ERICKA JOHNSON
Medical Insurance Specialist
Chicago,IL
Summary
Effective Medical Claims Processor with strong background building rapport with providers to discuss claim status or claim denials. Driven performer equipped to handle multiple administrative tasks effectively. Exemplary worker with highly investigative skills when processing claims.
Overview
24
24
years of professional experience
Work History
Medical claims Specialist
Medical Express Ambulance
11.2014 - Current
- Monitored and updated claims status in claims processing system.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Evaluated medical claims for accuracy and completeness and researched missing data.
- Researched and resolved complex medical claims issues to support timely processing.
- Calculated adjustments, premiums and refunds.
- Submitted electronic/paper claims documentation for timely filing.
- Verified patient insurance coverage and benefits for medical claims.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
Medicare & Medicaid Billing Supervisor
Superior Air Ground Ambulance
10.2001 - 11.2014
- Maintain a highly productive, efficient and quality-driven environment at all times
- Coordinated with other internal departments and customers to keep operations running smoothly and solve both routine and complex problems.
- Performed account reconciliations and resolved variances.
- Researched and resolved billing discrepancies to enable accurate billing.
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
- Hired, managed, developed and trained staff, established and monitored goals, conducted performance reviews and administered salaries for staff.
Production Associate
Schneider Electric
04.2000 - 09.2001
- Supported production needs by performing routine tasks using standard procedures and equipment.
- Inspected final products to assess compliance with quality standards and established tolerances.
- Safely operated hand and power tools to complete repetitive tasks.
- Prepared materials for assembly work to keep workflows running smoothly.
Education
High School Diploma -
Foreman High School
Chicago, IL06.1990
No Degree - Health Information Technology
Northwest Business College
Chicago, ILSkills
- Medical Billing
- Medicare Expertise
- HIPAA Knowledge
- EOB Analysis
- Claims Processing
- Medicaid Knowledge
- Conflict Resolution
- Multitasking
- Healthcare Compliance
- Problem Solving
- Electronic Health Records
- Medical Terminology
- ICD-10 Proficiency
- Insurance Verification
- Decision Making
- Claim Appeals Handling
- Managed Care Understanding
- Claim Denials Management
- Customer Service
- Thorough Claims Reviews
- Insurance Claims Processing
- Insurance Claims
References
Reference available upon request
Timeline
Medical claims Specialist
Medical Express Ambulance
11.2014 - Current
Medicare & Medicaid Billing Supervisor
Superior Air Ground Ambulance
10.2001 - 11.2014
Production Associate
Schneider Electric
04.2000 - 09.2001
High School Diploma -
Foreman High School
No Degree - Health Information Technology
Northwest Business College
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