Kandis Johnson
Nashville,TN
Summary
Reliable Medical Biller with coding and medical terminology knowledge. Polished and hardworking performer with background overseeing accounts and handling records management tasks. Team-oriented person with great decision-making skills.
Overview
10
10
years of professional experience
Work History
Revenue Specialist
EnableComp
10.2022 - Current
- Medical Billing and Coding
- ICD-10
- Data Entry
- Chat
- Payment Posting
- Revenue Cycle Management
- Denial Management
- Analyze and evaluate claim payments
- Determine if medical provider in compliance
- Research Request and acquire all pertinent medical records
- Implant invoices and other supporting documents
- Submit hospital claims to insurance companies to ensure reimbursement
- Conduct telephone follow-ups
- Salesforce ticket management
- Enforcer ticket management
- Utilize Excel, Microsoft Word, Microsoft Teams, and Outlook, and Epic to perform Job duties
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Verified insurance of patients to determine eligibility.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Posted payments and collections on regular basis.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Adhered to established standards to safeguard patients' health information.
- Liaised between patients, insurance companies, and billing office.
Customer Service Representative 1
Safe Step Walk-In Tub
12.2019 - 10.2022
- Advised prospective and current clients of products and services
- Answered constant flow of customer calls with minimal wait times.
- Updated account information to maintain customer records.
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
- Offered advice and assistance to customers, paying attention to special needs or wants.
- Responded to customer requests for products, services, and company information.
- Participated in team meetings and training sessions to stay informed about product updates and changes.
- Demonstrated mastery of customer service call script within specified timeframes
- Maintained up-to-date records at all times
- Properly directed inbound/outbound calls in phone queues to improve call flow
- Schedule Appointments
- Data Entry
- Mapping
- Email Communication
- Utilize Windows, Excel, Pivot Tables, Microsoft, SaaS, and Google to perform work processes
Customer Advocate
Verizon Wireless
01.2014 - 10.2019
- Developed and maintained strong customer relationships by promptly addressing and resolving customer concerns.
- Handled difficult customer situations with grace and professionalism, consistently meeting first-call resolution metrics.
- Listened to customers in actively to assess issues and provide accurate information.
- Developed and implemented strategies to improve customer service experience, resulting in increased satisfaction.
- Sales
- Answer High Volume Calls
- De Escalate Calls by utilizing active listening and positive positioning statements to ensure positive resolution for both customer and company.
- Multitasking
- Create individualized Solutions
- Provide Floor Support for peers by answering questions, providing feedback and direction for credits and equipment
- Troubleshooting
- Support teams with call and ticket monitoring/review to ensure customers were receiving quality service and/or to suggest coaching
- Time Management
Education
Cosmetology & Barber - Esthetics
Paul Mitchell School
Murfreesboro, TN05.2020
No Degree - Industrial Organizational Psychology
Middle Tennessee State University
Murfreesboro, TNHigh School Diploma -
Antioch High
Antioch05.2009
Skills
- Claims Review
- Database Maintenance
- Data Entry
- Healthcare Terminology
- Patient Account Analysis
- Medical Claims Submission
- HIPAA Compliance
- ICD-10 Coding
- Payments Posting
- Medicare and Medicaid Processes
- VA Claims Processes
- Medical Billing
Timeline
Revenue Specialist
EnableComp
10.2022 - Current
Customer Service Representative 1
Safe Step Walk-In Tub
12.2019 - 10.2022
Customer Advocate
Verizon Wireless
01.2014 - 10.2019
Cosmetology & Barber - Esthetics
Paul Mitchell School
No Degree - Industrial Organizational Psychology
Middle Tennessee State University
High School Diploma -
Antioch High
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