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Thread: CPCer from Overland Park looking for position in physician's office, clinical office

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    Default CPCer from Overland Park looking for position in physician's office, clinical office

    AAPC: Back to School
    John R. Thomas, CPC-A, NCICS
    9157 W. 124th St Apt. 376
    Overland Park, KS 66213

    CPC-A certified, experienced, and college-trained Medical Biller/Coder is seeking a position in the medical field.

    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

    Kansas Health Insurance Producer/Broker
    Issued by the State Insurance Commissioner

    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.

    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

    • 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

    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
    Attached Files Attached Files

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