Jonnelle Thomas

Lead of the Insurance Verification Department

• Supervises the insurance verification team all the components below
• Conducts training and quality review of all team members
• Verifies all patient eligibility, authorizations and benefits, claim information with insurance companies, and 3rd party payers prior to surgery
• Determines patient portions due, amounts to be billed, contractual discounts to be taken, or any other authorized discounts that may apply. Communicates this information with appropriate personnel for preparation of the pre-admission process
• Identifies all patient accounts accurately based on what PPO, HMO, or other Managed Care Organizations the patients insurance might fall under
• Contacts patients and provides updated on benefit verification information, requests additional information, insurance cards, and explains to the patient his or her financial responsibility such as co-pays, co-insurances, deductibles, at time of service
• Notifies CBO Director/BOM of any insurance carrier information changes
• Maintains insurance plan request database, ensuring data is entered accurately and in a timely manner, as determined through facility processes

All aspects of medical billing including charge entry, transmission, correction and resubmission as required, posting of payments including patient/mail and ERA.

• Established guidelines for proper billing for providers
• Worked hand in hand with front office staff to ensure that the proper information was received for claims processing
• Oversaw and ran necessary reports to ensure that all statuses were worked in a timely manner and helped in any capacity necessary
• Maintained and updated all files including insurance companies, diagnosis, procedure, fees/profiles
• Ran, processed and ensured accuracy of patient statements on a bi-monthy basis
• Worked collections which included mailing of correspondence, working with patients to establish promissory notes for payment and if necessary forwarded accounts to collection agency
• Resolved billing issues identified by insurance carriers and patients
• Reviewed claim denials and payer requirements for corrective action and prevention in the future
• Researched and replied in a timely manner to insurance, patient, and internal customer inquiries
• Kept accurate records of all activity and conversations for each file

All aspects of medical billing including charge entry, transmission, correction and resubmission as required, posting of payments including patient/mail and ERA.

• Worked hand in hand with front office staff to ensure that the proper information was received for claims processing
• Oversaw and ran necessary reports to ensure that all statuses were worked in a timely manner and helped in any capacity necessary
• Ran, processed and ensured accuracy of patient statements on a bi-monthy basis
• Worked collections which included mailing of correspondence, working with patients to establish promissory notes for payments and if necessary forwarded accounts to correction agency
• Resolved billing issues identified by insurance carriers and patients
• Reviewed claims for corrective action and prevention in the future
• Researched and replied in a timely manner to insurance, patient, and internal customer inquiries
• Kept accurate records of all activity and conversations for each file

Responsible for initial submission of claims to insurance and all following on claims to include calling and collecting money from insurance companies.

• Resolved billing issues identified by insurance carriers and patients
• Reviewed claim denials and payer requirements for corrective action and prevention in the future
• Researched and replied in a timely manner to insurance, patient, and internal customer inquires
• Kept accurate records of all activity and conversations for each file
• Maintained the highest levels of accuracy and patient confidentially