Katherine Thompson
Cape Coral,FL
Summary
Organized Medical Professional with foundation in records management. Experienced in billing and collection procedures. Advanced medical terminology knowledge. Successful at efficiently handling client inquiries, billing and administrative tasks. Familiar with contracts and other documents affecting billing processes. Prepares professional, polished statements and business correspondence.
Overview
12
12
years of professional experience
Work History
Clinic Billing Specialist
Progyny
05.2022 - Current
- Identified, researched and resolved billing variances to maintain system accuracy and currency.
- Generated and submitted invoices based upon established accounts receivable schedules and terms.
- Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
Reimbursement Specialist
Myriad Genetics
12.2021 - 05.2022
- Processed billing calls and answered questions from patients and third-party carriers
- Corrected, completed and processed claims for multiple payer codes
- Responded to customer concerns and questions on daily basis
- Processed online and paper appeal submissions and refund requests
- Assisted in reconciling deposit and patient collections
- Monitored outstanding invoices and performed collections duties
- Handled account payments and provided information regarding outstanding balances.
Insurance Billing Specialist
Legacy Health Care Services
12.2020 - 12.2021
- Generated and submitted invoices based upon established accounts receivable schedules and terms
- Handled high volume of in-bound calls pertaining to reconciliation of delinquent accounts
- Identified, researched and resolved billing variances to maintain system accuracy and currency
- Contacted clients with past due accounts to formulate payment plans and discuss restructuring options
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments
- Delivered prompt service to prioritize customer needs
- Collaborated with staff members to enhance customer service experience and exceed team goals through effective client satisfaction rates
- Responded to customer requests, offering excellent support and tailored recommendations to address needs.
Scheduler
Wake Endoscopy Center
03.2017 - 12.2020
- Professionally and courteously verified appointment times with patients
- Adeptly managed a multi-line phone system and pleasantly greeted all patients
- Maintained strict patient and physician confidentiality
- Treated all patients, their families, visitors, peers, staff and providers in a pleasant and courteous manner
- Scheduled appointments, registered patients and distributed sample pharmaceuticals as prescribed
- Contacted hospitals to confirm patients medical histories and prevent inaccurate diagnoses and treatments
- Completed skilled administrative work to support all office staff and operational requirements
- Managed master calendar and scheduled appointments for multiple providers based on optimal patient loads and clinician availability.
Billing Clerk
West Yavapai Guidance Clinic
02.2015 - 02.2017
- Medical Coding experience using ICD-9 and ICD-10 codes
- Protect the security of medical records to ensure that confidentiality is maintained
- Review records for completeness, accuracy, and compliance with regulations
- Release information to persons or agencies according to regulations
- Retrieved medical records for physicians, technicians, or other medical personnel
- Train medical records staff
- Correctly Coded and billed claims for various hospital and nursing facilities
- Managed a multi-line phone system and pleasantly greeted all patients
- Completed appropriate claims claims paperwork, documentation and system entry
- Diligently filed and followed up on third party claims
- Interacted with providers and other medical professionals regarding billing and documentation policies, procedures and regulations.
Medical Front Office Assistant
Valley Pain Consultants
08.2012 - 12.2014
- Medical Coding experience using ICD-9 and ICD-10 codes
- Explain treatment procedures, medications, diets, or physicians' instructions to patients
- Contact medical facilities or departments to schedule patients for tests or admission
- Perform general office duties, such as answering telephones, taking dictation, or completing insurance forms
- Greet and log in patients arriving at office or clinic
- Schedule appointments for patients
- Inventory and order medical, lab, or office supplies or equipment
- Keep financial records or perform other bookkeeping duties, such as handling credit or collections or mailing monthly statements to patients.
Medical Records Clerk
KFORCE
05.2012 - 08.2012
- Managed the department or supervise clerical workers, directing or controlling activities of personnel in the medical records department
- Resolved or clarify codes or diagnoses with conflicting, missing, or unclear information by consulting with doctors or others or by participating in the coding team's regular meetings
- Process patient admission or discharge documents
- Process and prepare business or government forms
- Retrieve patient medical records for physicians, technicians, or other medical personnel.
Education
Bachelor of Science - Criminal Justice
Madonna University
Livonia, MI05.2006
Skills
- Records organization and review Various coding systems
- Research and due diligence Billing systems and software
- Month-end closing procedures Accounting remittances
- Collection practices
- Medical Collection
- Medical Billing
- CPT Coding
- ICD-10
- ICD-9
- Medical Records
- EMR Systems
- Calendar Management
- Anatomy Knowledge
- Medical Office Experience
- HIPAA
- Data Entry
- Accounts Receivable
- Insurance Verification
- Salesforce Knowledge
- Fertility Knowledge
- Diagnostic Codes
- CPT Code Modifiers
- Insurance Collections
- Obtaining Authorizations
- Claims Review
- Auditing Proficiency
- Reimbursements
Timeline
Clinic Billing Specialist
Progyny
05.2022 - Current
Reimbursement Specialist
Myriad Genetics
12.2021 - 05.2022
Insurance Billing Specialist
Legacy Health Care Services
12.2020 - 12.2021
Scheduler
Wake Endoscopy Center
03.2017 - 12.2020
Billing Clerk
West Yavapai Guidance Clinic
02.2015 - 02.2017
Medical Front Office Assistant
Valley Pain Consultants
08.2012 - 12.2014
Medical Records Clerk
KFORCE
05.2012 - 08.2012
Bachelor of Science - Criminal Justice
Madonna University
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