Summary
Overview
Work History
Education
Skills
Certifications
Timeline
Generic

Alnita A Johnson

Corpus Christi,Texas

Summary

To pursue a career where I can utilize my experience as an Office System Technology/ Medical Coder with superior attention to detail and skills in evaluating and correcting health records. Excellent work ethic and exemplary time management skills over a period of 8 yrs plus in the medical Industry.

Overview

12
12
years of professional experience

Work History

Scheduler Coordinator - Star Health

Centene
Corpus Christi, TX
11.2023 - Current
  • Work with Level 1 and Foster Kids
  • Consistent phone details managing outbound and inbound calls, mostly an outbound facility
  • Schedulers place outbound calls to members and schedule our members for their Assessments that the member may be due for
  • Schedulers will receive incoming calls with the potential to be placed on an active queue line (individual averages 30 plus calls)
  • Schedulers must keep up with email communication throughout the day as well as to be able to handle a caseload of members and SCs nurses
    calendars
  • Very fast paced and dual screens utilized; multitasking is a must
  • Schedulers must keep up with email communication

Reimbursement Intake Specialist/Benefit Verification Specialist

Aerotek
San Antonio, Texas
12.2021 - 02.2022
  • Is a remote position that will receive inbound and place outbound calls
    regarding Medical/ and pharmacy benefit investigation
  • Employee will utilize data from the Medea transaction
    to complete a medical benefit investigation
  • This process involves calling on a specific payers to gain
    the necessary missing data to finalize the benefit
    investigation
  • Once the data is obtained from the payer, the
    Reimbursement Specialist will enter the data into the
    Connect (internal portal)
  • The Reimbursement Specialist may also complete other
    documentation as required for daily reporting and
    performance measurement activities.

Healthcare Intake Specialist

Aston Carter
San Antonio, Texas
05.2021 - 09.2021
  • Analyze and prioritize orders based on initial
    assessment of documentation and customer outreach
    ,Verify third party payor benefits and eligibility (online
    or telephonically Review and payer specific
    requirements and coverage criteria to determine
    required documents and accurate billing criteria
  • Conduct in Dept. review of clinical documentation (
    medical records, prescriptions, OP Notes, H&P) based
    on billing criteria.
  • Call customer or field personnel to obtain the missing documentation required for billing. Provides a high
    level of customer service in a competitive market.
  • Requires repetitive keyboarding over 95% of the time and phone usage 60% of the time.

Medical Records Specialist

South Texas Radiology Imaging Center (STRIC)
San Antonio, Texas
10.2018 - 02.2021
  • Answering phones, creating manual or digital tracking
    logs using information systems: creating work orders;
    printing films and burning CD's; medical terminology
    knowledge, experience in an office setting; great
    customer service and great work history
  • Scanned documents into electronic health record system according to established procedures.
  • Processed requests for copies of patient medical files within designated timeframes.
  • Managed release of information requests and identified requestors as patient, relation or provider.
  • Purged outdated files.
  • Collected, filed, scanned, and retrieved confidential patient information.
  • Handled incoming calls and directed callers to appropriate department or employee.
  • Tracked and processed release of information requests.

Billing Coordinator

Emcare Inc
San Antonio, TX
08.2013 - 12.2016
  • Ensures the proper preparation and accountability of
    the Emergency Department charts for the
  • Emergency Department physician billing
    Obtains a copy of current Emergency Department log
    on a daily basis
  • Identifies and marks log /track sheets of hospital
    admittance, outpatient services, direct admits
  • Submits billing information, counts records to ensure
    reconciliation with the Emergency Dept
  • Log, and submit trauma patient billing
  • Answer phone calls and handle inquiries
  • Collects previous day's patient charts, sorting in date
    and time order
  • Reconciles missing or suspended list with required lag
    time
  • Collects critical care charges of procedures, such as
    procedures performed in
  • ICU/hospital and obtains/pulls charts, demographic,
    and insurance information
  • Maintains copy of billing information
  • Other duties as assigned

Education

St. Phillips College -

St. Phillips College
01.2010

Del Mar College -

Del Mar College
01.1995

High School -

Premont High School
01.1993

Skills

  • DEXA/ Calcium Scoring
  • EMR Systems
  • Medical Terminology
  • Medical Records
  • Hospital Experience
  • HPF
  • Account Tracker
  • Office duties
  • EMR
  • Medical Billing/ Coding
  • Amysis
  • Click
  • TruCare

Certifications

Medical Billing/ Coding

Certificate 2019

Timeline

Scheduler Coordinator - Star Health

Centene
11.2023 - Current

Reimbursement Intake Specialist/Benefit Verification Specialist

Aerotek
12.2021 - 02.2022

Healthcare Intake Specialist

Aston Carter
05.2021 - 09.2021

Medical Records Specialist

South Texas Radiology Imaging Center (STRIC)
10.2018 - 02.2021

Billing Coordinator

Emcare Inc
08.2013 - 12.2016

St. Phillips College -

St. Phillips College

Del Mar College -

Del Mar College

High School -

Premont High School
Alnita A Johnson