Wanda Thomas
Largo,FL
Summary
Detail-oriented Reimbursement Specialist with more than twenty years of experience in medical office setting as well as home infusion and specialty medication. Well-versed in using CPR+, EMS and I-Emphysis systems and able to learn new skills with confidence and efficiency. Dedicated to exceeding goals and maintaining positive attitude.
Overview
16
16
years of professional experience
Work History
Speciallst. Sr. Collector, Biller
Medical Collections, WEST BAY SURGERY CENTER, Speciallst
08.2018 - Current
- Checked insurance as needed and Submitted authorizations services being rendered.
- Appeals for denied Authorizations.
- Auth corrections and resubmit claims for multiple surgeons.
- Insurance and patient billing and collections.
- Commercial, Medicaid, Medicare, No fault and Workers Comp.
- Post payments.
- Issue Refunds.
- Achieved performance goals on consistent basis.
Reimbursement Specialist
Option Care
02.2008 - 07.2018
- Complete insurance investigation.
- Adjudicate test claim to determine coverage.
- Request pre certifications and appeal denials.
- Alert Intake department with contract details and patient responsibility.
- Billing and Collections.
- Prevented delays and claim denials by correcting information prior to submission.
- Submitted appeals and correcting claims when required.
- Maintained multi-payer refunds spreadsheets.
- Employed billing and collections expertise, to prevent AR from hitting over 120 days of service outstanding.
- Built patient and payer relationships to resolve their billing issues.
Education
High School Diploma -
Hicksville High School
Hicksville, NY1979
Skills
- Accounts Receivable
- Benefits verification
- CPT Coding
- CPR
- Data Entry Software
- Data Verification
- I-Emphysis
- Electronic Authorization Processing
- EMR Systems
- Excellent verbal and written communication
- Home Infusion Billing and Collections
- Hospital Experience
- Medical Billing and Collections
- Medical Office Experience
- Medical Terminology
- Organization and Time Management
- Teamwork and Collaboration
- Trainable and Coachable
References
Jose Nieves: 718-300-6237
Cathleen Minervini: 727-967-4623
Megan Bennett: 813-230-6481
Sheryl McClain: 727-251-6688
Timeline
Speciallst. Sr. Collector, Biller
Medical Collections, WEST BAY SURGERY CENTER, Speciallst
08.2018 - Current
Reimbursement Specialist
Option Care
02.2008 - 07.2018
High School Diploma -
Hicksville High School
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