1. Julie Glass
2500 State Highway 121
Euless, Texas 76039
Cell Phone (817) 913-3416
glasjul1@gmail.com
Medical accounts review and appeals
Seeking a Position in an upbeat doctor's office where I can keep busy. I am used to multitasking on
several projects at once. I feel my best asset is going beyond the normal quick review on accounts,
and looking deeper for a more appropriate way to get the appeals and denials paid. I am eager to
understand the way each area works so that I may have a great grasp on how best to handle
insurance issues.
Experience:
Professional Medical Services "Third Party Appeals office"
July 22, 2015 to September 18, 2015
• Medicare physician's appeals ot of state office
• Client ended contract before 90 day and they had no doctor clients available
FTGU Irving "Third Party Appeals office"
Novenber 2, 2015 to January 22, 2015
• Centricity
• Electronic Medical Rescorces
• Located and docmented claims with issues
• Pulled and forwarded records to Workman's Comp and Indian Health Centers
• Pulled EOB's and forwarded to secondary carrier's
Texas Oncology / US Oncology
June 23, 2003 to July 31, 2015
Career level: Senior Patient accounts specialist 12 years
Responsibilities:
• Handling audits, appeals, and reviews of outstanding insurance and patient accounts
• Post refunds, adjustments, some charge entry, and patient payments.
• Explain the process of insurance to any patient and / or coworker with questions.
• Verify insurance benefits; obtain pre-certifications and financial estimates for upcoming
services.
• Responsible for all radiation claim issues and questions, including those outside my site.
Special Training:
• Systems: Citrix, Impac, Iknowmed, Misys, Image Now, Instamed, and online Insurance.
• Multiple medical online class completions through the corporate US Oncology learning
system.
• Basic medical knowledge as well as extensive research in the coding manuals.
Achievements:
• Created the practice of up front estimates for patient’s responsibility, giving the
opportunity to prepare financially for their personal cost.
• Promoted to the next position level at 90 day review.
2. • Obtained coding certifications through the US Oncology based program. (This is a
company recognized certification, not state)
ASSOCIATES IN OB/GYN
September 2000 to 2003
Career level: Receptionist / Insurance coordinator
Responsibilities
• Receptionist: Chart creations, scheduling, multi-phone lines, with later addition of charge
entry, taking payments and posting at time of service. Was able to catch up a three month
lag to current in 4 weeks.
• Provided requested records, and assisted nurses with locating codes for charge entry.
Promoted year three:
• Insurance Coordinator maintained account auditing, appeals, billing, and adjusting claims.
• Cleaned up the 350 page aging report down to 50 pages in one to two months.
• Counseled patients on estimates or balances that were their out of pocket portion.
RONALD F. REBAL M.D. Psychiatrist
July 1998 to September 2000
• Front staff receptionist, created charts, set appointments, took and returned messages.
• Removed refill requests from designated system and forwarding back the approvals.
• Verified and documented insurance and benefits, giving pre-calls for estimates or
additional information.
• Obtained required primary care referrals as needed.
Education:
Haltom High School Graduate 1994