Theresa Morgan
McDonough,GA
Overview
26
26
years of professional experience
Work History
Billing Specialist
Downtown Physical Therapy & Rehab
Boston , MA
04.2022 - Current
- Reviewed medical records to ensure accuracy of billing information and patient data.
- Calculated billing charges, prepared and submitted claims to insurance companies.
- Verified insurance coverage and identified third-party payers for billing purposes.
- Monitored accounts receivable activity to ensure timely payment of invoices.
- Resolved discrepancies between customers' remittances and invoices received.
- Answered customer inquiries regarding billings, payments, account status.
- Maintained accurate records of collections, adjustments and denials in the system.
- Processed credit card transactions through Point-of-Sale terminals or online systems.
- Developed financial reports detailing accounts receivable aging status.
- Submitted claims to insurance companies.
- Answered customer questions to maintain high satisfaction levels.
- Assessed billing statements for correct diagnostic codes and identified problems with coding.
Billing Coordinator
Bay State Physical Therapy
Randolph , Massachusetts
07.2007 - 04.2019
- Responsible for contacting assigned medical insurance companies on outstanding claim balances
- Responsible for e-mailing our different clinics regarding missing/incorrect information on patient accounts
- Responsible for completing primary and secondary aging reports every month of claim balances on patients accounts
- Responsible for phone coverage
- Work closely with the accounts payable dept. regarding write-offs
- Responsible for completing explanation of benefit denials of my assigned insurance companies in a timely manner
- Update patients information in our Medisoft system
Clinical Support Outreach Coordinator
Neighborhood Health Plan, NHP
Boston , MA
01.2004 - 07.2008
- In this role I am responsible for postpartum outreach calls to members who have been identified as delivered
- Do an initial assessment with members to identify if they have scheduled their six-week check-up with doctors, assisting members if they cannot get an available appointment time by contacting their PCP's office
- Do an initial screening of members to find out if baby is exposed to cigarette smoke, referring parents to smoking cessation counselors
- Update demographic information in Onyx which includes updating PCP's address & phone number, members address & phone number
- Create and mail postpartum reminder letters to members
Clinical Support Coordinator
Neighborhood Health Plan, NHP
Boston , MA
12.2002 - 01.2004
- Responsibilities include proving administrative support to case managers in team concept
- Duties include answering telephone requests and questions regarding services
- Responsible for external health service organizations and providers regarding NHP policies, procedures and guidelines
- Assist care managers with outreach to health centers regarding clinical questions and program support by maintaining frequent consistent contact with the health centers and its staff
- Maintain computer date entry of request for services
Administrative Assistant/Clinical Support Specialist
Neighborhood Health Plan, NHP
Boston , MA
07.2000 - 12.2002
- Responsible for collecting, sorting and distributing all incoming fax authorizations, request to Clinical Support Coordinators
- Assisted in answering incoming calls regarding managers
- Responded to external health services organizations and providers regarding NHP policies, procedures and guidelines
- Provided administrative supports to case managers
- Processed outpatient referrals, utilizing appropriate criteria, as requested
- Entered clinical information as directed by case managers
Data Quality Service Assistant II
Worker's Compensation Rating and Inspection Bureau
Boston , MA
06.1998 - 07.2000
- Reviewed error reports and took appropriate corrective action based on established procedures
- Entered and retrieved data reports
- Followed-up on all corrective requests
- Resolved mod effective dates and risk identification issues with the Interstate Rating Bureau
- Responsible for Underwriting Clerk I
Education
High School Diploma -
The English High School
06-1996
Skills
- Interest calculations
- Document analysis
- Research
- Dispute Resolution
- Audit Support
- Invoice Processing
- Professional Skills
- Customer Service Skills
- Typing
- Medical Terminology
- Office Procedures
- Sales
- Microsoft Office
- Filing/Editing
- Microsoft Windows
- Excel
Work Preference
Work Type
Full TimeWork Location
On-SiteImportant To Me
Work-life balanceWork Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Competent [Job Title] with [Number] years of experience in handling wide variety of medical coding and billing tasks. Sophisticated and hardworking individual with excellent analytical and multitasking abilities. Coordinates with insurance companies and expedites claims processes. Expertise in accurately inputting procedure and diagnosis codes into billing software to generate invoices.
Accomplishments
- Achieved [Result] by completing [Task] with accuracy and efficiency.
Timeline
Billing Specialist
Downtown Physical Therapy & Rehab
04.2022 - Current
Billing Coordinator
Bay State Physical Therapy
07.2007 - 04.2019
Clinical Support Outreach Coordinator
Neighborhood Health Plan, NHP
01.2004 - 07.2008
Clinical Support Coordinator
Neighborhood Health Plan, NHP
12.2002 - 01.2004
Administrative Assistant/Clinical Support Specialist
Neighborhood Health Plan, NHP
07.2000 - 12.2002
Data Quality Service Assistant II
Worker's Compensation Rating and Inspection Bureau
06.1998 - 07.2000
High School Diploma -
The English High School
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