Maureen Smithson Email and Phone Number

Order of priority investigation and filing 1st and 3rd party claimsCompile information salient to 1st party claims (collecting evidence, investigating PIP order of priority )Secure proofs necessary to seek reimbursement of 1st party benefits (i.e., wage loss, replacement services, attendant care, medical mileage and medical bills.Handle all case file activity including 1st and 3rd party adjuster calls, follow up, dispute, IME, EUO, bill and record gathering Document information salient to 3rd party claims (i.e., collecting evidence, reviewing liability and coverage).Facilitate litigation processes (i.e., file complaint requests, interrogatories and managing witness lists).Oversight of all medical provider billing and pertinent case file medical record requests.Draft pre-litigation demands and coordinate settlement negotiations on 3rd party demands.Responsible for documenting case file and maintenance of a paperless record retention file system

Oversight and management of client front end revenue cycle departments, personnel and processes.Developed and implemented best practices for optimizing reimbursement for uncompensated care.Updated and implemented the standard operating procedure for MVA related accounts. Educated department staff on Michigan No Fault Order of Priority rules, regulations and guidelines.

Created and managed the day-to-day operation of the company's denial management department specializing in resolution of claims previously deemed uncollectable. Successfully collecting millions in lost revenue for our hospital clients. Eligibility and dispute expert in Michigan No Fault, third party payers, COBRA, MSP, COB, ERISA , Medicare, police prisoner, crime victims and veterans' benefits

HB/PB billing , claim analysis, resolution of denials, reimbursment and payment analysis, cash posting, payment applications,error correction, discount negotiation.. Auto No Fault, Commercial, Bluecross, Medicare and Medicaid receivables

Promoted to progressively more responsible positions within the hospitals revenue