Kaniqwa Johnson
Atlanta,Ga
Summary
To secure a position with a reputable organization that desires a well- rounded individual willing to learn new ideas and concepts while demonstrating an invaluable ability to be a team player, motivator and leader.
Overview
10
10
years of professional experience
Work History
Financial Assistance Counselor
Northside Hospital Business office
01.2023 - Current
- Represents the Hospital in Patient financial matters pertaining to requests and reviews for financial assistance
- Ability to interpret medical billing for both hospital and professional services
- Reviews facility correspondence info to work accounts in a timely manner
- Write-off Oncology referrals, FBH, FIN, Deceased and SPOOL reports for Financial assistance
- Review and complete accounts that have been assigned to me with additional information for assistance
- Prepare and balance charge entry batch for submission to Data Entry Specialist daily
- Ability to handle the acts in a timely manner with responses by email
- Monitor, assess, and support the Company's compliance following all procedures
- Assist with Financial record tracking and reconciliation and financial support
- Act as liaison with other departments and external parties concerning accounting information offering Assistance
- Regularly interact with all Accounting management within the organization
- Work with and across all departments to identify efficiency's in the audit process
- Screen patients for eligibility for other potential funding sources when a patient is not able to meet his or her liability related to his or her service
- Complete administrative duties / interpretation of data/information
- Assists with streamlining of Audit processes and practices internally
- Possess and demonstrate excellent communication, organizational, and interpersonal skills
- Support to guarantors and other third parties regarding issues related to patient accounts
- Maintains proficiency in data entry skills
B.O Self pay Collections
Northside Hospital Business office
08.2019 - 01.2023
- The self-pay collector is responsible for making financial arrangements with patients to collect accounts by telephone, mail or personal interviews
- I'm responsible for knowing how to read and explain patient explanation of benefits
- Deductible, coinsurance and out of pocket for the year, to confirm why patient owe balance after insurance billed
- I have the ability to negotiate self-pay discounts at 75% 70% and 65% to settle accounts
- Provide immediate resolutions for patients with insured and or self-pay accounts
- Have the ability to be a master negotiator, and attempt to get the balance in full, or negotiate payment options to resolve the balance due
- Inform payments and collections team when account has outstanding insurance balances (greater than 60 days)
- Ability to multitask and work both independently and within teams
- Transferring payments and reimbursement from one account to clear out old patient balances
- Ability to understand Denials from insurance to fully collect balances
- Reviews facility correspondence info to work accounts in a timely manner
- Making sure all contractual adjustments are met
- Providing useful information to patients when patients accounts have been denied or in a self-pay status
- Serves as primary point of contact for both internal and vendor support resources
- Reviews medical records for appropriate documentation to appeal proposed clinical and technical denials
- Review files from third party vendors and provide responses when claim overpayments are inaccurately identified
- Attempts to collect the estimated self-pay balance of all inpatient, outpatient and ER accounts, at the earliest possible collection control point
- Works returned mail on high-dollar accounts and correspondences from third-party payors
- Performs routine follow-up on unpaid insurance claims, taking appropriate action to resolve problems causing delay in reimbursement
- Reviews medical records for appropriate documentation to appeal proposed clinical and technical denials
Collections Manager
Sequim Assets solutions (COMCAST)
12.2017 - 08.2019
- Directly supervises and coordinates the activities of commercial and/or consumer debt collectors, to ensure collection of accounts
- Motivates employees to strengthen the quality of the employees individually and collectively
- Administers collections programs, maintaining knowledge of legal requirements and regulations
- Supports Director, Access in developing and implementing marketing and public relations plans
- Develops and implements correspondence prototypes and telephone techniques for effective collection of accounts
- Responsible for all aspects of managing and leading a team including: interviewing, hiring, training, developing, directing work and processes, managing performance, recognizing, and rewarding employees
- Complies with and enforces FDCPA laws and regulations (consumer collections)
- Works as key team member with project manager to provide all necessary information for coordination of key revenue cycle projects
- Achieves department goals and objectives daily, weekly and monthly
- Responsible for keeping collection management up-to-date on the status of assigned department
- Conduct routine account and transaction reviews to ensure procedural compliance is maintained and local limits of authority are followed
- Audit interviews with third party payers in relation to patient bills
- Resolve vendor inquiries and disputes related to Advertising co-op and Macy's Media Network invoices
- Monitor aged accruals and take action to address delinquencies; develop strategies to proactively minimize late payments
- Produce monthly and seasonal performance reports and other ad hoc analysis as required
- Assist in defining requirements and proposing solutions for future billing operations systems, accounts receivables policies and processes
- Handles and diffuse escalated calls
- Assist management with maintaining positive relationships with third party payors as requested
- Draft correspondence for past-due accounts and collections, identify delinquent accounts by reviewing reports, and communicate to request and arrange payments
- Create reports regarding the status of accounts
- Mentor team members to encourage personal and professional growth
- Collaborate on billing issues and/or questions
- Establish direct billing accounts
- Set up payment schedules; create billing statements/invoices and allocate incoming payments
Data Technician / ADMIN
Action Media 2
04.2015 - 12.2017
- Analyze and maintain knowledge on all architecture for wireless data and network
- Deal with billing, collections for previous customers
- Administer all data on host environment and use various internal software tools
- Strong verbal and written communication skills
- Coordinating details of event planning and logistics including meetings
- Organizing domestic and international travel arrangements which includes flight reservations, hotels, etc
- Develop and prepare reports for all project exceptions
- Maintaining appointment schedules and calendars
- Analyze all hard copies and transfer it to electronic forms to ensure optimal quality
- Perform regular audit on all quality control functions
- Building strong rapport with peers across the organization to increase effectiveness and solve problems smoothly
- Assisting with documents and plans
- Handling confidential personal and business information effectively
- Keeping tabs and ensuring timely completion of a high volume of daily events and requests
- Able to understand and convey oral information either in person or by telephone, and to phrase questions in a manner that leads to appropriate responses
- Strong multi-tasking skills are a necessity
- Familiar with Microsoft Office Suite, including Word, Excel and PowerPoint
- Must be able to type at 35 words per minute at 85% accuracy
- Developed and maintained positive working relationships with coworkers, supervisors, contractors and/or customers and effectively handle conflict situations
- Problem Solving Skills
- Accurately able to record information on forms without clerical errors and prepare short concise document
- Proficient in Google suite and Microsoft Office (i.e., Word, Excel and PowerPoint)
Education
Current - Accounting
Illinois Technical
Chicago, ILHigh School Diploma -
Hyde Park Academy
Chicago 05-2009
Skills
- Proficient in Windows computer systems
- Experienced in Microsoft Word
- Experienced in Excel
- Experienced in Café 360
- Experienced in Einstein
- Experienced in Latitude
- Ability to multitask
- Ability to work well in a team environment
- Ability to work from established procedures
- Ability to handle multiple computer applications
- Ability to accomplish immediate and long term goals
- Ability to meet operating deadlines
- Ability to organize work
- Ability to set priorities
- Ability to make productive use of time
- Ability to adapt to changing environment
- Ability to maintain a high level of confidentiality
- Ability to lead a department or team
- Excellent negotiation skills
- Skilled in intake interviewing
- Counseling
- Excellent influencing skills
- Excellent resourcefulness skills
Timeline
Financial Assistance Counselor
Northside Hospital Business office
01.2023 - Current
B.O Self pay Collections
Northside Hospital Business office
08.2019 - 01.2023
Collections Manager
Sequim Assets solutions (COMCAST)
12.2017 - 08.2019
Data Technician / ADMIN
Action Media 2
04.2015 - 12.2017
Current - Accounting
Illinois Technical
High School Diploma -
Hyde Park Academy
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