Thomas Wilson Email & Phone Number

Jeffersonville, Indiana, United States

Jeffersonville, In

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FROM LOUISVILLE, KY).; REVIEWING MEDICARE APPEALS, REDETERMINATION, RECONSIDERATION AND REOPENING CASESTO BUILD A DECISION ON PAYMENT DENIAL OR NEXT LEVEL APPEAL. WROTE LETTERS BASED ONDECISIONS.* CONSTANTLY COMMUNICATING WITH TEAM MEMBERS BY SETTING UP INSTANT MESSAGEBOARDS VIA TROUBLE SHOOTING ONGOING SITUATIONS. BIWEEKLY TELEPHONE MEETINGS.

RESEARCHING, ASSESSING AND FACT CHECKING MEDICARE ENROLLMENT APPLICATIONS ON ADAILY BASIS WRITING VERY THOROUGH NOTES AND DETAILED CORRESPONDENCE OF ALL PENDINGAPPLICATIONS NOTING ALL CHANGES THAT WERE MADE.* FOLLOWING PROCESSES OF NAVIGATING MULTIPLE SYSTEMS WHILE ADHERING TO CORPORATEGUIDELINES AND PROCEDURES.* CPU CLAIMS PROCESSING UNIT SPECIAL MAINTENANCE ACCOUNT CORRECTION REVIEWINGDETAILED NOTES HISTORY AND INQUIRIES. SENDING LETTERS WHEN NEEDED.* SPECIAL… Show more RESEARCHING, ASSESSING AND FACT CHECKING MEDICARE ENROLLMENT APPLICATIONS ON ADAILY BASIS WRITING VERY THOROUGH NOTES AND DETAILED CORRESPONDENCE OF ALL PENDINGAPPLICATIONS NOTING ALL CHANGES THAT WERE MADE.* FOLLOWING PROCESSES OF NAVIGATING MULTIPLE SYSTEMS WHILE ADHERING TO CORPORATEGUIDELINES AND PROCEDURES.* CPU CLAIMS PROCESSING UNIT SPECIAL MAINTENANCE ACCOUNT CORRECTION REVIEWINGDETAILED NOTES HISTORY AND INQUIRIES. SENDING LETTERS WHEN NEEDED.* SPECIAL PROJECTS WHEN ASSIGNED. Show less

LOUISVILLE, KY* MANAGED INCOMING/OUTGOING PROJECTS* OVERSAW MULTIPLE JOBS FOR EIGHT TO TWELVE PEOPLE* ENSURE HIGHEST QUALITY ON ALL DIFFERENT TYPES OF JOBS* KEEPING ACCURATE RECORDS OF ALL TASKS PERFORMED* ABLE TO MEET HIGH IMPACT DEADLINES* FULFILL LARGER ORDERS ON AN INDIVIDUAL BASIS DAILY* ASSESSING EVERYDAY SITUATIONS FOR IMPROVING ASSIGNMENT OUTPUT

EXPERIENCED IN INVESTIGATING OVERPAYMENTS FOR MEDICARE AND COMMERCIAL HEALTHINSURANCE CLAIMS. USED DEDUCTIVE REASONING TO EVALUATE POTENTIAL OVERPAYMENTSALSO GATHERED DATA ON A DAILY BASIS FROM MULTIPLE OUTLETS.* DILIGENT IN VERIFYING SUBSCRIBER INFORMATION ON A DAILY BASIS TO ASSURE QUALITY ANDACCURACY VIA PHONE, FAX, LETTER OR E-MAIL.* ESTABLISHED TRUST WITH THE MEMBERS, PROVIDERS, GROUPS, AND OTHER INSURANCECOMPANIES BY MAINTAINING FIRST-RATE CUSTOMER SERVICE ADHERING… Show more EXPERIENCED IN INVESTIGATING OVERPAYMENTS FOR MEDICARE AND COMMERCIAL HEALTHINSURANCE CLAIMS. USED DEDUCTIVE REASONING TO EVALUATE POTENTIAL OVERPAYMENTSALSO GATHERED DATA ON A DAILY BASIS FROM MULTIPLE OUTLETS.* DILIGENT IN VERIFYING SUBSCRIBER INFORMATION ON A DAILY BASIS TO ASSURE QUALITY ANDACCURACY VIA PHONE, FAX, LETTER OR E-MAIL.* ESTABLISHED TRUST WITH THE MEMBERS, PROVIDERS, GROUPS, AND OTHER INSURANCECOMPANIES BY MAINTAINING FIRST-RATE CUSTOMER SERVICE ADHERING TO EITHER MEDICAREOR STATE REGULATIONS WITHIN TIMELY FILING REQUIREMENTS. Show less

PREPARED QIC MEDICARE PART B RECONSIDERATION/REDETERMINATION REQUESTS FOR NEXTLEVEL APPEALS.* CREATED AND PROCESSED LARGE CASELOADS IN AN EXPEDITED TIME FRAME. NEVER FAILED ONTIMELY FILING ON OVER 10,000 CASES.* STRENGTHENED COMMUNICATIONS WITH CLIENTS AND CUSTOMER SERVICE ON DAILY BASIS.* ACHIEVED 112% PRODUCTION AVERAGE WITHIN THE FIRST YEAR WITH A 99% QUALITY RATING.* WITHIN THE SECOND YEAR, IMPROVED PRODUCTION TO 135% AND MAINTAINED A 99% QUALITYRATING.*… Show more PREPARED QIC MEDICARE PART B RECONSIDERATION/REDETERMINATION REQUESTS FOR NEXTLEVEL APPEALS.* CREATED AND PROCESSED LARGE CASELOADS IN AN EXPEDITED TIME FRAME. NEVER FAILED ONTIMELY FILING ON OVER 10,000 CASES.* STRENGTHENED COMMUNICATIONS WITH CLIENTS AND CUSTOMER SERVICE ON DAILY BASIS.* ACHIEVED 112% PRODUCTION AVERAGE WITHIN THE FIRST YEAR WITH A 99% QUALITY RATING.* WITHIN THE SECOND YEAR, IMPROVED PRODUCTION TO 135% AND MAINTAINED A 99% QUALITYRATING.* GATHERED, RESEARCHED AND INPUT CASE FILES DATA INTO COMPUTER SYSTEMS ANDMICROSOFT EXCEL SPREADSHEETS.* LOGGED INCOMING RECORDS AND FILES UPDATED APPEAL DECISIONS WHEN THEY CAME IN ON ADAILY BASIS.* ORDERED AND MONITORED OFFICE SUPPLIES.* SPECIAL PROJECTS AS ASSIGNED Show less

AS TEAM LEAD FOR FOUR YEARS, IMPROVED AND DIRECTED THE DAY TO DAY OPERATIONS OF THEMAILROOM.* TRAINED NEW ASSOCIATES AND SET GOALS ON A DAILY BASIS ON DEPARTMENT PROCEDURES,INCOMING DELIVERIES AND WORK FLOW OPERATIONS.* HEAD-PRESORTER FOR ALL INCOMING MAIL FOR ALL SHIFTS.* VERIFIED, SORTED AND CHECKED INSURANCE CLAIMS, BILLS, INVOICES, AND VOUCHERS.PROCESSED INSURANCE CLAIMS IN AN EFFICIENT MANNER. PROCESSED VARIOUS FINANCIALDOCUMENTS AND ENSURED ACCURACY OF INCOMING… Show more AS TEAM LEAD FOR FOUR YEARS, IMPROVED AND DIRECTED THE DAY TO DAY OPERATIONS OF THEMAILROOM.* TRAINED NEW ASSOCIATES AND SET GOALS ON A DAILY BASIS ON DEPARTMENT PROCEDURES,INCOMING DELIVERIES AND WORK FLOW OPERATIONS.* HEAD-PRESORTER FOR ALL INCOMING MAIL FOR ALL SHIFTS.* VERIFIED, SORTED AND CHECKED INSURANCE CLAIMS, BILLS, INVOICES, AND VOUCHERS.PROCESSED INSURANCE CLAIMS IN AN EFFICIENT MANNER. PROCESSED VARIOUS FINANCIALDOCUMENTS AND ENSURED ACCURACY OF INCOMING ACCOUNTS.; GOAL OF 99.5%. ACCOMPLISHED DEPARTMENTAL GOALS. EXPEDITED MAIL USING COMPLEX,INDUSTRY STANDARD MACHINES. ENSURED MAXIMUM PRODUCTION WAS ACHIEVED.* FIRST-RATE DEDICATION TO THE TEAM ENVIRONMENT BY HAVING AN EXCELLENT ATTENDANCERECORD AND EXHIBITING LEADERSHIP FOR HIS FELLOW ASSOCIATES.* FORECASTED LARGE VOLUMES OF INCOMING WORK FOR PROJECTED NUMBER OF EMPLOYEES.* STRENGTHENED TEAM MORALE.* SPECIAL PROJECTS AS ASSIGNED Show less