Alesha-Mery Thomas
Lawnside,NJ
Summary
BILLING SPECIALIST Highly organized and diligent professional drawing upon 23 years of experience in Medical billing and coding. Talented Billing Manager familiar with Medical billing requirements. Offering an organized and quality-oriented mindset along with over 20 years of experience in administrative, customer service and leadership positions. Eager to leverage abilities and experience in dynamic new position with room for growth and advancement.
Overview
22
22
years of professional experience
Work History
Office Manager
GT Express LLC
2015.07 - Current
- Maintained computer and physical filing systems.
- Created, maintained and updated filing systems for paper and electronic documents.
- Updated reports, managed accounts, and generated reports for company database.
- Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
- Developed and maintained successful relationships with vendors, suppliers and contractors.
- Managed compliance to keep organization operating within legal and regulatory guidelines.
Billing Manager
Physician Business Services
2001.06 - Current
- Handle and optimize all medical billing operations for over 20 physician's medical practices
- Scope of responsibilities includes: accounts receivable / payable, accounting, credentialing/re-credentialing, following up on all insurance denial's/appeals, patient billing/collections
- Resolved billing issues by applying knowledge and completing in-depth research
- Managed billing calendar and scheduled claims for payments
- Developed improved standard operating procedures to increase billing accuracy and cash flow
- Helped customers to bring accounts into good standing by implementing payment plans
- Filed and submitted insurance claims
- Reviewed received payments for accuracy and applied to intended patient accounts
- Reviewed medical records to meet insurance company requirements
- Documented and filed patient data and medical records
- Assessed medical codes on patient records for accuracy
- Expertly assigned charges and payments for medical procedures
- Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules
- Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements
- Quickly responded to staff and client inquiries regarding CPT codes
- Built high-performance team by collaborating with new members on procedural, administrative, collections and compliance areas
- Developed invoicing systems and internal controls to boost billing efficiencies.
Education
Associates - Business Management
Colorado Technical University
Colorado Springs, CO01.2010
Certified Medical Biller -
Omega Institute
Pennsauken, NJ01.2001
Skills
- Files and Records Management
- Bill Payment
- Billing and Invoicing
- Account Posting
- Billing Data Verification
- Dispute Negotiation
- Service-Oriented
- Team Building Leadership
- Time Management
- Records Management
- Medical Terminology
- Account Reconciliation
- Claims Processing
- HIPAA Compliance Certification
Timeline
Office Manager
GT Express LLC
2015.07 - Current
Billing Manager
Physician Business Services
2001.06 - Current
Associates - Business Management
Colorado Technical University
Certified Medical Biller -
Omega Institute
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