Megan Thomas
Topeka,KS
Summary
Deadline-driven with strong attention to detail and in-depth understanding of insurance
Overview
18
18
years of professional experience
Work History
Revenue Cycle Specialist
Family Service And Guidance Center
Topeka, KS
05.2013 - Current
- Identified and resolved payment issues with Medicaid and private insurance plans.
- Verify patient coverages daily and notify providers of changes if applicable.
- Bill State insurance claims weekly.
- Coordinate and facilitate meetings for the CMHC billers group and supply detailed notation for each meeting.
- Review and update patient demographic information.
- Balanced and reconciled accounts.
- Monitor accounts for authorization usage.
- Research insurance inquiries for providers
- Speak with client(s) and guardians regarding insurance and balance issues providing documentation and resource guides.
- Monitor patient account details for non-payment , delayed payments and other irregularities and advised providers of any billing issues.
Customer Care Associate
Kansas Health Solutions
Topeka, KS
05.2010 - 04.2013
- Worked productively in fast-moving work environment to process large volumes of claims.
- Answered phone calls & emails from providers regarding claim issues while also documenting the details for future review.
- Worked state reports applying spend down balances to Medicaid beneficiary accounts.
- Referred and educated providers and beneficiaries to additional resources available.
- Processed large sum of mental health claims by hand keying into claim system eCura.
- Research State funded bulletins at providers request for resolution to outstanding claims.
- Assisted in Crisis Screening phone calls and document preparation for the Mental Health Consortium.
TPL (Third Party Liability) Analyst/Financial Analyst
Kansas Medical Assistance Program/EDS
Topeka, KS
10.2003 - 04.2010
- Created daily suspended claim reports containing errors or claims that require further investigation.
- Called to verify beneficiary primary and secondary coverage including coverage types and effective/termination dates.
- Maintained beneficiary TPL accounts to show correct insurance plans with correct coverage types.
- Assisted in processing reports for the Medicare Buy-In Program and Health Insurance Premium Program by gathering beneficiary qualifications and directing to the appropriate analyst for review.
- Assisted in Medical Subrogation reporting to the State of Kansas Health & Environment
- Participated and recorded meetings with the State of Kansas regarding financial and insurance focused agendas.
- Assisted in the Beneficiary Eligibility applications and documented records for analysts.
- Used in house communications to assist Medicaid consumers and Medicaid customers by directing to the right department.
Education
No Degree - General Studies
Allen County Community College
Burlingame, KSHigh School Diploma -
Topeka West High School
Topeka, KSSkills
- Data Interpretation
- Relationship Building
- Chart and Graph Preparation
- Problem Solving
- Needs Assessment
- Report Preparation and Presentation
- Microsoft Office
- Verbal and Written Communication
- Spreadsheet Tracking
- Document Management
Timeline
Revenue Cycle Specialist
Family Service And Guidance Center
05.2013 - Current
Customer Care Associate
Kansas Health Solutions
05.2010 - 04.2013
TPL (Third Party Liability) Analyst/Financial Analyst
Kansas Medical Assistance Program/EDS
10.2003 - 04.2010
No Degree - General Studies
Allen County Community College
High School Diploma -
Topeka West High School