Thean Parker
Tulsa
Summary
Dynamic Sr. Medical Billing Specialist with a proven track record of enhancing revenue cycle efficiency through effective claims management and denial strategies. Skilled in ICD-10 coding and fostering teamwork, I consistently improved reimbursement rates and streamlined billing processes, ensuring compliance and exceptional customer service with strong expertise in healthcare billing, claims processing, and account reconciliation. Known for collaborative teamwork and delivering consistent results in dynamic environments. Effective problem solver with skills in financial analysis, customer service, and compliance with healthcare regulations. Reliable and adaptable, ensuring seamless operations amid changing needs.
Overview
2026
2026
years of professional experience
Work History
Sr. Medical Billing Specialist/Patient Accounting Representative
Carrefour Associates LLC
2018 - Current
- Resolve complex issues,investigate and resolve high-priority accounts and complicated billing discrepancies to maximize revenue for the company.
- Create, submit, and track electronic and paper insurance claims to government (like Medicare/Medicaid) and private payers as well as commercial insurance payers.
- Appeal denied claims,Prepare appeal letters and other necessary documentation for insurance claims that have been denied or underpaid.
- Improve revenue cycle by managing and overseeing the entire medical billing process.
- Effectively manage multiple priorities simultaneously while adhering to strict deadlines within a fast-paced environment.
- Increased accuracy in claims submissions, resulting in higher reimbursement levels.
- Streamline billing procedures for increased efficiency and reduced errors.
- Established strong relationships with insurance carriers to expedite claim processing times and improve reimbursements.
- Enhanced reimbursement rates by conducting regular audits of billing data.
- Analyze financial reports to identify trends and areas for improvement in the overall revenue cycle process.
- Post payments and collections on regular basis.
- Analyze complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Generate monthly billing and posting reports for management review.
Revenue Cycle Supervisor
The Billing House LLC
2013 - 2018
- Coached and mentored team members for professional growth, resulting in enhanced job performance and higher employee satisfaction.
- Oversaw patient registration processes, ensuring accurate demographic information was collected to facilitate smooth billing operations.
- Conducted audits of registrations, insurance verifications, and insurance denials.
- Performed root cause analysis to identify issues affecting revenue cycle performance, implementing corrective actions to drive improvement.
- Optimized payment posting processes to improve cash flow and minimize delays in revenue recognition.
- Conducted regular audits of charge capture systems to identify potential issues or areas for improvement within the revenue cycle process.
- Provided exceptional customer service by addressing billing questions and concerns in a timely, professional manner.
- Reduced accounts receivable days outstanding by streamlining collection efforts and collaborating closely with customers for prompt payments.
- Implemented robust denial management strategies that significantly reduced lost revenue due to denied claims or appeals processes failures.
- Enhanced revenue cycle efficiency by implementing strategic process improvements and workflow optimizations.
- Monitored and guided revenue cycle operations.
- Completed financial reporting and analysis for billing revenue cycle.
- Optimized organizational systems for payment collections, AP/AR, deposits, and recordkeeping.
Sr. Accounting Representative/Medical Billing Coordinator
Nephrology Associates Inc.
2010 - 2013
- Developed a comprehensive understanding of medical terminology and coding systems to accurately translate services provided into billable charges on patient accounts.
- Coordinated with clinical teams to ensure proper documentation was received for accurate coding and claim submissions, reducing delays in reimbursements.
- Effectively resolved disputes regarding coverage eligibility or claim denials through professional communication with patients and insurance representatives alike.
- Safeguarded sensitive patient data through strict adherence to HIPAA guidelines and implementation of secure record-keeping practices.
- Maintained detailed knowledge of various payer requirements, facilitating smoother interactions between healthcare providers and insurance companies during claims processing efforts.
- Increased revenue collection by diligently following up on outstanding payments and negotiating payment plans with patients when necessary.
- Collected payments and applied to patient accounts.
- Liaised between patients, insurance companies, and billing office.
- Reviewed patient records, identified medical codes, and created invoices for billing purposes.
- Responded to customer concerns and questions on daily basis.
- Handled account payments and provided information regarding outstanding balances.
- Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
Patient Account Specialist
St. Francis Health Systems
2005 - 2010
- Maintained high levels of data accuracy with meticulous attention to detail in processing insurance claims and updating patient records.
- Electronically submitted bills according to compliance guidelines.
- Expedited claim resolutions by skillfully navigating complex insurance policies, regulations, and guidelines.
- Posted payments and processed refunds.
- Monitored flags and resolved urgent items with accuracy and efficiency.
- Assisted patients in understanding their financial responsibilities by explaining healthcare benefits, coverage limitations, and out-of-pocket costs clearly and concisely.
- Reconciled statements with patient records.
- Contacted patients after insurance was calculated to obtain payments.
- Responded to patient, family, and external payer inquiries.
- Utilized computer programs to create invoices, letters, and other documents.
- Prepared reports detailing billing actions, flags, and other key information.
- Reduced outstanding balances by diligently following up on overdue payments and negotiating payment plans.
- Proactively identified potential issues in patient accounts, communicating with other departments as necessary to resolve discrepancies that could impact billing accuracy or timely reimbursements from insurance carriers.
- Provided exceptional customer service while assisting patients with questions about their bills or payment options via phone calls or written correspondence.
Commercial Insurance Biller/Insurance Follow-Up Specialist
Hillcrest Medical Center Business Office
1999 - 2005
- Acted as a liaison between patients,physicians and insurance carriers to resolve disputes or discrepancies promptly, preserving positive relationships and trust among all parties.
- Managed high-volume workloads effectively through prioritization techniques while maintaining attention to detail in every task.
- Identified and resolved discrepancies and errors in customer accounts.
- Promoted superior experience by addressing customer concerns, demonstrating empathy, and resolving problems swiftly.
- Boosted revenue recovery by identifying and resolving errors in billing and coding practices.
- Stayed current on industry regulations and trends to ensure compliance and optimize insurance follow-up strategies.
- Reduced denials and underpayments through effective communication with payers, leading to increased revenue.
- Improved patient satisfaction by addressing their concerns related to insurance claims and explaining the process in layman''s terms.
- Implemented efficient workflows for claim submissions, reducing processing delays from insurers.
- Negotiated payment arrangements with patients facing financial difficulties, enhancing customer loyalty and retention.
- Generated monthly billing and posting reports for management review.
Education
Associate of Science - Business Administration And Management
Tulsa Community College
Tulsa, OK05-2015
Skills
- Understanding of HIPAA compliance
- ICD-10 proficiency
- Organizational growth
- Efficient claims management
- Patient confidentiality practices
- Professionalism and ethics
- Electronic health records experience
- Accounts receivable management
- Medical coding expertise
- Revenue cycle management
- CPT coding
- Denial management strategies
- Medical terminology fluency
- Anatomy and physiology
- Medicare and medicaid regulations
- Medical billing software mastery
- Payment posting accuracy
- Third-party payer guidelines
- Healthcare reimbursement models
- HCPCS level II coding
- Teamwork and collaboration
- Customer service
- Electronic claims
- Billing and collection procedures
- Claims review
- Insurance claims processing
- CMS-1500 billing forms
- Critical thinking
- Medical claims processing
- Verbal and written communication
- Accounts receivable
- Data entry
- Insurance verification
- Invoice processing
- Patient collections
- Account reconciliation
- Commercial and private insurance
- Payment posting
- Medical coding
- CERNER
- Claims management for medical services
Timeline
Sr. Medical Billing Specialist/Patient Accounting Representative
Carrefour Associates LLC
2018 - Current
Revenue Cycle Supervisor
The Billing House LLC
2013 - 2018
Sr. Accounting Representative/Medical Billing Coordinator
Nephrology Associates Inc.
2010 - 2013
Patient Account Specialist
St. Francis Health Systems
2005 - 2010
Commercial Insurance Biller/Insurance Follow-Up Specialist
Hillcrest Medical Center Business Office
1999 - 2005
Associate of Science - Business Administration And Management
Tulsa Community College