Michele Thornton
Medical Billing
Warren,MI
Summary
Results-driven professional with a strong track record of success in various roles. Skilled in leveraging training and experience to deliver exceptional results. Demonstrates a keen attention to detail and effective task prioritization. Committed to contributing to organizational success.
Overview
24
24
years of professional experience
Work History
Financial Counselor/ Patient Service Rep.
Wayne State University Physician Group
03.2017 - 12.2022
- Certified Applications Counselor for Healthcare Marketplace and Michigan Bridges
- Analyze patient eligibility for Insurance programs such as Medicaid or other insurance programs
- Connect patients with other community organizations that offer free or low-cost services such as Mammograms, Cervical pap test, and Dental Services
- Greeting patients, Patient registration, & answering phones
Patient Accounting Representative
BARBARA ANN KARMANOS CANCER CENTER/McLaren HealthCare
09.2011 - 12.2016
- Company Overview: merger
- Managed claim denials
- Corrected erroneous insurance information using Capstone
- Resubmitted corrected claims to insurance companies
- Prepared BCBSM and Blue Cross Medicare Advantage Plans Bone Marrow Transplant claims for submission to insurance
- Transferred claims to bill patient after insurance payment
- Analyzed and resolved claim denials
- Initiated insurance follow-up for claims not processed within 30-45 days
- Merger
Patient Accounting Representative
Detroit Medical Center
11.1998 - 12.2016
- Follow-up of claim denials
- Resubmission of corrected claims
- Submit payment error to posting department
- Contact insurance representatives for difficult claims to resolve for payment or submit write-offs
Patient Accounting Representative
Detroit Medical Center
12.2009 - 09.2011
- Follow-up of claim denials
- Resubmission of corrected claims
- Submit payment error to posting department
- Contact insurance representatives for difficult claims to resolve for payment or submit write-offs
Education
Some College (No Degree) - Pre-Social Work
Macomb Community College
Warren, MISkills
- CPT4
- HCPCS
- ICD-9
- ICD-10
- UB04
- HCFA1500
- Web-Denis
- Champs
- WPS
- Athena Health
- Allscripts
- Insurance verification
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Work Preference
Work Type
Full TimePart TimeWork Location
RemoteHybridImportant To Me
Healthcare benefitsWork from home optionPaid time offTimeline
Financial Counselor/ Patient Service Rep.
Wayne State University Physician Group
03.2017 - 12.2022
Patient Accounting Representative
BARBARA ANN KARMANOS CANCER CENTER/McLaren HealthCare
09.2011 - 12.2016
Patient Accounting Representative
Detroit Medical Center
12.2009 - 09.2011
Patient Accounting Representative
Detroit Medical Center
11.1998 - 12.2016
Some College (No Degree) - Pre-Social Work
Macomb Community College
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