Donella Thompson Email & Phone Number

Winston-Salem, North Carolina, United States

Ensures and verifies insurance information and makes sure information is accurate in processing and billing.Completes and documents form in accordance to procedure.Ensures document is scanned/saved to correct location and is legibleUtilizes price estimation tool, when applicable as part of the registration process to provide the most accurate estimate to patientsOrganization and able to work quickly and meet deadlines in a time mannerUpdated DME claims according to policies and procedures and COB & EOBReviewed patient billing information and update information, verifies Insuranceresponsible for the resolution of Medicare Secondary Payor demand letters issues by the Center for Medicare Service and related inquires from the Department of Treasury of its collection agencies.

Greensboro/Winston-Salem, North Carolina Area

• COB/Benefits Specialist Medicare- June 2007- June 2017• Responsible for the resolution of Medicare Secondary Payor demand letters issues by the Center for Medicare/Medicaid Services (CMS) and related inquiries from the Department of Treasury of its collection agencies. • The Medicare Secondary Payor (MSP) Specialist is required to deal directly with group administrators, legal department, the federal government and its vendors as well as outside attorneys.• Review and provide initial response to MSP demands. Document all transactions related to each federal case in the MSP tracking database. • Operations Specialist, March 2002– June 2007 -Processes internal and external adjustments to complete/correct prior claim transactions. • Responsible for end-to-end claims processing within an assigned segment• Escalate claims requiring specialized resolution to subject matter experts based on department policies and guidelines to ensure the resolution• Understand business requirement for the customer and provider segments with tailored solutions to their needs• Respond to inquires from Customer Service Professionals, subscribers, providers regarding claim payments• Review claims for “fraud and abuse” and escalate to S.I.U.• Determine suspended claim resolution methods by reviewing benefit eligibility, claims history and other information• Indentify system issues by documenting the issue, recommend

Greensboro/Winston-Salem, North Carolina Area

Bachelor Of Science - Bs, Business Administration And Management, General

Bachelor Of Science - Bs, Business Administration And Management, General

Bachelor Of Applied Science - Basc, Business Administration And Management, General, 3.0