Peggy Thomas

520-***-****

Skills:

AAPC CPC Certified

AAPC COC Certified

ED Medical Coding

E & M Coding

ICD-10, PTOS, CODECENTER

Strong written and oral communication skills

Typing 50 wpm

Strong computer skills

Insurance Verification

Appeals and Grievances

Certification of Providers

Billing, Claims and Compliance

Read and understand EOB’s

Payroll

Certifications:

CPC; CPC-H

Paraprofessional in Education K-12

RTK Machine Operations Certification

Experience:

CJ Maggie’s

Head Bartender 09/18-08/19

Physicians Choice LTD

Emergency Dept Medical Coding 01/15-08/18

Ritz Carlton, Dove Mountain 10/12-12/14

Server/Bartender for Ignite Lounge

Banquet server

Temporary Positions through Robert Half and Apple One

With UPH and Codac Behavorial Health Services 06/11-09/12

Verified patient demographics and AHCCCS and CPSA eligibility

Submit claims through NexGen database

Ensure accurate and timely data entry into database

Weekly meetings with management to discuss any issues with billing and or claims, discuss any changes to CPSA State database, and discuss detailed reports showing billing, claims vs payment and all outstanding monthly balances.

Ongoing training with staff to ensure up to date knowledge with any changes to the State enrollment regulations

Obtained and documented all prior approvals

Hamilton Physical Therapy 11/06-10/10

Billing/Claims/Coding/Clerical/Assistant

Coordinated workers comp authorizations and re-certifications

Explained insurance policies, procedures and payments with patients to help them better understand their insurance coverage and payment procedures

Prepared, assisted and accurately completed all forms (authorization forms, payment appeals, credentialing and more)

Proficient with PTOS, IDX and Code Center medical programs

Proficient with Medicare/Medicaid compliance regulations

Applied ICD-9/10 codes for diagnosis as pertained to therapy

Maintained all provider credentialing

Appointment Scheduling and patient intake, data verification, confirmation calls, prepared and sent medical records requested following HIPPA regulations

Drafted appeal reports for rejected claims to ensure retro payments

Patient care coordinator and liaison between doctors, insurance and patients

Posted charge entries

Reconciled AP/AR at the end of each day

Stray Cat Café 11/04-06/06

Head Bartender

Prepared and garnished mixed beverages for guest

Stocked and maintained a clean, organized bar area

Used POS system to order food, beverages and totals for all sales

Counted and maintained proper inventory

Closed bar at end of shift, balancing all wait-staff’s ticket totals to bar orders

Totaled tabs and collected payments from customers using credit cards, bank cards, cash, gift certificates and making change when needed

Verified all ID’s in accordance with local and state regulations

Verified and dispersed payments for winning lottery machines

Mountain State Infrastructure 06/00-11/04

ATS Coordinator

Responsible for all ATS and GPS equipment and performance

Installation and removal, simple diagnostics, inventory, downloading and monitoring files for all equipment using the above systems

Go-to person on the grade crew

Supervision of the grade crew and equipment for the task of preparing and putting on grade given sections of highway

Staking and layout projects using cross-sections, plans and typicals

Recorded records of crew’s progress and reported to Project Manager at the end of each day

Stray Cat Café 02/99-06/00

Head Bartender

Prepared and garnished mixed beverages for guest

Stocked and maintained a clean, organized bar area

Used POS system to order food, beverages and totals for all sales

Counted and maintained proper inventory

Closed bar at end of shift, balancing all wait-staff’s ticket totals to bar orders

Totaled tabs and collected payments from customers using credit cards, bank cards, cash, gift certificates and making change when needed

Verified all ID’s in accordance with local and state regulations

Verified and dispersed payments for winning lottery machines

Kanawha County Schools 12/92-06/98

Teacher’s Aide

Academic Supervision

One on one support for developmentally disabled and mentally impaired students

Previous to this I was in school and also operated my own floral business.

Education:

L S Coding Education, LLC

CPC,

COC

E & M Auditing, Abstracting, Evaluation and Management

Anatomy and Medical Terminology

Fairmont State College- Fairmont, WV

Pre-Physical Therapy- General Education

Charleston University- Charleston, WV

Sports Medicine

West Virginia Rehabilitation Center- Charleston, WV

Sign Language

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