JOSEA GOODRIDGE
McDonough
Summary
Results‑driven Medical Biller with 10+ years of experience in revenue cycle management, medical collections, denial management, and full appeals processing. Expertise in CPT, ICD‑10, HCPCS coding, LCD/NCD guidelines, and payer policy compliance. Strong knowledge of commercial insurance plans including PPO, HMO, Indemnity, Federal, and State programs. Proven ability to resolve complex claims, reduce A/R, improve reimbursement accuracy, and maintain high productivity in fast‑paced environments. Collaborative communicator skilled in working with payers, patients, and cross‑functional healthcare teams to optimize billing operations and ensure regulatory compliance.
Overview
14
14
years of professional experience
Work History
Senior Medical Biller / Medical Billing Lead
LifeStance Health
09.2013 - Current
- - Manage medical collections for government and commercial insurance payers to reduce outstanding A/R balances.
- - Oversaw the full appeals lifecycle, including analysis, appeal writing, submission, tracking, and follow-up.
- - Review EOBs and remittance advice to identify underpayments and incorrect denials.
- - Ensure claims are billed accurately to the correct payer.
- - Utilize CPT, ICD-10, and HCPCS coding to validate claims and support appeals.
- - Review LCD and NCD guidelines for payer compliance.
- - Analyze aging and denial reports to prioritize high-risk accounts.
- - Resolve complex billing issues with payers, providers, and internal teams.
- - Review claims before submission to make sure all information is clean, accurate, and billed to the correct insurance to prevent rejections and delays.
- - Maintain HIPAA, CMS, and billing compliance.
- - Oversaw a team of 15 billers in the Southeast region, training them on collections, improving accuracy and productivity while monitoring performance.
Billing Specialist
Atlanta Heart
12.2011 - 09.2014
- - Managed medical collections for commercial, Medicare, Medicaid, and Managed Care plans.
- - Submitted claims timely and accurately.
- - Educated patients on insurance benefits and financial responsibility.
- - Resolved billing disputes and established payment plans.
- - Maintained HIPAA compliance.
Education
Biology
University of West Georgia
Microbiology
Louisiana State University
High School Diploma - undefined
Skills
- Revenue Cycle Management (RCM)
- Denial Management & Appeals Processing
- Medical Collections (Commercial Payers)
- CPT, ICD-10, HCPCS Coding
- LCD/NCD Coverage Review
- Insurance Verification & Coordination of Benefits
- EOB & Remittance Analysis
- A/R Follow-Up & Aging Review
- Complex Account Resolution
- Payer & Patient Communication
- Time Management & Multitasking
- Adherence to HIPAA, CMS & Compliance Standards
- Denial resolution strategies
- Medicare and Medicaid processes
- Payment posting
Timeline
Senior Medical Biller / Medical Billing Lead
LifeStance Health
09.2013 - Current
Billing Specialist
Atlanta Heart
12.2011 - 09.2014
Microbiology
Louisiana State University
High School Diploma - undefined
Biology
University of West Georgia