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

  1. Default CPCer from Overland Park looking for position in physician's office, clinical office
    Medical Coding Books
    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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