Jessica Johnson
Rocky Mount,NC
Summary
Organized Medical Biller thoroughly versed in medical coding and HIPAA requirements. Personable professional with several years of hands-on experience claiming refunds, reviewing claims, and maintaining billing reports. Accommodating and helpful team player proficient in job-related billing software. With a strong track record over many years in settling and resolving complex patient billing accounts. Thoroughly experienced in handling medical charges and invoicing. Tech-savvy approach to understanding and resolving difficult areas of dispute.
Overview
8
8
years of professional experience
Work History
Medical Billing Specialist
OIC Family Medical Center
Rocky Mount, NC
07.2024 - Current
- Initiated collection efforts on unpaid accounts by contacting insurance companies or patients directly via phone or mail.
- Provided customer service support to patients who had questions about their bills or payments due.
- Updated patient accounts with information obtained from internal departments or external sources.
- Researched complex billing issues involving multiple providers or services rendered over a period of time.
Medical Claim Specialist
Maximus
Houston, US
01.2023 - 09.2023
- Analyzed and processed over 1,000 complex medical cases annually, utilizing a thorough understanding of healthcare regulations and medical terminology to ensure accurate case management and elevate patient care standards.
- Managed a caseload of over 200 ongoing patient cases, coordinating between healthcare providers and insurance companies to ensure timely access to necessary treatments, thereby increasing patient satisfaction scores by 25%.
- Managed the patient intake process by inputting information into the EMR system, resulting in a 25% reduction in administrative errors, and streamlining patient care coordination for a multi-specialty clinic.
- Formulated and dispatched targeted queries to the VA, enhancing understanding of exam content; resolved discrepancies in requests, optimizing workflow efficiency, and ensuring accurate exam processing.
Medical Coding Specialist
Boice-Willis Clinic, PA
Rocky Mount, US
02.2022 - 10.2022
- Increased coding accuracy by 15% by implementing new coding guidelines and regular training sessions
- Achieved a 20% reduction in claim denial rates by conducting thorough reviews and corrections of coding errors
- Consistently maintained a coding productivity rate of 95% or above exceeding department standards
- Successfully coded and processed an average of 200 medical records per day with 98% accuracy
Medical Insurance Specialist
Boice-Willis Clinic, PA
Rocky Mount, US
09.2021 - 02.2022
- Increased successful insurance claim rate by 20% through thorough verification and documentation processes
- Reduced claim processing time by 30% by implementing streamlined procedures and effective communication with insurance companies
- Achieved a 95% accuracy rate in coding and billing procedures, leading to a decrease in claim denials and an increase in revenue
- Managed a caseload of over 200 insurance claims per week with an average resolution rate of 90% exceeding departmental targets
Correctional Officer
North Carolina Correctional Institution for Women
Raleigh, US
12.2019 - 10.2020
- Implemented a new inmate processing system which reduced intake time by 20% resulting in more efficient operations
- Led training sessions for 30 correctional officers on Crisis intervention techniques, resulting in a 15% decrease in use-of-force incidents
- Achieved a 95% compliance rate in conducting daily cell inspections, ensuring facility safety and security
- Received recognition for successfully de-escalating a high-risk situation involving multiple inmates, preventing potential violence and injuries
Manufacturing Production Associate
Cummins RMEP Inc
Whitakers, US
05.2017 - 07.2019
- Adjusted machine settings as needed to meet specific product requirements or specifications
- Performed routine maintenance checks on machinery to ensure optimal performance
- Collaborated with team members to achieve production goals and maintain efficiency
- Troubleshot mechanical issues with equipment, making minor repairs, or reporting major problems to maintenance staff
Education
Bachelor's of Science - Health Services Management
University of Maryland Global Campus
Adelphi, MD12-2025
Associate Of Science - Medical Billing And Coding, Billing and Coding
Ultimate Medical Academy
Clearwater, FL01.2022
Skills
- Proficient in Computer Applications
- Detail-Oriented Data Management
- Proficient in Electronic Health Records
- Insurance Claims Processing
- Strategic Problem Resolution
- Client Relationship Management
- Logical Reasoning Skills
- Customer Technical Support
- Records Management Expertise
- Efficient Bill Management
- Team-Oriented Quality Contributor
- Accounts Receivable Management
- Insurance Eligibility Verification
- Medical Billing Expertise
- Efficient Payment Processing
- Medicare and medicaid process
- HIPAA Regulation Adherence
- Claims Processing
- Claims Analysis
- Accounts Payable Management
- Electronic Health Record Expertise
- CPT Code Adjustment Expertise
- Coding Procedures
- Proficient in Medical Terminology
- Claims Submission Expertise
- Healthcare Coding Expertise
- Insurance Claims Processing
Projects
Medical Coding Specialist, Blue Ridge Academy, 04/10, 06/10, Noted proper diagnosis codes and organized medical reports., Maintained accurate data to ensure details were not overlooked., Worked in an environment where accuracy and accountability were essential.
References
References available upon request.
Timeline
Medical Billing Specialist
OIC Family Medical Center
07.2024 - Current
Medical Claim Specialist
Maximus
01.2023 - 09.2023
Medical Coding Specialist
Boice-Willis Clinic, PA
02.2022 - 10.2022
Medical Insurance Specialist
Boice-Willis Clinic, PA
09.2021 - 02.2022
Correctional Officer
North Carolina Correctional Institution for Women
12.2019 - 10.2020
Manufacturing Production Associate
Cummins RMEP Inc
05.2017 - 07.2019
Bachelor's of Science - Health Services Management
University of Maryland Global Campus
Associate Of Science - Medical Billing And Coding, Billing and Coding
Ultimate Medical Academy
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