Priscilla Thompson Email and Phone Number

Worked effectively with medical claim payers: Medicare, Medicaid, commercial and other government insurances to obtain timely and accurate payments for 15 providers for services in Gastroenterology Clinic, Same Day Surgery, and Outpatient Professional Fee.Identified, researched, and resolved billing variances to maintain system accuracy and currency; assisted patients to formulate payment plans for balances due.Hired, managed, developed and trained medical billing and coding staff, established and monitored goals, conducted coder audits, and performance reviews.

Guards against fraud and abuse by verifying all ICD-10-CM (formerly ICD-9-CM), CPT-4, HCPCS Level II codes accurately reflected services provided for specialties: General Surgery and Surgical Oncology, Professional Fee, Radiology, and Office Outpatient.Negotiated fair billing charges with insurance company on behalf of provider for services rendered.Processes insurance company denials by auditing patient files, researching codes to determine proper reimbursement.Maintains compliance with statutory, regulatory and local, state and federal guidelines relating to HIPAA, benefits administration, and general liability.Generated accurate annual reporting for Merit-based Incentive Payment System (MIPS) for Medicare payment adjustments.

Coordinated patient scheduling, check-in, check-out.Collected patient co-payments and posted to account.Set up patients in system by documenting key registration data, confirming eligibility, and verifying insurance benefits.