Jodi Thorn

• I have worked remotely for 7 years.
• Trained new employees
• Advocate and liaison with patients insurance to coordinate and obtain authorizations for detox and residential levels of care for behavioral health substance
• Complete initial pre-certification requests, concurrent reviews and step downs to lower levels of care
• Have utilized multiple EMR systems
• Write appeal letters for denials
• Present all clinical information during case reviews which include medical, medications, and psychosocial stressors
• Familiar with ASAM criteria and ICD-10
• Manage multiple locations as initial and concurrent reviewer with a census of 20-40 patients per location.
• Familiar with microsoft teams
• Complete doctor reviews when applicable
• Familiar with Salesforce, Navinet, Waystar, Availity, and nextivafax
• Submit authorization requests using numerous online insurance portals
• Benefit verification
• Request single case agreements
• Accurate data entry of authorizations
• Coordinate directly with facility staff and assist with other facilities
• Remain update to date on insurance changes
• Effective time management and organization skills

• Enhanced patient satisfaction by efficiently scheduling appointments and managing patient flow.
• Streamlined communication between patients and healthcare providers, ensuring timely responses to inquiries and concerns.
• Managed sensitive patient information with strict adherence to HIPAA guidelines, maintaining confidentiality and privacy at all times.
• Completed Insurance verifications/Authorizations
• Utilized EMR system, specifically Office Hours Professional & Medisoft Clinical
• Answered phones and relayed voicemails to the provider
• Created Referrals and orders
• Setup CPAP machines and made adjustments to pressures
• Billing/Payments/Collections
• Handled deposits
• Sent Durable Medical Equipment orders
• Dictated sleep studies and transferred studies
• Medical records request

• Utilized EMR system, specificially Medinformatix 7.5
• Familiar with medical terminology
• Proficient in Microsoft Word & Excel
• Coordinate patient care & services
• Phone Supervisor from 2008-2013
• Managed employee phone performances/reviews
• Managed employed and provider schedules
• Monitored Mitel Contact Client Center- incoming/outgoing phone calls
• Maintained medical records
• Entered provider billing charges
• Familiar with DX and CPT codes
• Collected copayments, bad debt and collections
• Manage/process messaging, scheduling, faxes, and refills
• Created referrals and obtained pre-authorizations
• Familiar with most insurance carriers
• Linked scanned documents into EMR charts
• Scanners

Medical-

• Vitals: Blood pressure, temperature, weight, height, 02 stats etc
• Assisted providers with procedures
• Prep patient rooms for specific procedures
• Organized providers paperwork
• Perform ear lavage
• Administer EGK's
• Glucose finger sticks
• Urine dips/cultures

• Member of store management team
• Responsible for opening/closing store
• Prepared managerial paperwork-nightly sales reports, checked company's e-mail, inventory report, shipment paperwork
• Deposits
• Prepared/coordinated promotion sales changes
• Resolved customer problems in store and over phone
• Opened/closed register
• Coordinated shipments and updated inventory
• Orders watch parts
• Processed exchanges, returns, gift cards, checks, voids, post voids, register shipments
• Store organization leader

Filled prescription orders

• Verified/completed insurance claims through computer system
• Reviewed computer records for prescription history
• Re-stocked shelves with medications
• Managed register
• Provided customer service
• Performed stock inventory