Janell Thomas
Dallas
Summary
Professional with expertise in intake coordination. Skilled in streamlining client onboarding processes, ensuring efficient data management, and adhering to compliance standards. Strong focus on team collaboration and achieving results, adaptable to changing needs. Known for reliability, effective communication, and organizational skills.
Overview
7
7
years of professional experience
Work History
Intake Coordinator
WebTPA
10.2021 - Current
- Obtain and input initial demographics for inpatient and outpatient pre-certification
- Accurate documentation of information obtained
- Responsible for professional interactions telephonically
- Includes accurate communication of services requested
- Screen calls appropriately and work with clinicians to ensure optimal turnaround times
- Print, correct and forward reports requested to nurses or supervisor
- Responsible for managing all clinical faxes and ensuring all regulatory timelines are met
- Must meet all regulatory and compliance requirements for Utilization Management
- Identification of any errors within multiple systems utilized and forward to supervisor as indicated.
- Delegated tasks to administrative support staff to organize and improve office efficiency.
- Coordinated individual duties after careful evaluation of each employee's skill level and knowledge.
- Resolved issues through active listening and open-ended questioning, escalating major problems to manager.
Billing Charge Entry Specialist II
U.S. Anesthesia Partners, Inc
09.2019 - 10.2021
- Verified insurance eligibility and information to update database.
- Captured and entered professional charges.
- Answered questions and assisted providers and office staff.
- Worked with revenue cycle team to identify denial trends.
PFS Registration Specialist
Parkland Health & Hospital System
11.2018 - 08.2019
- Prepared medical records for chart audits according to front desk and charge entry audit policy.
- Scheduled and registered appointments using Booker scheduling programs.
- Assembled, updated and filed medical record charts to include lab work, test results and dictation according to office guidelines.
- Completed registration paperwork, verifying accurate patient information.
- Assisted in processing patient payments via cash, checks and credit cards.
- Updated patient contact information to support accurate electronic medical records.
- Scheduled patient appointments, collected copays and verified insurance coverage to complete check-ins.
- Verified insurance benefits and obtained pre-authorizations before any medical procedures were performed.
- Entered patient information into payment system accurately for billing purposes.
- Used EPIC to record and organize patient insurance and medical information.
Senior Insurance Verification Specialist
AllianceRx Walgreens Prime
08.2018 - 11.2018
- Completes a full Medical Verification for all medications, administration supplies and related pharmacy services
- Notifies patients, physicians, practitioners and/or clinics of any financial responsibility of services provided
- Facilitates pharmacy and/or major medical claims with insurance companies and practitioner offices and investigates and facilitates prior authorization and any other claim rejections
- Manages inbound calls on the Insurance line from patients, clients, physicians, practitioners and clinics regarding inquiries about services provided, financial responsibility and insurance coverage.
Assistant Manager
RadNet
06.2017 - 08.2018
- Supervised day-to-day operations to meet performance, quality and service expectations.
- Mentored team members to enhance professional development and accountability in workplace.
- Helped with planning schedules and delegating assignments to meet coverage and service demands.
- Made hiring recommendations to increase company's productivity and profitability with quality workers.
- Maintained professional demeanor by staying calm when addressing unhappy or angry customers.
- Maintained positive customer relations by addressing problems head-on and implementing successful corrective actions.
- Established team priorities, maintained schedules and monitored performance.
- Evaluated employee performance and conveyed constructive feedback to improve skills.
Education
High School Diploma -
Rufus King Hish School
2007
Skills
- Staff Training
- Customer Demographics
- Medical Records Management
Timeline
Intake Coordinator
WebTPA
10.2021 - Current
Billing Charge Entry Specialist II
U.S. Anesthesia Partners, Inc
09.2019 - 10.2021
PFS Registration Specialist
Parkland Health & Hospital System
11.2018 - 08.2019
Senior Insurance Verification Specialist
AllianceRx Walgreens Prime
08.2018 - 11.2018
Assistant Manager
RadNet
06.2017 - 08.2018
High School Diploma -
Rufus King Hish School