MARTHA A THOMAS

***** ***** **** ***** **** Texas 77449, Katy, TX 77449

Home: 540-***-**** • Cell: 503-***-****

acuu12@r.postjobfree.com

Detail oriented quality focused Revenue Cycle Dept. professional Medical Billing specialist/ Collection/ Payment Posting etc.. Successful track record handling complicated assignments. Highly experienced In reconciling insurance and patient payments and resolving account disputes. Proficient in a variety of practice management software applications mainly Epic. Dedicated to maintaining strict patient confidentiality. Medical billing

HIPAA compliance

Insurance processing

Claims appeal procedures

Customer service-oriented

Strong interpersonal skills

Order processing

Quality assurance awareness

Conflict resolution techniques

Certified in Early Childhood Education

Account reconciliations

Strong work ethic Collections

Denial Claims

HB/PB Billing

Health Administration

Adding Coverage

Customer Service Front Desk

Knowledge of HMOs, Medicare and Medi-Cal

Patient-focused care

Team player with positive attitude

Deadline-driven

Good written communication

06/2015 to Current

THINKERS CAP ACADEMY HOME DAYCARE

Portland, OR

Supervisor/ Owner

Responsible to plan, organize, implement, coordinate, and control services of the childcare program, exercising independent judgment and decision-making authority as delegated, including budget, policies, procedures, and staff supervision. I also operates the childcare program in conformance with institutional regulations and state day care licensing provisions. My responsibilities include the overall management of the centers early childhood program and its operation, facilitating, planning and coordinating of the children's educational programs and activities. 03/2015 to 06/2015

ST HELEN INTERNAL MEDICINE

St Helen, OR

MGR - Medical Billing Specialist

Improved revenue for most recent provider over 32% with same patient load Experienced billing for Family Medicine, Ophthalmology and Hospital and Physician in the Northwest and St. Helens area.

Ensure claims are entered and submitted with 48 hours of receipt Accurately apply payments to patients account

Post and reconcile insurance and patient payments. Research and resolve incorrect payments, and other issues with outstanding accounts

Assign ICD-9 to physician diagnosis and insure correct level of service and various other CPT codes to clearinghouse to resolve file compatibility issues Retrieve Electronic Remittance Advice (ERA's)

Send secondary claims upon processing of primary insurance Monthly processing of Patient statements. Answer and resolve patient billing inquires Follow up on Insurance and Patient aging. Re-submit insurance claims as necessary. Knowledgeable in timely filing manner

Insure office practice are in compliance with HIPPA regulation 07/2014 to 12/2014

PROVIDENCE HOSPITAL ( TEMP POSITION 6 MONTHS)

Portland, OR

Medical A/R Commercial, Medicaid/Medicare Biller and Denial Biller for Oregon/Wa Medical billing specialist was to collect payment for medical services rendered. PROFESSIONAL SUMMARY

SKILL HIGHLIGHTS

PROFESSIONAL EXPERIENCE

Medical billing specialists I had an in-depth knowledge of insurance claims processing procedures, Medicare and Medicaid rules, Social Security disability rules, patient privacy law and rights, and debt collection law and rules. I was familiar with medical terminology, medical coding (the medical industry's specific codes used to record patient and treatment information), and medical databases. I follow-up on unpaid claims within standard billing cycle timeframe 07/2014 to 07/2014

PLANNED PARENTHOOD (TEMP POSITION 1 MONT))

Portland, OR

Billing Specialist III (Temp Position)

Review patient bills for accuracy and completeness and obtain any missing information Knowledge of insurance guidelines especially Medicare and state Medicaid Follow up on unpaid claims within standard billing cycle timeframe Check each insurance payment is for accuracy and compliance with contract discount Call insurance companies regarding any discrepancy in payments if necessary Identify and bill secondary or tertiary insurances All accounts are to be reviewed for insurance or patient follow-up

Answer all patient or insurance telephone inquiries pertaining to assigned accounts. 06/2009 to 05/2014

KAISER HOSPITAL

Portland, OR

Payment Poster/ Pre-Regisgtration Rep

I also have a working knowledge and am fluent in the following computer systems and applications: Signature Patient Accounts Receivable Common System (S.P.A.R.C.S), Passport, Common Membership Services (CM), Health Connect, E-Premis (Claims Scrubber for the Patient Business Services Department), Centers for Medicare and Medicaid Services System (CMS), Office of Medical Assistance Program (OMAP), Kaiser Ambulatory Resource (KARE), Results Reporting System (RRS), EpiCare, Lotus Notes, Microsoft Windows, Word and Excel.

Present: Pre- Registration Representative Insurance; Kaiser Foundation Health Plan of the Northwest. NAHAM Certified, pass a timed, rigorous exam.

The exam focuses on the following areas: Customer Service, Scheduling, Customer Assessment including financial concerns and patient needs, Pre-Registration, Patient Education, Payer Determination and Authorization and Verification of Benefits.

Other responsibilities include and are not limited to: respond to telephone account inquiries from patient. 08/2004 to 06/2006

PACIFIC UNIVERSITY FOREST GROVE

portland, OR

Vision Therapy - Vison Therapy Coordinator/ Charged Entry Clerk ASSOCIATE OF APPLIED SCIENCE: COMPUTER BUSINESS ADMINISTRATION 2004 Heald College, Portland, OR

ASSOCIATE OF APPLIED SCIENCE: MEDICAL BILLING AND CODING 2011 Heald College, Portland, OR

DIPLOMA/CERTIFICATE: MEDICAL & DENTAL SECRETARY 2009 Apollo College Medical& Dental, Portland, OR

HIGH SCHOOL DIPLOMA 1983

John McDonogh Sr. High School, New Orleans, La

Volunteer in the community/ churches working with Youth from ages 2 to 13years old. Also provide Home childcare as a second Business

EDUCATION AND TRAINING

ADDITIONAL INFORMATION

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