Sonja Ewing, Cpc Email & Phone Number

Columbia, Missouri Area

Kansas City, Missouri Area

In a call center environment, contacted patients Insurance to verify benefits and determine the exact process required to obtain medication. Determine if Prior Authorization is required and process required to complete if one is not already on file. Confirm Coordination of Benefits when more than one payer exists.

Kansas City, Missouri Area

In a call center environment, provide customer support in placing orders, and payments. Providing price estimates and cost comparisons. Educating members on their benefits, primarily in the Prior authorization, reconsideration, and appeals process. Also educating them on other benefits of their plan they may not be aware of. Also provide information for alternatives and copay assistance information on cost prohibitive medications. Assist retail pharmacists with claims processing and provide plan benefit overrides when needed and eligible. Assist members in enrollment and navigation of the website and providing information on benefits of using the website. Routinely meets or exceeds expectations on all metrics on a routine and ongoing basis with greatest strength in FCR First Call Resolution. Finally, provided resolution to many other requests like you would see in a Pharmacy Benefit Management call center environment.

Kansas City, Missouri Area

Provided round-the-clock care for my mother who was suffering from severe dementia, including medication management and assistance with all activities of daily living, up until the time I was unable to care for her myself anymore.

Overland Park Ks

1-complex benefit investigations for medical and prescriptions insurance plans2-process applications for Patient Assistance Programs3-Prior Authorizations/pre-certifications/pre-determinations4-alternative coverage search and locating co-pay assistance for patient5-claims processing for cost sharing program6-appeals assistance7-payer policy research Medicare, Medicaid and commercial payers for all 50 states8-training and go-to person for other team members.9-provide ICD-9-CM and CPT coding support as needed10-identifying contracted specialty pharmacy for specialty drugs and follow through until prescription is in patient hands.11- All of the above concentrated mainly on IV and oral chemotherapeutic drugs, radiopharmaceuticals and medical devices.

Leawood Ks

Columbia, Missouri Area

Logging in and preparation of daily tissue specimens for gross examination and assisting pathologist in the gross exam process.Prepares histologic slides from tissue sections for microscopic examination and diagnosis by Pathologist. Prepares sections of tissue for immediate examination, using rapid tissue processing and frozen section technique to freeze, cut, mount and stain tissue specimen received from surgery.Operates computerized laboratory equipment to fix, dehydrate, and infiltrate with wax, tissue specimens to be preserved for study by Pathologist.Prepares slides of specimens, using a wide variety of special stains, to enhance visibility under microscope.

Port Arthur Tx

This was a two doctor family practice which included a CLIA certified laboratory, x-ray and physical therapy.Converted medical practice from a manual general ledger system to computerized accounting system, including implementation and maintaining of 6 station peer to peer network Using MS Windows operating system and Medisoft Practice Management software.Responsible for Accounts payable, payroll and purchasing.Supervision of all office staff with primary focus on billing and coding. Providing staffing and human resources functions as well an ensuring superior customer service. Implementation and supervision of medical office operations including billing, coding and collections, appointment scheduling, and medical records maintenance.

Kailua-Kona, Hi

Kailua-Kona Hi

Kailua-Kona Hi

12 physician Family Practice and Internal MedicineScreened eob's to ensure maximum reimbursementManaged problem claims and appealsSupervised and assisted CPT & ICD-9-CM coding clerksMaintained computer operations for 17 workstation network using Novell Networking system. MD DOS basedStaff training

Houston Mo 65483

This was a single physician General Surgery PracticeConverted medical practice from a manual general ledger system to computerized accounting system, using Threshold Medical Management software on an MS DOS operating environment.Accounts Receivable, insurance billing, patient billing and collections.ICD-9-CM & CPT coding (extensive) directly from operative reports.Assisted surgeon, nurse and office manager in other duties as needed.

Oklahoma City, Oklahoma Area

This was a 4 doctor family practice with had been established for 36 years at the time. It was the most well organized and efficient office I have ever worked in even to this day.Under the direct supervision of a computer professional, I learned how to convert the accounts receivable from general ledger to computerized system using Threshold Medical Management Software. I also gained basic to intermediate working knowledge of the MS DOS operating environment and Novell Networking systems. And so began my love of computers.In addition I did all insurance coding, billing, appeals and correspondence. I also assisted where needed in phones, filing and front desk reception.

Salem Missouri, Houston Mo, Osage Beach Mo, St. Louis Mo

As a teenage daughter of a mother who was also an MD specializing in Pathology, I had to go to work with her in order to get to spend any time with her. I didn't mind as it was interesting and I had a lot of fun. I began doing transcription of autopsy reports. I then moved on to the histology lab where I learned all processes involved from assisting with gross exam of surgical specimens, to tissue processing, slide preparation and finally H&E stains and some special stains and an occasional frozen section. I later went on to obtain a formal education in Histotechnology.When I was about 15 the Health Care Financing Administration (HCFA) decided that the Pathologist could no longer be a paid employee of the hospital but must do her own billing for each and every single diagnostic test from a simple urinalysis to, to complex chemistry panels, surgical path procedures etc.... Within a matter of a few weeks I had literally memorized the entire pathology section of the CPT 4 manual and hundreds of ICD-9-CM diagnosis codes. I even had dreams of codes. We billed hundreds of claims a day to Medicare, Medicaid, private payers and self pay, sometimes working 16 hours a day, until one day she decided it was not worth it anymore and transitioned from 20+ years in pathology to family practice where she worked under her friend and colleague Dr. Deo K. Bhati M.D. who was a vascular/general surgeon. I then also worked with them in the billing and all other office procedures of a small town medical practice.

Certified Professional Coder, Icd-9-Cm Diagnosis And Cpt Coding, Certification

Activities and Societies: AAPCI did not attend a formal school but was allowed to sit for the exam due to my years of experience.

Computer Science, 4

Histotechnology

was unable to complete as the program was discontinued due to lack of enrollment.