1. THERESA THOMPSON
2531 W Royal Lane
Apt#1408
Irving, TX 75063
Cell: 325-899-9638
tst2020@yahoo.com
Objective
To obtain a position that will afford me opportunities to utilize my skills and education
experience in the Healthcare Industry.
Experience
Conifer Health Solutions
12/01/14 to Present A/R Specialist/Traveler Frisco, TX
Responsible for Insurance F/U on claims with Medicaid, Managed Care and Commercial payers.
Appeal and rebill claims to payers.
Work denials in a timely manner.
Transfer balances to patient and responsible parties.
Review EOBs and request C/A and other adjustments
Extensive use of Microsoft Excel, Cerner Billing System and Epremis.
Columbia University Medical Center/61st
Street Service Corp
10/2012 to 07/26/14 Revenue Cycle Representative I NYC, NY
Responsible for securing scheduled and unscheduled patient appointments and
Insurance benefit verification via MPV and Insurance payers.
Review charges in CROWN (EMR system) and GE/IDX TES.
Submit clean claims to Insurance Carriers.
Extensive use of IDX, MPV and Allscript (CROWN).
Somnia Inc
01/2012 to 7/2012 Quality Control Specialist New Rochelle, NY
Follow-up on all Anesthiology claims filed with Commercial carriers and Government payers.
Appeal denied claims with Medicare and Commercial payers.
Verify patient’s eligibility.
Extensive use of IDX, Liberty net and Microsoft Word and Excel
University Physicians Inc.
08/2010 to 12/2011 Account Receivables Coordinator Aurora, CO
Follow-up on all inpatient and outpatient hospital claims filed with Commercial carriers and
Government payers.
Appeal denied claims with Medicare and Commercial payers.
Submit claims to Colorado Medicaid Program via web portal
Verify patient eligibility with Medicare and Medicaid
Train new staff and take leadership in staff training seminars.
Extensive use of IDX, Centricity, Epic, Medical Records Software and Microsoft Word and
Excel
2. Health Business Solutions
07/2009 to 06/2010 Denial Recovery Specialist Cooper City, FL
Follow-up on all inpatient and outpatient hospital claims filed with Commercial carriers and
Government payers.
Appeal denied claims with Medicare, Medicaid and Commercial payers
Submit Medicare claims and check claim status and eligibility via web portal.
Submit Medicaid claims and check claim status and eligibility via web portal.
Extensive use of IDX, CaneCare, Epremis, Microsoft Word and Excel and Sharepoint software.
Weston Outpatient Surgical Center
06/2008 to 6/2009 Accounts Receivable Specialist Weston, FL
Billed claims to Insurance companies and ensure that charges are
Coded in accordance with Cpt and Icd-9 guidelines.
Prepare accounts past due 120+ days and forward to collection agency.
Extensive use of Advantx software. F/U on claims filed to Insurance companies.
Health Check Incorporated
02/2008 to 05/2008 Claims Auditor Hollywood,
FL
Performed audits on all Managed Care Hospital claims ensuring that Insurance paid in
accordance with contracted rates.
Very Knowledgeable about contracts and understands contract verbiage
Extensive use of Cetrix, Ascent, Pas, Meditech, Microsoft word and Excel software.
Education
Regis University
May 2011 Masters of Business Administration Healthcare Management Denver, CO
CUNY/Hunter College
February 1994 Bachelor of Arts Economics/Communications NYC, NY
References
FURNISHED UPON REQUEST