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
Excel
Microsoft Outlook
PowerPoint
Reporting
Meditech
HPF 15
Concuity
SharePoint
Customer Service
Staff Supervision
Medical Terminology
Insurance Verification
Team Leadership
Customer Service Management
Appointment Scheduling
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