisting of initial and reconsideration claims- Summarized and zeroed out all document work categories by end of day.- Maintained 98% substantive accuracy and 97% technical accuracy. - Maintained an allowance rate of 60%.- Performed 10 vocational analyses per week.- Completed 40 claims weekly.
Apr 2016 - Oct 2016
Disability Claims Adjudicator I
- Completed 6 months extensive medical terminology training.- Managed caseload of 30 to 40 initial disability claims.- Had substantive accuracy of 98% and 96% technical accuracy. - Performed 5 vocational analyses per week.- Completed 20 claims weekly.
Sep 2015 - Mar 2016
Team & coworkers
Colleagues at Meritain Health
Other employees you can reach at meritain.com. View company contacts for 1111 employees →
JM
John Mondragon
Colleague at Meritain HealthMarietta, Georgia, United States, United States
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OR
Oliver Reeder
Colleague at Meritain HealthWindsor Mill, Maryland, United States, United States
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SB
Stacy Brookes
Colleague at Meritain HealthLansing, Michigan, United States, United States
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RM
Rene' Miller
Colleague at Meritain HealthCircle Pines, Minnesota, United States, United States
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WS
Wanda Sallee
Colleague at Meritain HealthEvansville, Indiana, United States, United States
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SC
Stephanie Clark-Lee
Colleague at Meritain HealthDallas, Texas, United States, United States
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CK
Christopher Kitto
Colleague at Meritain HealthCanton, Ohio, United States, United States
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JC
Jolynne Carleton
Colleague at Meritain HealthShakopee, Minnesota, United States, United States
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TM
Terry Meemken
Colleague at Meritain HealthAvon, Minnesota, United States, United States
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AW
Amanda Wells
Colleague at Meritain HealthEvansville, Indiana, United States, United States
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John Mondragon
Colleague at Meritain HealthMarietta, Georgia, United States, United States
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OR
Oliver Reeder
Colleague at Meritain HealthWindsor Mill, Maryland, United States, United States
View →
SB
Stacy Brookes
Colleague at Meritain HealthLansing, Michigan, United States, United States
View →
RM
Rene' Miller
Colleague at Meritain HealthCircle Pines, Minnesota, United States, United States
View →
WS
Wanda Sallee
Colleague at Meritain HealthEvansville, Indiana, United States, United States
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SC
Stephanie Clark-Lee
Colleague at Meritain HealthDallas, Texas, United States, United States
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CK
Christopher Kitto
Colleague at Meritain HealthCanton, Ohio, United States, United States
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JC
Jolynne Carleton
Colleague at Meritain HealthShakopee, Minnesota, United States, United States
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TM
Terry Meemken
Colleague at Meritain HealthAvon, Minnesota, United States, United States
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AW
Amanda Wells
Colleague at Meritain HealthEvansville, Indiana, United States, United States
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2 education records
Bailey Smith education
Bachelor Of Science - Bs, Public Health Education And Promotion
Associate'S Degree, Liberal Arts And Sciences/Liberal Studies
FAQ
Frequently asked questions about Bailey Smith
Quick answers generated from the profile data available on this page.
What company does Bailey Smith work for?
Bailey Smith works for Meritain Health.
What is Bailey Smith's role at Meritain Health?
Bailey Smith is listed as Senior Claim Benefit Specialist | Healthcare Reimbursement | Medical Claims Processing | Prior Authorizations | Medical Terminology | Medical Coding | HIPAA | Training & Mentoring | Medicare & Medicaid at Meritain Health.
Where is Bailey Smith based?
Bailey Smith is based in Mayflower, Arkansas, United States while working with Meritain Health.
What companies has Bailey Smith worked for?
Bailey Smith has worked for Meritain Health, Conduent, Remx | The Workforce Experts, and Social Security Administration.
Who are Bailey Smith's colleagues at Meritain Health?
Bailey Smith's colleagues at Meritain Health include John Mondragon, Oliver Reeder, Stacy Brookes, Rene' Miller, and Wanda Sallee.
How can I contact Bailey Smith?
You can use AeroLeads to view verified contact signals for Bailey Smith at Meritain Health, including work email, phone, and LinkedIn data when available.
What schools did Bailey Smith attend?
Bailey Smith holds Bachelor Of Science - Bs, Public Health Education And Promotion from University Of Arkansas At Little Rock.
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