Helen Thornhill

Mastectomy Fitter

• Review patient records, identify medical codes for supplies needed
• Fit patient with appropriate products needed with compassion and understanding
• Create claims for patients products received
• Work alongside billing manager to make sure all claims are submitted and resubmitted in a timely manner
• Appeal, correct and resubmit claims denied by an insurance company
• Send invoices to clients for balances remaining after insurance processes claims
• A/R reports

Lead Customer Service Representative

• Made sure the daily tasks were achieved by all employees.
• Managed Billing functions, including charge entry, claims, payment posting, and reimbursement management.
• Created and submitted claims to various Insurance companies
• Reviewed billing problems, researched issues and resolved concerns.
• Prepared itemized statements, bills, or invoices
• Created new standard operating procedures improving billing accuracy and cash flow.
• Scanned necessary documents into the patient's charts.
• Resolved customer complaints by distinguishing, prioritizing and reporting technical issues.
• Delivered exceptional customer service by prioritizing emergency issues and developing and employing workarounds to solve problems expeditiously.
• Educated customers about billing, payment processing and support policies and procedures.

• Conducted performance reviews and implemented improvement plans.
• Supervise 5+ employees for productivity on a daily basis
• Daily, weekly and monthly a/r reports
• Invoice patient balances and proceed with collections actions as needed
• Claim denial follow up
• Appeals on denied claims
• Worked with customers to develop payment plans and bring accounts current.
• Managed monthly billing process to complete billings and returns to meet company revenue recognition policies.
• Reviewed billing problems, researched issues, and resolved concerns.
• Trained and mentored staff on procedures, compliance requirements, and collections techniques.
• Established internal audit procedures to validate and improve accuracy of financial reporting.
• Established and checked coding procedures, monitored reports and updated internal files.
• Post payments from insurance companies