Data Entry Front Desk
Resume:
Karen Thomas
Baton Rouge, La ****4
Phone: 225-***-****
*****.*.**********@*****.***
OBJECTIVE: To obtain a position that utilizes the skills acquired through training and experience.
EDUCATION
ARHPC Certified
Medical Billing and Coding 08/2017
Remington College-Baton Rouge, La Graduated (3.53 GPA) Medical Assistance 06/2015
St James High School Graduated
High School Diploma 05/1982
EMPLOYMENT
August 2019 to Present
Our Lady of the Lake
Billing Specialist
Lechelle Brown, Supervisor
Duties: Billing Medicare, Hospice, Worker Comp and MVA September 2018 to January 2022
St. Joseph Holdings (The Carpenter House)
Billing Specialist
WaRene Kimbell, Supervisor
Duties: Financial analytics and research, Accounts Payables, System data imports and DDE utilization, Insurance verification, coding hospice physician visits, submitting claims electronically, posting payments, reconciling bank deposit, researching outstanding ARs, verifying Medicare entitlements, researching hospice Medicare overlapping and calculating nursing home reimbursements. April 2016 to September 2018
CareSouth Medical and Dental
Front Desk Supervisor
Kenya Nelson, Supervisor
Duties: 10-key and type 67, insurance verification, scrubbing provider claims, ensuring that they are clean to go to the clearing house. Working rejected claims from the insurance company. Payment collection and scheduling appointments. Oversee front desk operations. Train staff on EMR utilization and implement workflow processes.
January 2007 to February 2014
Pharmacy Coordinator
Blue Cross Blue Shield of Louisiana
Gionne Mclean, Supervisor
Phone #: 225-***-****
Duties: Customer Services, Entering authorization, updating, Analyzing files for error and accuracy, working with ESI and IT dept. when the files are not transmitted on time, entering overrides, working with the pharmacist to fill scripts. Send errors to M&B to correct. Testing new benefits. Perform coding or claims adjustments in the million dollar range. Analytical issues were used to ensure that Express Scripts system was set up correctly to process BCBSLA pharmacy claims correctly. July 2003 to January 2007
Special Claims Processor
Blue Cross Blue Shield of Louisiana
Katherine Hodges, Supervisor
Phone #: 295-2448
Duties: Adjusting claims that paid incorrectly, paying high dollar claims and working on the HSA project.
July 2002 to July 2003
State Dedicated Edit Processor
Blue Cross Blue Shield of Louisiana
Beth Weill, Supervisor
Phone #: 298-2984
Duties: Data entry, applying contract benefits to pending claims. November 2001 to July 2002
Regular Edit Processor
Blue Cross blue Shield of Louisiana
Beth Weill, Supervisor
Phone #: 298-2984
Duties: Data entry, applying contract benefits to pending claims. November 2000 to November 2001
Regular Hospital Processor
Blue Cross Blue Shield of Louisiana
Paula Shepherd, Supervisor
Phone #: 298-1807
Duties: Data Entry
June 2000 to November 2000
Regular Professional Processor
Blue Cross Blue Shield of Louisiana
Stacy Toranto, Supervisor
Phone #: 298-1807
October 1999 to April 2000
Pharmacy Support Coordinator
Gulf South Health Plan
Brian McGlynn, Supervisor
Phone #: 237-1700
Duties: Data Entry, updating member information, updating provider information, assisting subscribers with problems pertaining to the pharmacy. October 1998 to October 1999
Microfilm Clerk
Gulf South Health Plan
Marlena Babin, Supervisor
Phone #: 237-1703
Duties: Retrieved microfilm, data entry, receptionist, claims coding SKILLS:
10-key Telephone Etiquette
Typing 50 wpm Problem Solving Skill
Filing Excellent Verbal and Written Skills
Data Entry Basic Computer Skills
Bank Deposits
CERTIFICATES AND REFERENCES FURNISHED UPON REQUEST
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