Tequila Smith Email & Phone Number

Katy, Tx, Us

United States

ELAR/ESL Teacher

Middle School

Houston Area, Texas

Investigate allegations of physical abuse or neglect of children.

•Reviewed and updated account information •Interact with departments regarding unresolved collection issues•Mandated credit, refunds and adjustment on patients account.•Organize and planned the workload to ensure maximum production with minimum effort and confusion to collection and appeals department.•Documented and analyzed patient accounts balance •Reviewed submitted claims, appeals and unpaid high volume claims without any follow-up status•Met the $1, 650,000+ monthly quotas •Resolved billing problems related to the patient accounts and insurance companies •Negotiation of Letter of Agreements and Payment Proposals; Insurance contract interpretation.

•Demonstratively accomplished goals while helping to improve program quality and outcomes.•Cooperate successfully as a volunteer of the Treatment and Rehabilitation Services.•Team in planning, developing, and evaluating service delivery outcomes. •Maintain compliance for all client records.•Performed intake and follow-up processes and ensure screenings, waiting list, data entry, data reporting, and follow-ups are conducted properly and accurately to meet program and contract requirements.•Maintained professionalism and promote a professional program image within the Volunteers of America programs and the community.•Communicate effectively with others, including giving and receiving feedback on the quality of services to Program Director.

•Processes payments, work with managed care, government carriers& worker compensation claims•Maintained and updated account information •Analyzed billing and collection issues•Interacted with insurance companies on unresolved claims•Manage credit, refunds and write- off to the patient account•Perform audits on the accounts •Provide accurate claim reporting: which includes claim review and patient transactions.•Document patient accounts •Submitted claims and Follow-up on high volume unpaid claims•Verified proof of insurance, managed a $500,000 to 1,000,000 quota for the month•Resolves billing problems related to patient accounts

Houston, Texas Area

•Processed claim payments, work with managed care & government carriers, W/C•Maintained and updated account information within the system•Resolved billing and collection issues with the appropriated carriers•Interacted with accountants to identify credits and refunds due the patient or insurance carriers•Appealed claims with low reimbursement or problematic claim issues•Resubmitted claims and follow-up with high volume insurance claim with none payments

Master Of Education - Med, Administration And Supervision Emphasis On Principalship, A

Master Of Education - Med, Educational, Instructional, And Curriculum Supervision

Bachelor Of Applied Science (Basc), Criminal Justice- Concentration In Human Services

Associate Of Arts (Aa), Business Administration And Management, General