ANNA MARIA JOHNSON
Fort Worth,TX
Summary
An interesting position with a growing company Medical Billing and Coding Specialist with 10+years providing administrative and patient support in hospital and medical office settings. Advanced knowledge of private insurance processes and codes. Organized Training and Quality Assurance Coordinator with 3 years Patient Finance training with extensive knowledge of use and industry procedures. Proven leader ready to make hard decisions and counsel companies to long-term success.
Overview
11
11
years of professional experience
Work History
Manager - Training and Quality
JPS Health Network
08.2020 - Current
- Liaison for 3rd party vendor in regards to Patient Financial Services functions.
- Proposes revisions to internal policies and procedures
- Analyzes trends in staff performances for audits in workflows, accuracy,effecianly and cash flows
- Trained new team members on Medicaid systems , and trending issues with portaled processes for claims and eligibility follow up
- Performs additional audits and completes special projects as necessary
- Accurately tracks productivity and provide weekly status reports to Coordinator and Supervisor to ensure standard are met
- Provided mentoring for trending issues within EPIC and Nthrive databases for additional helped colleagues and new hires
- Evaluates staff for improved understanding after completing training
- Constructs and guides new hires through orientation and training process
- Help design and implement Medical Billing training manuals and modules
Medical Billing and Coding Specialist
Professional Medical Service
07.2017 - 09.2020
- Researched CPT and ICD-10 coding discrepancies for compliance and reimbursement accuracy
- Evaluated patients' financial status and established appropriate payment plans Trained new employees on multiple medical billing programs and data entry software Performed billing and coding procedures for ambulance, emergency room, impatient and outpatient services
- Printed and reviewed monthly patient aging report and solicited overdue payments
- Maintained and updated collections tracking spreadsheet to help organize payment information
- Pre-certified medical and radiology procedures, surgeries and echocardiograms
- Accurately posted surgeries, hospital visits and payments for assigned carriers
- Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts
Medical Billing Manager
Premier Central Pediatric
03.2016 - 07.2017
- Managed office operations, work flow, office staff - including recruitment,performance management and training/development of specialty practice
- Provided support and performed regular QA reviews for client intake, registrationand scheduling functions
- Managed client reception and client services coordination
- Maintained and operated electronic health records and billing system
- Managed facility procedures related to insurance and billing and solved patients'queries regarding their insurance renewal and expiry
- Provided the required leadership, support and direction for office initiatives andspecial projects
- Facilitated the management in completing general formalities related to the patients suchas insurance and medical reports
- Knowledge of basic operating systems like E-MD's, Office Ally, Microsoft Word and theinternet Handled the tasks of preparing agendas and organize meetings under theinstructions of Medical Director
- Collected payment for healthcare services provided
- Completed insurance and other claim forms
- Utilized classification software to assign clinical codes for reimbursement and dataanalysis Interviewed patients with the aim of completing forms, documents and casehistories Coordinated collection activity for past due accounts, denials/appeals, andreconciled
- EOB/RA's
- Generated accounts payable reports for management review to aid in financial andbusiness decision making
- Generated financial statements and reports detailing accounts receivable status
Registrar, Wadley Regional
03.2015 - 06.2016
- Responsible for greeting incoming patients, distributing paperwork, entering in pertinent information, including insurance and demographic, and handling processing of insurance Handle inquiries and patient intake
- Maintain updated bed ability and facility services information
- Ensure all papers are properly filled out and input into system
- Maintain daily schedules
- Enter and verify that all patient demographics and billing information correctly entered/verified at time of check in
- Process encounters daily for and balance to co-payments
- Collect balances due at time of check in
- Direct patients to relevant areas of building
- Answer phones
- Assign patients to room
- Obtain signed statements
- Store patients' valuables
- Record payments
- Perform tours
- Keep admission desk clean and organized
- Perform insurance data entry
- Contact nurses and doctors about surgeries and meetings
Medical Records Clerk
HealthCare Express
11.2012 - 03.2015
- Gathers patient information by collecting demographic information from a variety outsources; interacting with registration areas and physicians' offices; retrieving information fromautomated printer
- Maintains master patient index by completing assigned portion of daily audit trail; correctsand communicates problems according to established procedures
- Initiates the medical record by creating and processing the patient care record folder
- Maintains record availability by processing charts into the department; using chartmark-off procedures; facilitating chart location activities
- Retrieves medical records by following chart-out procedures; documenting reasonscharts cannot be retrieved for statistical and follow-up purposes
- Obtained necessary signatures on information release forms to obtain medical andtreatment records from other service providers
- Created new physical and computer-based files
- Received and processed medical records requests
- Received and routed medical records
- Prepared mailings of information and documentation
- Reviewed medical records for completeness and filed records in alphabetic andnumeric order
- Processed patient admission and discharge documentation
Patient Account Representative
HealthCare Express
11.2012 - 03.2015
- Worked with outside entities to resolve issues with billing, claims andpayments Responded to patient, family and external payer inquiries
- Utilized computer programs to create invoices, letters and otherdocuments Reconciled statements with patient records
- Contacted patients after insurance was calculated to obtain payments
- Electronically submitted bills according to compliance guidelines
- Balanced deposits and credit card payments each day
- Generated monthly statements to check outstanding balances
- Assisted patients in filling out check-in and payment paperwork
- Reviewed and corrected claim errors to facilitate smooth processing
- Prepared reports detailing billing actions, flags and other key information
Education
Certified Billing Coding Specialist -
Texarkana College
Texarkana, TXHigh School Diploma -
Texas High School
Texarkana, TX2006
Skills
- Medical office administration
- EPIC Software
- Billing Oversight
- Emdeon Software
- Communication 3M Encoder
- Management Medical terminology
- Understanding EMR / EHR
- Budgeting and finance specialistt
- New hire on-boarding
- Training solutions development
- Small Group Instruction
- Course development
Timeline
Manager - Training and Quality
JPS Health Network
08.2020 - Current
Medical Billing and Coding Specialist
Professional Medical Service
07.2017 - 09.2020
Medical Billing Manager
Premier Central Pediatric
03.2016 - 07.2017
Registrar, Wadley Regional
03.2015 - 06.2016
Medical Records Clerk
HealthCare Express
11.2012 - 03.2015
Patient Account Representative
HealthCare Express
11.2012 - 03.2015
Certified Billing Coding Specialist -
Texarkana College
High School Diploma -
Texas High School
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