Thora Earnshaw

• Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
• Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
• Reviewed patient records, identified medical codes and created invoices for billing purposes.
• Communicated with insurance providers to resolve denied claims and resubmitted.
• Precisely evaluated and verified benefits and eligibility.
• Posted and adjusted payments from insurance companies.
• Printed and reviewed monthly patient aging report and solicited overdue payments.
• Maintained and updated collections tracking spreadsheet to help organize payment information.
• Precisely completed appropriate claims paperwork, documentation and system entry.
• Pre-certified medical and radiology procedures, surgeries and echocardiograms.
• Determined prior authorizations for medication and outpatient procedures.
• Located errors and promptly refiled rejected claims.
• Identified and resolved patient billing and payment issues.
• Managed collections claims for unpaid bills against estates of debtors.
• Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
• Prepared billing correspondence and maintained database to organize billing information.
• Evaluated patients' financial status and established appropriate payment plans.
• Communicated effectively and extensively with other departments to resolve claims issues.
• Performed billing and coding procedures for ambulance, emergency room, impatient and outpatient services.
• Posted payments and collections on regular basis.
• Posted surgical charges for practice providers.
• Collected payments and applied to patient accounts.
• Gathered information from multiple sources to simplify billing and organize accounts.
• Delivered timely and accurate charge submissions.
• Translated and interpreted medical billing codes with strong accuracy to enable swift payment from insurance agencies.
• Reviewed patient diagnosis codes to verify accuracy and completeness.
• Adhered to established standards to safeguard patients' health information.
• Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
• Filed and updated patient information and medical records.
• Managed billing calendar and scheduled claims for payments.

• Provided support for document controls and worked with contract documents.
• Proofread filenames, titles and submittal details to streamline submittal and avoid rejection.
• Managed technical documentation flow of engineering, project management and construction activities.
• Coordinated document exchange between departments, contractors, suppliers and customers.
• Enforced use of standardized forms and templates to achieve uniformity of communications across departments and functions.
• Checked blueprints and drawings for accuracy and completeness.
• Established and managed document distribution matrix and document control register.
• Checked accuracy and completeness of documents to identify deficiencies and recommend corrective actions.
• Created project control documentation to support needs of important projects.
• Complied with safety regulations as outlined in organizational procedures to minimize [Type] issues.
• Scanned, filed and transmitted various documents and adhered to digital filing procedures.
• Carefully reviewed all documents and reports for completeness and accuracy.

• Completed paperwork, recognizing discrepancies and promptly addressing for resolution.
• Proved successful working within tight deadlines and fast-paced atmosphere.
• Worked within applicable standards, policies and regulatory guidelines to promote safe working environment.
• Actively listened to customers' requests, confirming full understanding before addressing concerns.
• Adhered to social distancing protocols and wore mask or face shield.
• Demonstrated respect, friendliness and willingness to help wherever needed.
• Offered friendly and efficient service to customers, handled challenging situations with ease.
• Improved operations through consistent hard work and dedication.
• Maintained energy and enthusiasm in fast-paced environment.
• Used critical thinking to break down problems, evaluate solutions and make decisions.
• Successfully maintained clean, valid driver's license and access to reliable transportation.

Special Investigation Unit (Judge William Heath; My duties at this company included the forensic analysis required for
preventing corruption in the Government Sector; a confidentiality
agreement was signed by myself which does not allow me to
elaborate on my duties of employment.

• Established and updated Backlogs and finances for teaching staff
• Assisted on the implementation of the Natis System in Law and Admin