john67
New
John R. Thomas, CPC-A, NCICS
9157 W. 124th St Apt. 376
Overland Park, KS 66213
913-220-3596
john.r.thomas@mail.com
OBJECTIVE
CPC-A certified, experienced, and college-trained Medical Biller/Coder is seeking a position in the medical field.
CERTIFICATION
Certified Professional Coder-Apprentice
Awarded by the American Academy of Professional Coders
National Certified Insurance and Coding Specialist
Awarded by the NCCT- the National Center for Competency Testing
LICENSURE
Kansas Health Insurance Producer/Broker
Issued by the State Insurance Commissioner
EXPERIENCE
Licensed Senior Sales Representative
Harte-Hanks Shawnee, KS November 2011 - present
Responsibilities included:
• Consult and enroll Medicare and Medicaid beneficiaries into Special Needs Program offered by Blue Cross Blue Shield
• Confirmed if beneficiary's primary care physicians and specialists and medications were covered
• Held to strictest guidelines for accuracy and detail as imposed by CMS
• Knowledge and use of SIEBEL software customer database
Billing and Collections Rep
Apria Healthcare Overland Park, KS Jan 2011 – Apr 2011
Responsibilities included:
• Working invoices with unpaid balances to obtain reimbursement from insurance companies to increase corporate revenue
• Calls to patients and insurance companies to ensure up-to-date information on insurance and demographics in order to accurately file claims for maximum reimbursement
• Comply with all HIPAA policies and procedures and Apria business practices
• Accurately notating patient accounts with detailed comments based upon last action completed
• Working with medical documentation-CMNs, prescriptions, EOBs, preauthorizations, precertifications, and reports of diagnostic testing
Skills obtained:
• Knowledge and use of Apria software programs including ACIS, Aprianet, etc.
EDUCATION
Medical Billing and Coding Diploma – October 2010
Anthem College – Kansas City, MO
Resume for John R. Thomas – page 2
Externship served with Global Medical Direct – Lenexa, KS
Experiences also included:
• Processing secondary claims – printing the claims, attaching them to the EOB, and mailing those to the insurance companies.
• Write off patient balances over 300 days old in the Pacware system.
• Transferring balances from the secondary insurance to the patient after the secondary insurance had paid their responsibility.
• Removing charges from patient accounts that were still the responsibility of the insurance companies
• Re-billing secondary claims that were past 60 days due.
Other skills acquired during Medical Billing and Coding Program:
• Properly processing a CMS1500 for reimbursement
• Data entry of patient information in Synapse
• Taking a patient's medical history
• Electronically charting patient health information in Synapse
• Making proper use of modifiers
• Understanding HIPAA guidelines and practices
• Understanding the use of CPT, ICD-9, and HCPCS manuals
• Type 45 wpm
OTHER RELATED SKILLS:
• Beginning to Intermediate Use of MS Word and MS Excel
Professional Affiliations
American Academy of Professional Coders – Professional member since July 2010
Other Education
1994 graduate of Roosevelt University, B.A. – Liberal Arts
1990 graduate of Longview College, A.A. – General Education
EMPLOYMENT HISTORY
Communications Consultant - Sales
Sprint Retail Store Lee's Summit, MO May 2009 – Dec 2009
• Consult with customers regarding voice, messaging, and data services.
• Prospect daily for new customers and contact current customers to upgrade products and services
• Resolve customer issues including billing and account issues, equipment problems, and product training
Printing Assistant - Temporary
DES Staffing/Vertis Lenexa, KS Aug 2008 – Feb 2009
Traffic Clerk - Temporary
Pro-Staff/Associated Wholesale Grocers Kansas City, KS Jun 2008 – Aug 2008
• Scheduled deliveries
• Entered carrier expenses to financial reports
• Processed over, short, and damaged goods claims
• Used MS Excel spreadsheets daily
Customer Service Rep
Encore Overland Park, KS Jun 2007 – Jun 2008
9157 W. 124th St Apt. 376
Overland Park, KS 66213
913-220-3596
john.r.thomas@mail.com
OBJECTIVE
CPC-A certified, experienced, and college-trained Medical Biller/Coder is seeking a position in the medical field.
CERTIFICATION
Certified Professional Coder-Apprentice
Awarded by the American Academy of Professional Coders
National Certified Insurance and Coding Specialist
Awarded by the NCCT- the National Center for Competency Testing
LICENSURE
Kansas Health Insurance Producer/Broker
Issued by the State Insurance Commissioner
EXPERIENCE
Licensed Senior Sales Representative
Harte-Hanks Shawnee, KS November 2011 - present
Responsibilities included:
• Consult and enroll Medicare and Medicaid beneficiaries into Special Needs Program offered by Blue Cross Blue Shield
• Confirmed if beneficiary's primary care physicians and specialists and medications were covered
• Held to strictest guidelines for accuracy and detail as imposed by CMS
• Knowledge and use of SIEBEL software customer database
Billing and Collections Rep
Apria Healthcare Overland Park, KS Jan 2011 – Apr 2011
Responsibilities included:
• Working invoices with unpaid balances to obtain reimbursement from insurance companies to increase corporate revenue
• Calls to patients and insurance companies to ensure up-to-date information on insurance and demographics in order to accurately file claims for maximum reimbursement
• Comply with all HIPAA policies and procedures and Apria business practices
• Accurately notating patient accounts with detailed comments based upon last action completed
• Working with medical documentation-CMNs, prescriptions, EOBs, preauthorizations, precertifications, and reports of diagnostic testing
Skills obtained:
• Knowledge and use of Apria software programs including ACIS, Aprianet, etc.
EDUCATION
Medical Billing and Coding Diploma – October 2010
Anthem College – Kansas City, MO
Resume for John R. Thomas – page 2
Externship served with Global Medical Direct – Lenexa, KS
Experiences also included:
• Processing secondary claims – printing the claims, attaching them to the EOB, and mailing those to the insurance companies.
• Write off patient balances over 300 days old in the Pacware system.
• Transferring balances from the secondary insurance to the patient after the secondary insurance had paid their responsibility.
• Removing charges from patient accounts that were still the responsibility of the insurance companies
• Re-billing secondary claims that were past 60 days due.
Other skills acquired during Medical Billing and Coding Program:
• Properly processing a CMS1500 for reimbursement
• Data entry of patient information in Synapse
• Taking a patient's medical history
• Electronically charting patient health information in Synapse
• Making proper use of modifiers
• Understanding HIPAA guidelines and practices
• Understanding the use of CPT, ICD-9, and HCPCS manuals
• Type 45 wpm
OTHER RELATED SKILLS:
• Beginning to Intermediate Use of MS Word and MS Excel
Professional Affiliations
American Academy of Professional Coders – Professional member since July 2010
Other Education
1994 graduate of Roosevelt University, B.A. – Liberal Arts
1990 graduate of Longview College, A.A. – General Education
EMPLOYMENT HISTORY
Communications Consultant - Sales
Sprint Retail Store Lee's Summit, MO May 2009 – Dec 2009
• Consult with customers regarding voice, messaging, and data services.
• Prospect daily for new customers and contact current customers to upgrade products and services
• Resolve customer issues including billing and account issues, equipment problems, and product training
Printing Assistant - Temporary
DES Staffing/Vertis Lenexa, KS Aug 2008 – Feb 2009
Traffic Clerk - Temporary
Pro-Staff/Associated Wholesale Grocers Kansas City, KS Jun 2008 – Aug 2008
• Scheduled deliveries
• Entered carrier expenses to financial reports
• Processed over, short, and damaged goods claims
• Used MS Excel spreadsheets daily
Customer Service Rep
Encore Overland Park, KS Jun 2007 – Jun 2008