Quality Assurance Medical
Resume:
Tina L. Thomas
Jamaica, NY 11432
*************@*****.***
Experience:
Trinity Homecare/Walgreens
Reimbursement Specialist College Point, NY
*/**** ** */2014
Responsible for keeping accurate records of patient information and ensuring
that bills are paid in a timely manner.
Code information about patients and submit formal payment request to insurance
companies. Work with patients to set up repayment plans.
Call patients insurance companies representative in regards to patient bill if there
are any discrepancies.
Bank of America Newark, NJ
Claims Research Specialist III – Contractor 9/2012 to 01/2013
Independently reviewed subprime mortgage loans from the servicer to see if the
borrowers were caused any financial harm.
As a loan modification employee contributing to the housing recovery effort by
avoiding foreclosures and helping make mortgages affordable for borrowers.
Complete claim review and perform harm evaluation according to
Promontory/OCC definitions.
Analyze homeowner claims, following a procedure set out by promontory.
Performed test to see if the bank properly handled the loan.
Law Offices of Mitchell N Kay/Plaza Associates New York, NY
Senior Collections Specialist 2/2004 to 7/2012
Responsible for the negotiation of proper payment arrangement if applicable.
Collected delinquent accounts by locating and contacting debtors. Protected the
organizations values by keeping information confidential.
Avoided legal challenges by complying with FDCPA and company collection
policies.
Performed skillful negotiations according to established company guidelines.
Provided timely and accurate information on both outbound and inbound calls.
Assisted customers with routine questions in regards to their accounts.
Maintained AS400 system with accurate and thorough information, including
detailed collection notes.
Partnered with collection team to meet and exceed client expectations. Treated
all debtors and co-workers with respect.
WorldCom Wireless Garden City, NY
Senior Collections Specialist - Team Leader 5/2001 to 5/2003
Interact with upper level management in recoveries department to reconcile
clients’ contractual agreements.
Meet monthly goals that are set up by the client.
Perform high Quality Assurance for the company by obtaining all pertinent
information.
Robert Half for ADP Major Melville, NY
Credit Collections Representative 10/1999 to 4/2001
Responsible for the management of assigned payroll accounts and timely
collection of all past due balances.
Law Offices of Margolin & Meltzer New York, NY
Medical Collections Specialist 3/1997 to 3/1998
Responsible for the collections of delinquent medical accounts from private
hospitals.
Responsible for making outbound calls and sending letters to patients and third
party companies such as healthcare providers and insurance companies to
collect on delinquent medical accounts.
Review patient information to determine why claims weren't paid, and research
denied claims.
Document all work and calls performed. Also set up payment arrangements with
payers.
Education: Mandle - The School of Allied Health New York, NY
Certificate - Medical Billing and Coding
SUNY at Old Westbury Old Westbury, NY
Sociology/Criminology
Hofstra University Hempstead, NY
Sociology/Criminology
Bowie University Bowie, MD
Social Work
Skills:
Proficient with Microsoft Excel, Power Point and Outlook.
Proficient with Prolaw, AMN,DUP/LP, Clues, Encompass, AS400 Mortgages
software applications including Rust, Iportal,Lamp, Homebase,Homesaver,
stewart-HR-Home Retention, LMP/LMA, Accer, Equator, MERS, Urban, LPS,
Lotus Notes
Detailed Oriented, Outbound call volume 150 a day
Proficient with CareCentrix,Empire Blue Cross Blue Shield,
Anthem,Zirmed,Reimbursemnent Codes,MRO Chart Online,Oxford, United
Healthcare,UHC Community Plan,Healthfirst, Amerigroup,Emphysis, Avality
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