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Expertise In: Physical Therapy,
Experience : 7
Specialty : Physical Therapy,
Location : Franklin,TN
Description :

QUINESHA SMITH  wishes to grab the excellent opportunity in the prestigious organization in the medical billing department where she can utilize her progressive experience and professional skills for delivering best performance. She would like to utilize service skills and diligence for handling the key responsibilities and achieving the goals of the organization.


  • Medicare & Medicaid
  • Medical Reimbursements
  • Cash Application
  • Body Control System
  • PeopleSafe Systems
  • Caresource Systems
  • Clients Proficient
  • Diagnosis coding ICD9CM                        
  • CMS acute inpatient prospective payment system
  • CMS form 1500                                               
  • office in the world of Medicare

Proficient in Microsoft Office tools

  • Word
  • Excel
  • Access
  • PowerPoint
  • Outlook
  • Medisoft


  • Coordinating and processing of new patient medication orders and reorders, including: verifying/reverifying insurance benefits
  • Translating and entering new or refill prescriptions into the pharmacy information system; communicating and collecting copay amounts
  • Obtaining authorizations/reauthorizations; and screening, identifying, resolving or deferring orders that have accounts receivable or clinical problems.
  • Works with external customers to ensure that orders are processed in a timely manner and meet all financial and clinical requirements prior to fulfillment.
  • Receives incoming calls from physician offices and providing professional phone assistance to all callers through the criteriabased Coverage Determinations/Appeals process.
  • Further responsibilities include maintaining complete, timely, and accurate documentation of all Coverage Determination/Appeals requests
  • Communicating to the physician’s office, pharmacies, intake etc. as needed, and escalating issues to the Coverage Determinations/Appeals Clinical Pharmacists as needed.
  • Followed company cash control policies and procedures
  • Adhered to all laws and regulations regarding the sale of any government regulated products and services.
  • Obeyed company and health department safety guidelines for food preparation.
  • Detailed cleaning of store interior and exterior according to company standards.
  • Stocked and rotate products including coolers and/or freezers.
  • Completed training activities and pass minimum job performance standards
  • Prepped food daily
  • Served an average of 200 customers
  • Took catering and phone orders
  • Processed credit and cash transactions for accuracy of accounting procedures
  • Performed quality control for food orders to store specifications
  • Greeted and assisted a daily average of 500 customers
  • Processed returned inventory of damaged or nonuseable equipment
  • Handled an average of 100 daily customer complaint calls
  • Coordinated the weekly home delivery service schedule
  • Signed credit card applications and issued temporary cards
  • Contributed to the team for Lowe’s 2005 Store of the Year          


  • CMS online Certificate
  • Medical Terminology
  • ICD 9 – 10 Codes
  • Medical Insurance & Billing Specialist
  • Patient Registration
  • CPT Codes
  • Insurance Verification

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