Summary
Overview
Work History
Education
Skills
Timeline
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Mira Thomas

West Jordan,UT

Summary

Experienced billing and accounts reconciliation professional with a background in Medicaid denial management within nonprofit healthcare settings. Experience in leading teams in identifying, analyzing, and resolving complex insurance denials, with a focus on regulatory compliance and maximizing reimbursement. Skilled in developing and streamlining denial workflows, training staff on payer guidelines, and collaborating with billing, clinical, and compliance teams to reduce denial rates. Known for leveraging data-driven strategies to improve claim accuracy, enhance appeal outcomes, and support the mission-driven goals of nonprofit healthcare organizations.

Overview

25
25
years of professional experience

Work History

Accounts Reconciliation Team Lead

Odyssey House of Utah
01.2025 - Current


  • Analyze complex Medicaid insurance denials to determine billing errors for tracking purposes to reduce the rate of denied claims.
  • Correct and resubmit claims to recoup lost funding due to denied claims.
  • Develop methods in organizing and tracking a large volume of denied claims to determine best practices within the revenue cycle departments.
  • Develop training programs for positions within the revenue cycle department, train new hires, and guide team members with their job duties.
  • Develop a new team for the revenue cycle department, create workflow processes, track a high volume of claims, and analyze patterns within denied claims to determine best practices.
  • Lead a team of account reconciliation specialists to recoup lost funding due to denied claims.
  • Established clear performance metrics for the team which helped in tracking progress towards set targets effectively.

Elementary School Teacher

Murray School District
08.2004 - 06.2011
  • Provided warm, supportive environment for developing academic, social, and emotional growth.
  • Evaluated and assessed student progress regularly, providing constructive feedback and adapting teaching methods accordingly.
  • Designed and presented lesson plans in one or more academic subjects using variety of teaching techniques to appeal to various learning styles within assigned grade level.
  • Contributed to district-wide initiatives aimed at improving overall student achievement, participating in professional development workshops and collaborating with colleagues on best practices.
  • Mentored new teachers within the school community by sharing knowledge, providing guidance on instructional strategies, and offering ongoing support during their transition into the profession.

Case Manager

Tomkinson & Associates
01.2002 - 12.2002
  • Conducted thorough assessments of incarcerated clients' situations, identifying issues, goals, and necessary interventions.
  • Collaborated with multidisciplinary teams to address client needs and formulate tailored support strategies.
  • Monitored clients' progress and tracked client services to provide crisis interventions.
  • Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.

Assistant Facilitator

Personal Strengths Publishing
01.2001 - 12.2001
  • Assist facilitators with training workshops designed to train human resource professionals in implementing the Strengths Deployment Inventory and other team-building tools based on the Relationships Awareness Theory.
  • Provide training for professionals in a corporate setting in an effort to identify and understand their employer's strengths for team building and developing a positive and effective workplace for companies around the United States.

Education

MBA - Health Care Administration

Western Governors University
Salt Lake City, UT
02-2027

California Teaching Credential K-8 - Education

California State University San Marcos
San Marcos, CA
04-2004

Bachelor of Arts - Psychology

National University
Vista, CA
12-2002

Skills

  • Project Management
  • Organizational Skills
  • Critical Thinking
  • Data Analysis
  • Training and Development
  • Team Leadership

Timeline

Accounts Reconciliation Team Lead

Odyssey House of Utah
01.2025 - Current

Elementary School Teacher

Murray School District
08.2004 - 06.2011

Case Manager

Tomkinson & Associates
01.2002 - 12.2002

Assistant Facilitator

Personal Strengths Publishing
01.2001 - 12.2001

MBA - Health Care Administration

Western Governors University

California Teaching Credential K-8 - Education

California State University San Marcos

Bachelor of Arts - Psychology

National University

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Mira Thomas