ALFREDA THOMAS
Symplr
Seagoville,TX
26
years of professional experience
A quality leader with advanced knowledge and proficiency in medical billing, terminology, and coding, offering expertise in sales and health information management. Possesses over 20 years experience in the healthcare profession as it relates to health and life insurance sales, insurance records management, health insurance billing, and medical sales administration. Over 10 years of vendor credentialing experience. Dedicated to maintaining a high level of integrity and motivation while continuing to remain success driven in the optimization of company goal attainment and career achievements.
Work History
Associate Project Manager/Document Intake Manager
10 Years 4 Months- Manages the Scheduling department by ensuring that all incoming request are scheduled to the appropriate analyst. Validates the integrity of all proposals prior to scheduling. Collaborates with the account management team to identify any potential problems with accounts and determine solutions. Responsible for devising plans of action to keep the scheduling processes running smoothly. Works directly with clients by issuing tracking identifications numbers for each proposal and ensuring that they are received as scheduled. Assists analysts with special projects on an as needed basis.
Sales Support Specialist
10 Years 4 Months- Provided strong internal support for 57 sales representatives. Responsible for maintaining and servicing over 1000 physician accounts within the Tarrant County, South and East Texas territories. Implemented and submits negotiated special pricing to database team for billing purposes while insuring each account has its own correct custom pricing. Compiled legal documentation and signatures for the set up of new accounts. Built customer accounts in database for set up. Insured prompt and accurate set up of all new accounts within assigned territory. Built client custom requisitions and client custom panel documents as requested by client and sales representatives. Ordered supplies and materials for clients as well as informational literature for sales team. Distributed several monthly sales and revenue reports for each sales representative monthly. Handled a high volume of sales and client calls on a daily basis.
Billing Specialist II
4 Years 11 Months- Was responsible for the accurate input of patient private healthcare information into the Toplab billing system. Correctly labeled billing information from requisitions and HCFA forms with appropriate ICD-9 and 10 codes as needed. Completed insurance verification as necessary for billing processes. Retained extensive knowledge of various insurance procedures, including Medicare, Medicaid, and Workman's Compensation. Identified and resolved billing issues related to pending and non-payment status. Received and retained quarterly HIPPA updates and training.
Education
Bachelor of Arts and Sciences - Interdisciplinary Studies Management/Business
Skills
Vendor Credentialing
Client Needs Assessment
Client Relationship Management
Scheduling
Customer Service
ICD-10 and CPT knowledge
Lead Generating
Oral and Visual Presentation Skills
Team Leadership
Appointment Setting
Health Benefit Knowledge
Inventory and Cycle Counting
Advanced HIPAA Knowledge
Claims Knowledge
Account Servicing
Timeline
Associate Project Manager/Document Intake Manager
Symplr
04.2016 - CurrentRead More
Sales Support Specialist
Quest Diagnostics, Inc.
05.2005 - 09.2015Read More
Billing Specialist II
Quest Diagnostics
06.2000 - 05.2005Read More
Dallas Baptist University
Bachelor of Arts and Sciences from Interdisciplinary Studies Management/Business
Read More