JOHNA CONEY
Ocala
Summary
Accomplished Medical Billing and Coding Specialist with 10+ years of experience in charge entry, claims processing, insurance verification, denials management, and revenue cycle optimization. Adept in ICD-10, CPT, HCPCS coding, EMR/EHR systems, payer portals, and HIPAA compliance. Proven ability to reduce claim denials, improve authorization approval rates, and accelerate reimbursement cycles. Recognized for strengthening payer relationships and delivering exceptional patient financial support.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Charge Entry Specialist / Transaction Analyst
HCA Healthcare Inc.
Ocala, FL
02.2024 - 11.2025
- Entered 150+ daily charges with 98% accuracy, reducing billing errors and accelerating reimbursement.
- Audited medical records for completeness, cutting claim rejections by 15%.
- Partnered with providers to correct documentation errors, slashing denial turnaround time by 30%.
- Generated electronic remittance advice (ERA) files for reconciliation, improving billing accuracy and compliance.
- Processed refunds and credit balances in line with payer and compliance guidelines.
Escalation Supervisor - Billing & Claims
UnitedHealth Group
US
07.2022 - 02.2024
- Led escalated claims and benefits team, achieving a 92% success rate in resolving denials and disputes across Medicare, Medicaid, and commercial payers.
- Reviewed 100+ calls daily for assistance with accuracy and compliance with ICD-10, CPT, and payer rules.
- Trained 20+ clinical staff in documentation best practices, reducing denials by 20%.
- Assisted patients in understanding EOBs, insurance benefits, and financial responsibility, improving satisfaction scores.
- Maintained up-to-date knowledge of payer policies and reimbursement regulations to ensure compliance.
Authorization Coordinator
Florida Digestive Health Specialists
US
01.2018 - 02.2022
- Secured prior authorizations for testing and procedures with an 85%+ approval rate.
- Audited documentation and corrected coding errors, saving the practice $10K+ per month in lost reimbursements.
- Identified payer denial trends and redesigned workflows, cutting authorization delays by 25%.
- Coached providers on accurate EHR entry and code assignment, preventing costly reimbursement denials.
- Produced reports on approval rates and denial reasons, supporting revenue cycle improvement.
Medical Records Specialist / Billing Specialist
Bowes Imaging Center
US
01.2015 - 01.2018
- Processed billing and insurance claims with 98% accuracy, reducing payer rejections and resubmissions.
- Verified insurance eligibility and authorization compliance before procedures, improving approval rates.
- Implemented daily reporting for missing chart documentation, improving record accuracy and compliance.
- Counseled patients on payment plans and financial assistance programs, increasing patient collections by 15%.
- Released medical records in full compliance with HIPAA and federal regulations, ensuring zero privacy breaches.
Education
Bachelor of Science - Healthcare Administration
Western Governor's University
US06.2026
Certificate - CRCR-Certified Revenue Cycle Representative
HFMA
Certificate - CSAF-Certified Specialist Accounting And Finance
HFMA
Skills
- Medical Billing & Coding (ICD-10, CPT, HCPCS)
- Charge Entry & Charge Capture
- Claims Processing & EDI
- Insurance Verification & Prior Authorizations
- Denials Management & Appeals Process
- Revenue Cycle Management (RCM)
- EMR/EHR Systems (Epic, Cerner, AdvancedMD, eClinicalWorks)
- HIPAA Compliance
- Medicare, Medicaid & Commercial Payers
- Patient Financial Counseling
- Reimbursement Policy
- Reporting & Auditing
- HIPAA compliance
- Claims processing
- Accurate data entry
- Insurance verification
- Medical billing procedures
- Charge capture proficiency
Certification
CPC-A
Timeline
Charge Entry Specialist / Transaction Analyst
HCA Healthcare Inc.
02.2024 - 11.2025
Escalation Supervisor - Billing & Claims
UnitedHealth Group
07.2022 - 02.2024
Authorization Coordinator
Florida Digestive Health Specialists
01.2018 - 02.2022
Medical Records Specialist / Billing Specialist
Bowes Imaging Center
01.2015 - 01.2018
Bachelor of Science - Healthcare Administration
Western Governor's University
Certificate - CRCR-Certified Revenue Cycle Representative
HFMA
Certificate - CSAF-Certified Specialist Accounting And Finance
HFMA