Corinna Johnson
Turlock,CA
Summary
Business-minded Financial Counselor known for successfully managing high level of patient accounts. Determined employee with over 30 years of experience processing financial forms and obtaining referrals and other health documentation. Remains calm and poised in all types of situations.
Overview
19
19
years of professional experience
Work History
Financial Counselor/Patient Access
Conifer/Emanuel Medical Center
05.2022 - Current
- Run census report daily for all 30-40 patient admits, verify financially cleared such as copay or deductible and collect at bedside, verify eligibility for all Medicare, Medi-Cal, and Workers Comp accounts, verify all self-pay/non-insured patients are truly uninsured, if so, establish payment plan or verify income to see qualified for Medi-Cal, verify all consent and compliance forms are completed and scanned into accounts, if not, go bedside and obtain verbal or signed consents in order to clear in PAI system.
- Conducted interviews with patients and family members and answered questions regarding insurance benefits.
- Contacted insurance providers to obtain key information regarding patient benefits and to submit documentation for accounts.
- Managed caseload effectively, ensuring timely follow-up appointments and communication with clients.
- Participated in professional development opportunities to stay up-to-date with industry trends and best practices.
Revenue Cycle Management Support
Golden Bear Physical Therapy Partners
11.2020 - 04.2022
- Allocate electronic deposits for billing team for 11 clinic locations in order to streamline patient payment revenue by 100%.
- Prepare bank deposits from insurance paper checks, update excel spreadsheet to document deposit and payments for each 11 clinic locations.
- Update insurance information and authorizations.
- Clean up account receivables for acquisitions within given timeline.
- Post patient credit card payments, approve any additional adjustments requested by billing team such as untimely billing or missing authorization review proper payment posting, adjustment and patient share.
- Optimized charge capture processes, resulting in increased net revenue for the organization.
- Completed financial reporting and analysis for billing revenue cycle.
- Assessed current revenue cycle procedures and implemented improvements to foster efficiency.
- Supported clinical team members with revenue cycle procedures and addressed issues.
Remote Patient Care Advocate
Progyny
02.2019 - 11.2020
- Offer guidance and support by phone remotely to average of 40-50 daily calls to members with fertility treatment questions and benefit questions.
- Verify member eligibility, create patient account, and review/discuss benefits available.
- Request authorization for treatment and review members billing issues.
- Request member reimbursement and offer resources for specific services and emotional support.
- Review estimated cost for specific services based on deductible, co-insurance and coordinate treatment for members.
- Refer members to in-network fertility clinics and labs, any other special projects or reports requested by management.
- Demonstrated empathy toward diverse patient populations, building trust through compassionate interactions.
- Spearheaded initiatives to improve overall patient experience, resulting in increased satisfaction scores and positive feedback from patients and families.
- Conducted thorough assessments of each patient's needs upon intake, enabling accurate identification of appropriate resources required.
- Reviewed each step of patient care and made proactive adjustments to avert issues.
- Improved the overall quality of care by participating in regular staff meetings and sharing feedback on best practices.
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Resolved patient billing issues in line with established guidelines.
- Resolved customer complaints using established follow-up procedures.
- Responded to inquiries by directing calls to appropriate personnel.
Financial Counselor
Integramed/Reproductive Science Center
05.2016 - 02.2019
- Work daily in three software systems, creating financial estimates for average of 3-5 patients per day.
- Create treatment plan in Artwork’s system, then extract financial information from NextGen system and create patients' estimates in Felix system.
- Once estimate is created, email patient through Patient Portal.
- Meet with patient to answer all financial questions related to estimate presented.
- Once treatment starts, request prior authorization from their insurance company if needed, then ensure patient has paid their share of co-insurance, copay, or deductible prior to start of treatment cycle.
- Cultivated positive, non-judgmental environment for clients to openly discuss their financial challenges and concerns.
- Conducted interviews with patients and family members and answered questions regarding insurance benefits.
- Contacted insurance providers to obtain key information regarding patient benefits and to submit documentation for accounts.
- Liaised between patient, doctor and insurance provider to smooth claims processes.
- Stayed up-to-date on financial products and consumer rights.
- Managed caseload effectively, ensuring timely follow-up appointments and communication with patients.
- Improved client financial stability by assessing their financial situations and developing tailored plans.
Finance Manager
Los Gatos Pediatrics
01.2014 - 02.2015
- Accounts receivables for four Physicians, post all insurance and patient payments.
- Maintain monthly payment plans, online insurance verifications, run 60 day pending claims report,.
- Review unpaid claims and follow up to increase revenue.
- Send monthly patient statements, and file state funded insurance claims.
- Process electronic payment reports and file appeals.
- Answer all patient billing questions and post daily charges and submit insurance claims electronically.
- Created organizational structures to improve accounting and finance functions.
Eligibility Representative
Los Olivos (Temporary Position)
11.2012 - 10.2013
- Verify and run eligibility on all 8 Physician schedules for upcoming appointments.
- Contact patients for updated insurance information and update system with correct insurance information.
- Conducted comprehensive case reviews to identify potential fraud or inconsistencies in eligibility determinations.
- Reduced errors in eligibility determinations through meticulous attention to detail and rigorous quality control measures.
- Ensured timely resolution of discrepancies by conducting thorough research and documentation.
- Assisted clients with navigating complex eligibility requirements, ensuring accurate submissions.
- Leveraged advanced knowledge of federal, state, and local guidelines to ensure compliance across all aspects of the eligibility process.
- Resolved discrepancies with client applications to verify eligibility.
Finance Manager
Dr. Paul lndman & Dr. Irving Olender
02.2005 - 09.2012
- Post all charges and payments, maintain month end reports, balances, collections, and bank deposits for 8 physician office
- Surgery scheduling, tracers, appeals, referrals and prior authorizations.
- Complete computer software updates.
- Front office backup, timecard and payroll processing, new hire insurance enrollments, and maintain personnel files.
- Prepared monthly reconciliation of bank accounts and took corrective actions on deviations.
- Prepared internal and regulatory financial reports, balance sheets and income statements.
- Supported financial director with special projects and additional job duties.
Education
High School Diploma -
Santa Clara County Office of Education
San Jose12.2014
Skills
- Word
- Microsoft Excel
- Outlook
- Misys
- E-clinical
- NextGen
- Felix
- Sales Force
- Epic
- WebPT
- PBar
- Simplee
- Cerner
- MedAnalytics
- PAI
- PAS
- VI Web
- Bookkeeping
- Collections
- Billing
- Accounts Receivable and Payable
- Surgery Scheduling
- Referrals & Authorizations
- CPT/ICDl0 Coding
- Revenue Cycle Support
- Insurance Verification
- Financial Counseling
- Telephone Etiquette
- Cash Handling
- Honest and Dependable
- Analytical Thinking
- Customer Complaint Resolution
- Monthly Financial Statements
Gardening
Enjoy planting seasonal flowers and vegetables in my garden planters throughout the year
Timeline
Financial Counselor/Patient Access
Conifer/Emanuel Medical Center
05.2022 - Current
Revenue Cycle Management Support
Golden Bear Physical Therapy Partners
11.2020 - 04.2022
Remote Patient Care Advocate
Progyny
02.2019 - 11.2020
Financial Counselor
Integramed/Reproductive Science Center
05.2016 - 02.2019
Finance Manager
Los Gatos Pediatrics
01.2014 - 02.2015
Eligibility Representative
Los Olivos (Temporary Position)
11.2012 - 10.2013
Finance Manager
Dr. Paul lndman & Dr. Irving Olender
02.2005 - 09.2012
High School Diploma -
Santa Clara County Office of Education
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