Eunice Thompson Email & Phone Number

Maitland, Fl 32794

Managed A/R of multiple third-party payers, which involve analyzing and investigating no pays rejections and denials from insurance, resubmission of corrected claims electronically/paper, corrected posting errors, communicated with patient, physician, and insurance company to resolve claim issues, reporting trends with proposed resolutions, creating workflows and claim logics within compliance/CMS guidelines.• Reorganized, convey, resolved, assisted management with proposal of developmental workflows with implementing claim logic on several trending issue which decrease claim denials percentages• Decrease days in AR from 56 days to 17.3 days in 8 months • Reduced denied invoice count from 8100 to 850 in one 6 months• Resolve high dollar invoices with payer solutions and policy changes

Managed A/R of Supplemental third party payers, which involve analyzing no pays rejections/denials from insurance, resubmission of claim electronically/paper, corrected posting errors, communicated with patient, physician, and insurance company to resolve claim issues, Handled Commercial Pharmacy electronic complex claims and reported trending issues by way of communicating with managment. Reported at risk accounts and resolution to Quality Team. Operated Assisted Funding program A/R by means of submitting necessary documents to foundations for copays, deductibles and any out-of-pocket financial obligations. • Collected 157K of aged revenue over 365 days in six month with 4.8% interest• Assisted in decreasing DOS from 32.7% to 14.6% monthly • Deceased A/R 24.1% over 180 days to 6.1% in 45 days with Commercial and Supplemental · Decreased refunds

Orlando, Florida Area

•Decreased fall out of electronically submitted claims by 90% by educating team of the ANSI 837 claim logics.• Reduced operational Medicare loses from $4.1 million to less than $1.3 million within six months by educating management on Medicare guidelines and implementing an improved appeals process.· Appealed Audit of 1800 claims - 1800 appeal won.

Winter Park, Florida

• Reversed 1.2K refund requests from Wellcare Managed Care plan by uploading Physician legacy information in Payer's portal.• Collected $55K in billed revenue withheld by managed care plan (Amerigroup) by appealing claims which denied in error according to contract.• Created a Knowledge Tree which assisted coworkers in obtaining Payor Contacts, Payer Reimbursement policies, Addendums, etc that made tasks more accessible.• Implemented a process improvement plan within the AR department leading to a measurable improvement in outcome of rejected claims from Medicaid identification denials.

Orlando, Florida Area

• Provided turn-around management for CMN department and reduced operational loses from over 500 scripts per physician to less than 60 scripts in one year. • Developed and implemented quality management procedure systems which resolved reimbursement issues to reduce insurance denials; slow pays providing with more efficient process to a current process.

Altamonte Spring, Florida

• Implemented quality assurance by checking for accuracy of billed invoices to payers to ensure efficiency.• Strategically planned, practiced acquisition, created compensation plan development and operational improvement for 14 ophthalmologists and 14 optometrists in 11 locations.

Orlando, Florida Area

Temporary assignment which involved assisting and counseled self-paid patient with financial obligations, Interviewed patients to determine their current income, expenses, insurance coverage, tax status, financial objectives, and risk tolerance, or other information needed to develop a financial plan, prepared charity summary to be review by management for modification and/or reduction of accounts.• Achieved a record of zero defects on financial application completions• Created and implemented a financial plan which drove $1.2 million revenue increase.

Computerized Business, Windows

High School Diploma, Basic Skills And Developmental/Remedial Education