Karen Thomas

**** ***** **.

Baton Rouge, La ****4

Phone: 225-***-****

ad0xfx@r.postjobfree.com

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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