Aimesha Johnson Floyd
Lawrenceville,GA
Summary
Results-oriented achiever with proven ability to exceed targets and drive success in fast-paced environments. Combines strategic thinking with hands-on experience to deliver impactful solutions and enhance organizational performance.
Overview
12
12
years of professional experience
Work History
Performance Coordinator
Parallon Business Solutions
09.2023 - Current
- Assist in ensuring vendors adhere to processes and procedures according to vendor agreement
- Trends and researches volume sent back to SSC by escalations/returns
- Assesses quality and operational metrics of the Global Quality Assurance Team
- Coordinate with SRT for education and training for vendors
- Maintain up to date knowledge of contract changes, payer practices and or SLA errors in PBI
- Collaborates with Global Performance Manager and Strategic Resource Team to define vendor processes
- Review vendor rebuttals in QA tool and evaluate for reeducation or feedback
- Provides support for all quality reviews and assessments of revenue cycle processes performed by international vendors
Financial Reports Coordinator
Parallon Business Solutions
09.2021 - 09.2023
- Assigned underpayments team their work list from Power BI
- Ran daily reports to assist in working Cloud Med (formerly known as Triage) Recoveries & Enable comp accounts
- Provided feedback to manager from error report for any trends and issues
- Assisted in ensuring that analyst are adhering to processes and procedures within the underpayment department guidelines
- Coordinated pool completion reporting once a week to be sure that the Underpayment team met the required metrics
Underpayment Team Lead
Parallon Business Solutions
07.2016 - 09.2021
- Reviewed and analyzed daily reports through microstragety system for accuracy before assigning to team to perform follow up
- Maintained relationships with other team leaders to help with complex accounts that requires immediate attention
- Checked and maintained knowledge of contracted rates and payment outlines with various insurance companies
- Assisted with staff communication, provided updates, resolved issues and maintained standards, including performing QA for staff
- Met with manager regularly to effectively communicate and resolve underpayment issues, set and prioritize goals and improve processes
- Provided introductory and ongoing training and education to staff to ensure that policies and procedures were followed
- Held one on one coaching sessions with team members to ensure that they stayed on task with meeting productivity goals
- Interviewed potential candidates for the Underpayment dept
- With managers
- Were responsible for making sure the team met weekly pool completion goals
- Managed department inventory to ensure that accounts didn’t fall into non-compliant or at risk queue’s
- Retrieved members medical records from HPF 15 as requested by team members
Payer Relation Specialist
Parallon Business Solutions
04.2015 - 07.2016
- Assessed accounts for trends and issues before monthly payer calls
- Reviewed EOBs for unprocessed charges, coordination of benefits issues or for any denials
- Ensured proper contract rates are applied for accurate reimbursement of claims
- Followed up on unpaid/unresolved claims that may have required a rebill or medical records
Underpayment Analyst
Parallon Business Solutions
12.2014 - 04.2015
- Performed and validated discrepancies reason coding of underpayment inventory
- Pursued additional payment from payers on underpayment discrepancies through various means of communication, via phone or payment packages
- Overcame objections that prevented payment of the claims
- Gained commitment for payment through concise and factual techniques
- Communicated trends to management as identified
- Facilitated correction of non-payment related underpayment discrepancies through I-plan changes or coordination with other departments as needed
Scheduler/Medical Records Clerk
Vascular Institute of Georgia
06.2012 - 04.2014
- Scheduled patients for their Ultrasound test
- Handled medical records request from attorney’s, hospitals and doctors’ offices
- Credentialed physicians to make sure their CME”S were up to date
- Contacted facilities to confirm if the physicians documentation needed to be updated
- Fostered credentialing guidelines, while completing physicians credentialing & re-credentialing applications, accompanied with supporting documentation
Education
Medical Billing & Coding certificate -
Sanford Brown College
Atlanta, GASkills
Timeline
Performance Coordinator
Parallon Business Solutions
09.2023 - Current
Financial Reports Coordinator
Parallon Business Solutions
09.2021 - 09.2023
Underpayment Team Lead
Parallon Business Solutions
07.2016 - 09.2021
Payer Relation Specialist
Parallon Business Solutions
04.2015 - 07.2016
Underpayment Analyst
Parallon Business Solutions
12.2014 - 04.2015
Scheduler/Medical Records Clerk
Vascular Institute of Georgia
06.2012 - 04.2014
Medical Billing & Coding certificate -
Sanford Brown College
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