Hi, I’m
Jessica Johnson
Greenbrier,AR
Summary
Hardworking professional applies official coding conventions and rules established by American Medical Association and Centers for Medicare and Medicaid Services. Confident Medical Coder adheres to data confidentiality and privacy rules in all workflows and promotes dynamic interpersonal skills.
Overview
14
years of professional experience
3
Certifications
Work History
Pivotal Counseling Center
Billing and Intake Specialist (Part-time)
11.2022 - Current
Job overview
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Liaised between patients, insurance companies and billing office.
The Supportive Care
Compliance Officer
05.2022 - Current
Job overview
- Managed practical action plans to respond to audit discoveries and compliance violations.
- Liaised with risk management, internal audit and employee services departments to direct compliance issues to appropriate channels for investigation and resolution.
- Implemented improvement initiatives and developed compliance testing program to monitor and identify gaps in new and existing practices.
- Identified potential areas of compliance vulnerability and risk to develop and implement corrective action plans.
Imagine 360
Medical Claims Auditor
05.2021 - 05.2022
Job overview
- Initiated cost containment by conducting thorough audits and data mining.
- Researched issues related to claims processing to identify origins and implement corrective solutions.
- Reviewed insurance claims and member eligibility to determine overpayment trends and noncompliance issues.
- Provided high level of professionalism when speaking with customers or responding to emails to promote company's dedication to service.
Priority 1, Inc
Financial Analyst II
01.2018 - 04.2021
Job overview
- Reviewed accounts on monthly basis to assess aging and pursue collection of funds.
- Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
- Identified, researched and resolved billing variances to maintain system accuracy and currency.
- Managed portfolio of up to $11 million.
Dan Lister, MD PA
Billing Specialist
02.2015 - 01.2018
Job overview
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Posted and adjusted payments from insurance companies.
- Located errors and promptly refiled rejected claims.
- Precisely evaluated and verified benefits and eligibility.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
- Verified, coded and added modifiers to diagnoses.
- Maintained updated knowledge of coding requirements, through continuing education and certification renewal.
Education
University of Central Arkansas , Conway, AR
Bachelor of Science from Health And Behavioral Science
05.2012
Skills
- HIPAA and Confidentiality Compliance
- Medical Records Management
- Effective Verbal and Written Communication
- Teamwork and Collaboration
- Commercial and Private Insurance
- Diagnostic Codes
- Procedural Codes
- Microsoft Office
- G-Suite
- Medical Claims Submission
- Medical Billing and Financial Operations
- Patient Account Analysis
- Claims Processing
- Insurance Verification
Certification
- CPC - Certified Professional Coder
- CRC - Certified Risk Adjustment Coder
- CPMA - Certified Professional Medical Auditor
- Preparing to sit for CPCO and CIC
Timeline
Billing and Intake Specialist (Part-time)
Pivotal Counseling Center
11.2022 - Current
Compliance Officer
The Supportive Care
05.2022 - Current
Medical Claims Auditor
Imagine 360
05.2021 - 05.2022
Financial Analyst II
Priority 1, Inc
01.2018 - 04.2021
Billing Specialist
Dan Lister, MD PA
02.2015 - 01.2018
University of Central Arkansas
Bachelor of Science from Health And Behavioral Science
- CPC - Certified Professional Coder
- CRC - Certified Risk Adjustment Coder
- CPMA - Certified Professional Medical Auditor
- Preparing to sit for CPCO and CIC
Similar Profiles
Shanice StephensonShanice Stephenson
Clinical Therapist (CEO/Founder) at Pivotal Breakthrough Counseling ServicesClinical Therapist (CEO/Founder) at Pivotal Breakthrough Counseling Services
Troy BaconTroy Bacon
Developmental Disabilities Supervisor /Administrator at Kuna Counseling / Life Counseling CenterDevelopmental Disabilities Supervisor /Administrator at Kuna Counseling / Life Counseling Center
DIAMOND LEWISDIAMOND LEWIS
Intern at Chatham University Counseling CenterIntern at Chatham University Counseling Center