Amy C. Johnson
Aspirus St. Luke’s
Brule,USA
30
years of professional experience
Led teams to optimize project execution through strategic collaboration and leadership.,Fostered a culture of integrity and shared accountability within the team environment.,Nurtured the professional advancement of diverse individuals to align with organizational objectives.
Work History
PB & WC/TPL/OGOV Supervisor
3 Years- Monitored weekly financial data to identify and address potential discrepancies.
- Assigned daily tasks based on changes in volume or revenue.
- Reviewed high-value adjustment requests for approval or rejection.
- Supported staff in understanding new regulations and procedures.
- Conducted monthly team meetings to review productivity levels and discuss concerns.
- Facilitated completion of annual corporate training requirements for staff.
- Encouraged team members to achieve productivity targets and foster a positive work environment.
- Applied effective leadership by promoting open communication and addressing staff needs.
- Guided staff to improve performance and support their professional growth.
- Implemented process enhancements that boosted team efficiency and output.
- Worked with management to set clear operational goals and objectives.
- Evaluated performance metrics to highlight areas needing improvement in service delivery.
- Managed daily departmental operations to ensure smooth workflow and timely task completion.
- Increased team productivity by streamlining workflows and clearly defining expectations for team members.
Patient Accounts Manager
10 Months- Set team goals and objectives based on department aims.
- Developed and updated department policies, procedures, and workflows.
- Guided staff in resolving issues, managing work assignments, and meeting deadlines.
- Fostered positive relationships with internal and external customers.
- Handled performance and personnel matters with empathy and respect.
- Monitored staff productivity and identified areas for training or support.
- Participated in candidate selection and interviews alongside department director.
Office Supervisor
4 Months- Assisted in supervising office staff for home care and hospice services.
- Promoted effective leadership and communication among team members.
- Supported coordination of patient accounts and reimbursement processes.
- Facilitated development, processing, submission of essential data and reports for home care and hospice, along with maintaining files and manuals.
- Contributed to planning, organizing, and evaluating office and departmental functions.
- Aided in managing business aspects of home health software for users.
- Helped coordinate operations related to purchasing materials, distribution, and equipment maintenance for the department.
Billing Supervisor
2 Years 6 Months- Managed billing and coding tasks for six nursing homes, six home health departments, and four hospice departments.
- Collaborated with leaders from various healthcare facilities to standardize and enhance operational processes.
- Organized and guided a team to achieve 95% productivity standards.
- Supervised a team of twelve staff members in billing and coding functions.
- Worked with IT to maximize the use of functionalities in Epic and MatrixCare.
- Partnered with other departments to implement process improvements and manage write-off adjustments.
- Instructed staff on compliance with new regulations and procedures.
- Monitored weekly financial data to recognize and address potential issues from irregular trends.
- Fostered positive relationships between team members and clinical departments.
- Conducted weekly one-on-one meetings with staff to address ongoing issues or concerns.
- Updated staff on current corporate policies and procedures.
- Communicated essential information effectively between staff and leadership.
- Motivated staff to achieve productivity standards and maintain high morale.
- Implemented a leadership style that promoted transparency and responsiveness to team needs.
Billing Analyst/Revenue Services Associate II
2 Years 4 Months- Track and log staff productivity
- Audit SNF chart documentation to ensure attached and logged correctly
- Perform training to new hire staff and existing staff
- Work closely with IS and System Support Analysts to resolve Epic and claim issues
- Daily Epic work in workqueues to resolve staff questions, insurance denials, overpayments, underpayments, Claim Edits, Charge Review and Charge Router
- Collaborate with leadership to establish and document workflows, and create training documentation (Tool Tip, How To, Workflow) using Microsoft Word & Microsoft Visio
- Work with Experian errors and edits to resolve and release outstanding claims to insurance payers
- Communicate with Hospice, Home Health, and Nursing Home leadership to resolve questions and issues regarding billing/admissions
- Developed positive relationships with staff during one-on-one meetings
- Encourage staff to maintain positive relationships when communicating with team and clinical teams
- Receive PTO requests to approve/deny
- Work closely with Manager/Director on HR issues regarding staffing and behavioral issues that may require coaching
- Communicate need-to-know information to staff from leadership
- Strategize with staff weekly on work to help improve productivity time and understanding of performance expectations
- Lead staff in meetings and discussions regarding outstanding issues and coach on how to resolve
- Work with Revenue Services Associate II on implementing productivity, projects, and process workflows, including daily duty changes for staff
- Review monthly financials for Skilled Nursing Facilities self-pay accounts nearing bad debt and work with legal agencies for collection or litigation
- Inspire staff to have fun each day which can help to boost team morale, maintain stronger productivity, and create positive relationships across teams
Process and Training Analyst
5 Years 8 Months- Perform a dual role involving employee training, process analysis and project management
- Conduct training sessions on coding, charge entry, hospice/home health and billing within Epic
- Facilitate various individual and group training sessions with up to 12 employees to all end-users including management and administration
- Create workflows to document processes and procedures that support company policies
Insurance and Claims Specialist
1 Year 1 Month- Track, log, and distribute weekly productivity to staff
- Trend denials and recommend system enhancements to help decrease denials
- Submit and log 1st and 2nd level appeals to payors for reimbursement of denied claims
- Knowledge of payor guidelines relating to coverage and processing of medical services to hospital and clinic locations within jurisdiction
- Daily duties include workqueue resolution
Denials and Appeals Specialist
5 Years 10 Months- Identified trends and assisted in analyzing root causes of denials to support recommendations for process and system improvements that reduce denials.
- Utilized clarity in reporting denials and tracking trends for improved insights.
- Collaborated with provider credentialing teams to address and resolve issues related to provider denials.
PB Billing Analyst
1 Year 3 Months- Identify, trend, and analyze denials, and recommend process and system improvement to decrease denials
- Track, log, and distribute weekly productivity to staff
- Interim lead role while Supervisor was on medical leave
- Workqueue monitoring and resolution
Accounts Receivable Representative
7 Years 2 Months- Assisted patients with inquiries regarding account discrepancies.
- Communicated regularly with insurance providers to rectify billing issues.
- Processed claims for re-evaluation by insurance companies as necessary.
Education
Associate’s degree - Medical Administrative Professional
Skills
Leveraged MS Office tools including Word
Excel
PowerPoint
Publisher
Outlook
and OneNote to enhance daily operational efficiency.
Facilitated the use of specialized software such as Epic
3M Encoder
Optum e-CAC
Homecare Homebase (HCHB)
Meditech Expanse
and Trubridge to improve workflow.
Operations
- Organizational Change
- Process Analysis and Improvement
- Policy and Procedure Development
Human Capital
- Teaching and Development
- Individual and Group Training
- Skilled Presenter
Project Management
- Workflow Development
- Needs Assessment and Analysis
- Employee Relations
Timeline
PB & WC/TPL/OGOV Supervisor
Aspirus St. Luke’s
08.2023 - CurrentRead More
Patient Accounts Manager
St. Luke’s Hospital
10.2022 - 08.2023Read More
Office Supervisor
Aspirus St. Luke’s
06.2022 - 10.2022Read More
Billing Supervisor
Essentia Health Systems
12.2019 - 06.2022Read More
Billing Analyst/Revenue Services Associate II
Essentia Health Systems
08.2017 - 12.2019Read More
Process and Training Analyst
Essentia Health Systems
12.2011 - 08.2017Read More
Insurance and Claims Specialist
Essentia Health Systems
11.2010 - 12.2011Read More
Denials and Appeals Specialist
Essentia Health Systems
01.2005 - 11.2010Read More
PB Billing Analyst
Essentia Health Systems
10.2003 - 01.2005Read More
Accounts Receivable Representative
Essentia Health Systems
08.1996 - 10.2003Read More
Northwood Technical College
Associate’s degree from Medical Administrative Professional
Read More