Lorrin Smith Email & Phone Number

Irving, Tx

Process New Day Claims and Reprocess Claims accurately while navigating multiple systems▪ Examine claims for proper coding and authorizations prior to submission and payment▪ Run Operational Reports for all claim inventory; processing outstanding claims▪ Work closely with provider relations, utilization management, accounting and the appeals dept. to resolve claim issues▪ Post claim payments. Post member premium payments for effectuation for Member enrollment • Responsible for processing Provider Refund Checks, Voids, Manual Checks, Member Reimbursements, Reconciling accounts• Assist wit System Implementation/ configuration updates • Meet and exceed productive of 99% accuracy and 98% of financial accuracy

Irving, Tx

Perform post charges and completion of claims to payers▪ Check member eligibility and benefit verification;Obtain referrals and pre-authorizations ▪ Follow up on unpaid/rejected claims within billing cycle timeframe ▪ Call insurance company regarding payment/ claim discrepancy ▪ Update cash spreadsheet, run collection reports▪ Prepare Contracts to be credentialed with other health plans▪ Bill TMHP to get claims processed and paid with accuracy

Forth Worth, Tx

Verify provider credentials and contact insurance providers for member coverage▪ Manage all incoming and outgoing correspondence▪ Confirm and coordinate referral/authorizations information with patient services▪ Accurately update appropriate insurance information needed for Billing▪ Inform patients of their finacial responsibilities for services to Be rendered ▪ Training new employees in the departmen

Grand Prairie, Tx

Answer inbound phone calls, make outbound calls and take orders from customers• Prepare presentations and reports using Excel and Microsoft word• Monitor inventory of supplies, and order supplies as needed• Attend meeting, take notes and drafts of the meetings

Medical Office Management/Administration

All Lines Adjuster

Obtained Texas License