Jo Thome

• Processed and monitored invoices, payments, and adjustments to ensure timely payment from insurance companies.
• Reconciled reports daily for finance ensuring accuracy of transactions posted against deposits received.
• Posted payments received out of the Lockbox and EFT payments from Insurance companies.
• Answered patient questions via phone calls to maintain high satisfaction regarding their bills.

• Submit Invoices with PO #'s for a variety of Customers using many different Portals.
• Manipulated data in spreadsheets to reconcile with billing system information.
• Prepared manual billing data using related billing and service reports.
• Performed data import, scanning or manual keying processes to verify invoice accuracy.
• Answered customer invoice questions and resolved issues discovered during invoicing and collection process.

• Investigate & analyze cases using detailed process flows.
• Utilize the PICTS program to create denial letters and close cases based off our clinical findings.
• Review cases using clinical documentation found in the programs of Fastrieve,IDRS,PEGA(CM),EDSS & ECAA.
• The Platforms of CPW & NICE are used to obtain case details.
• Assisted the Non-Clinical Department with P1 & P2 cases to help get backlog caught up. Cardiac Cath, Dermatology, Injections, Ophthalmology, Surgeries, Urology, Nerve Conduction Studies, Pulmonary, Laboratory/Drugs, ENT, Podiatry, ED & Duplex Scans.
• Assisted the Non-Clinical Department with P1 & P2 cases to help get backlog caught up.

• Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
• Assigned procedure and diagnosis codes for insurance billing.
• Verified proper coding, sequencing of diagnoses and accuracy of procedures.
• Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing.

Codes Physician and outpatient diagnostic accounts according to established and applicable coding guidelines and industry practices guidelines. Sequences diagnoses as appropriate and codes according to physician documentation. Accurately codes the diagnoses & procedures using appropriate guidelines.

Swedish American Management Service Organization

The Trizetto Group, Inc.

• Entered data into spreadsheets, documents and databases.
• Maintained detailed logs of finished and in-progress data entry projects to identify areas of improvement and increase productivity.