Tori Schmidt
Glen Rock,PA
Summary
Versatile, detail-oriented, and self-motivated individual with 5 years of provider enrollment experience in a high volume, fast-paced work environment. Exceptional problem-solving, relationship building, and communication skills. Committed to ensuring high-quality credentialing/provider enrollment services to clients and providers.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Provider Enrollment Specialist
Advocate RCM
11.2022 - Current
- Provider/group enrollment
- Revalidation/recredentialing
- Resolve complex credentialing related billing issues
- Obtain/maintain providers credentials
- Create/maintain spreadsheets
- Familiar with CMD/OneApp/AIMs/vRad systems
Credentialing Specialist
PCCAB
10.2019 - 06.2022
- Provider/group enrollment
- EFT/ERA enrollment
- Revalidation/recredentialing
- Hospital privileging/reappointment
- License/DEA/CDS applications/renewal
- Create/maintain CAQH/NPPES/spreadsheets
- Provide weekly updates to clients
- Familiar with OneApp system
Billing Specialist/Medical Secretary
Eyes of York Cataract & Laser Center
08.2018 - 09.2019
Billing Specialist:
- Submit electronic/paper claims
- Download/post ERAs/manual EFTs/mail payments
- Obtain pre-authorizations
- AR: Insurance follow-ups/appeals/claim corrections
- Patient/insurances refunds
- Pre-collections
- Daily deposits
- Monthly reports
- Review/mail patient statements
- Enter surgery charges
- Medical record requests
- Provider enrollment
- Answer phone calls regarding billing inquires/payments
- Create/maintain spreadsheets
- Familiar with Medinformatix and Medflow
Medical Secretary:
- Check in/out patients
- Patient registration/insurance verification
- Schedule/refer/order tests for patients
- Collect co-pays/deductibles
- Enter office charges
- Answer phones/confirm appointments
- Follow-up on patient cancellations/no shows
- Maintain correspondence
Medical Billing Clerk
PCCAB
12.2014 - 08.2018
- Inpatient/Outpatient registration
- Insurance verification
- Cash/lock box/insurance/collection payment posting
- Inpatient/Outpatient charge posting
- Claims corrections/appeals
- Create/maintain spreadsheets
- Medical record requests
- Answer phones regarding billing inquires/payments
- Physician/office/charge tracking
- Pre-collections
- Mail patient statements
- Familiar with Intergy/Brightree/Simplicity systems
Education
High School Diploma -
Rimrock Public High School
Rimrock, AZ12.2010
Skills
- Analytical/critical thinking
- Organizational
- Time management
- Prioritization
- Data entry
- Customer service
- Multi-tasking
- Medical/insurance terminology
Certification
PESC certificate, 6/2021
Timeline
Provider Enrollment Specialist
Advocate RCM
11.2022 - Current
Credentialing Specialist
PCCAB
10.2019 - 06.2022
Billing Specialist/Medical Secretary
Eyes of York Cataract & Laser Center
08.2018 - 09.2019
Medical Billing Clerk
PCCAB
12.2014 - 08.2018
High School Diploma -
Rimrock Public High School
Similar Profiles
Tara KuhnTara Kuhn
Data Entry Clerk/Payment Poster at Advocate RCMData Entry Clerk/Payment Poster at Advocate RCM
Tiffany DavidTiffany David
Clean Claims Specialist at Advocate RcmClean Claims Specialist at Advocate Rcm
Holly BuchananHolly Buchanan
Senior Diagnostic Coder at Advocate RCMSenior Diagnostic Coder at Advocate RCM