Anita Johnson
Memphis
Summary
Qualification: exceptionally responsible, diligently and through. Fast learner with a wide range of practical skills. Special talent for office organization. Excellent verbal and written communication skills. Offer 20 years claims experience processing, follow-up and customer service. Public relation and customer service functions, maintaining a consumer-sensitive organization and assuring customer satisfaction.
Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills
Skilled claims processing professional with extensive experience in reviewing and validating insurance claims. Strong focus on accuracy, problem-solving, and effective communication. Known for collaborative approach and adaptability to changing needs. Proficient in claims software, data entry, and customer service. Recognized for reliability and achieving results in team environments.
Overview
44
44
years of professional experience
Work History
Purchasing Agent
Poplar Employment Service
01.1988
- Review tax information on forms, check calculation on returns and proof read material as assigned
- Helped with data entry in accounting Department
- Bind reports and processed and supervised bulk mailing
- Order supplies were needed and distribute mail and delivery of special Packages during tax season to clients
Collection/billing Account Representative
Collection/billing Account Representative
01.2008 - Current
- Billing and following up of Medicare and Medicaid claims and Commercial Accounts
- Review and research payments
- Post adjustments and write-off to the account;
- Contact the patient or insurance company regarding outstanding claims
- And send bills to the secondary insurance payors;
- Knowledge to review documentation and medical reports that needed to expedite claim processing
- Expedited dispute resolution through prompt investigation of disputed charges, working closely with clients to reach mutually satisfactory outcomes.
- Maintained accurate customer account information within the company''s CRM, minimizing errors and improving overall data quality.
- Improved cash flow by diligently monitoring outstanding accounts receivable balances and taking appropriate action as needed.
- Reduced account discrepancies by regularly reviewing customer accounts for accuracy and resolving issues promptly.
Collection specialized
Eye Specialty Group
01.2007 - 01.2008
- Called and verified patients insurance for major carriers
- Verified that amounts paid is correct on physician claims
- Proven ability to learn quickly and adapt to new situations.
- Worked well in a team setting, providing support and guidance.
- Adjustment made to accounts if needed and posting of money
- Maintained communication with Patients if needed
Customer Service
UT Medical Group
01.2001 - 01.2007
- Maintain patients accounts, resolve 1000 invoices including submission of claims monthly or recommend write-off
- Maintain knowledge of various write-offs for adjustments and posting money to accounts as needed
- Answer questions from internal and external call within a 24 hours of receiving call
- Keep compliance for all Hippa rules and procedures in confidential records
- Provided exceptional customer service, resolving complex issues promptly and professionally.
- Conducted customer service training sessions for new team members.
Customer Service Representative and Claims processor
Blue Cross
01.1988 - 01.2001
- Process of Physicians and hospital claims for various employers and policy holders
- Maintain Communication with RN, Doctors and other office staff and support workers
- Process medical claims, transplant, workman compensation ,and Accident claims
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
- Developed rapport with customers through active listening skills, leading to higher retention rates and positive feedback from clients.
- Provided coaching and mentoring to new hires, contributing to their successful integration into the team.
- Screened call to appropriated departments
- Evaluated All provision and exclusion of policies
- Monitored special medical report and cases, which requested reading information obtained from various Professional in order to make decision on cases for policyholders
- Followed thru and solved problems amd handled complaints
Administrative Assistant
Lowenstein House
01.1986 - 01.1987
- Typing for director when needed, filing of contract and reports and minutes for Board Meeting
- Making cash deposits for account flow done thru Director's office
- Managed all personnel functions which involved keeping records up-to-date in all employees files, insurance information and evaluation given by supervisors
Program Counselor and Driver
Frayser Family Counseling Center
01.1984 - 01.1986
- Supervise and direct client activities, work with other agencies providing client service
- Taught recreational activities, fill out government reports relating to clients behavior and social history
- Maintain a report of supplies use and ordered and purchase history
- Chauffeur passenger van when needed for client transportation for pick-up and drop off when needed
Nursing Assistant
Baptist Memorial Hospital
01.1981 - 01.1984
- Assist nurses when needed, also had to enter patient information into system when secretary not available
- Improved patient satisfaction by providing compassionate assistance with daily activities, such as bathing, dressing, and feeding.
- Checked patient vitals such as temperature, blood pressure, and blood sugar levels.
- Promoted a safe and clean environment by maintaining strict adherence to infection control protocols and sanitation standards.
- Documented care actions by completing records and logs in medical software system.
Education
Bachelor of Science - Psychology
University of Memphis
Memphis01-2020
Accounting and Computer science
Draughons Jr College
Memphis, TN12-1983
A.A.S -
Southwest Community College
01.1983
Certification - Nursing Assistant
Tennessee Technology
01.1981
High School Diploma -
Hamilton High School
01.1981
Skills
- Cashier
- Retail sales
- Stocking
- Data entry
- Active listening
- Problem resolution
- Relationship building
- Call center experience
- Computer proficiency
- Conflict resolution
- Complaint handling
- Follow-up skills
- Appointment scheduling
- Documentation
- Administrative support
- Data collection
Timeline
Collection/billing Account Representative
Collection/billing Account Representative
01.2008 - Current
Collection specialized
Eye Specialty Group
01.2007 - 01.2008
Customer Service
UT Medical Group
01.2001 - 01.2007
Purchasing Agent
Poplar Employment Service
01.1988
Customer Service Representative and Claims processor
Blue Cross
01.1988 - 01.2001
Administrative Assistant
Lowenstein House
01.1986 - 01.1987
Program Counselor and Driver
Frayser Family Counseling Center
01.1984 - 01.1986
Nursing Assistant
Baptist Memorial Hospital
01.1981 - 01.1984
A.A.S -
Southwest Community College
Certification - Nursing Assistant
Tennessee Technology
High School Diploma -
Hamilton High School
Bachelor of Science - Psychology
University of Memphis
Accounting and Computer science
Draughons Jr College
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