Karisa Johnson
Chicago
Summary
Performance-driven and results-oriented administrative professional with extensive experience in organizational support, and customer service. Exceptional verbal and written communications skills. Organizing and meticulous, and ability to coordinate and complete multiple projects in deadline-oriented environment. Professional accounts specialist with solid background in financial analysis, reconciliations, and accounting software.
Overview
17
17
years of professional experience
Work History
Lead Accounts Specialist
Edgewater Health
01.2019 - 01.2025
- Support the accounts receivable manager & CFO in billing and collections of accounts receivable
- Trained team members for daily duties such as (Billing for Anthem, Commercial, Medicaid, Medicare, Denials, cash and daily log ins)
- Assisting AR manager with monthly aging report on assigned payers and distributing workload to denial specialist for follow-up on unpaid balances
- Performed the daily deposits
- Applied paper checks, ACH/EFT payments, and credit card payments to the appropriate invoice daily
- Adding ACH clients upon request and maintenance of the ACH spreadsheet in our system
- Maintenance of the spreadsheet for paper billed clients upon request
- Updated & maintained the billing entries in our system and the spreadsheet on a weekly basis for accuracy
- Make sure all bills are submitted successfully
- Resolve E-Billing issues
- Review, correct and submit claims for assigned payer (Medicare, Medicaid and Commercial, MCE, & MCO payers)
- Accounting to established departmental protocol and collection policies
- Proficient use of Microsoft Office applications (Word, excel, Access)
- Complete authorizations and referrals for services, including appointments, timely renewal and procedures
- Review patient's medical history and insurance coverage for approval
- Input new patient information and update information in our system
- Responsible for daily workload assessments, assigning work assignments, assuring proper staffing coverage, responsible for working at different locations as needed
- Reviews electronic medical records
- Cash posting consists of scanning checks into our general funds, SSI accounts, coordinate processing and posting all payments (including cash, direct deposits, mail receipts, checks)
- Inputs, retrieves, and modifies information and data stored in computerized department
- Performs additional duties as assigned
- Ordered supplies for our department
- Managed online, phone and in-person reservations
- Welcome guests, check them in, ensure the client receives quality and professional service throughout the duration of their visit
- Handles incoming phone calls, answer questions, gives information, directs calls and takes messages
- Worked & assisted as an admission specialist to ensure accurate and timely scheduling of appointments and monitors appointments/requests
- Cancel/reschedule appointments and enter no show information
- I worked in ECR, NextGen & Epic for EMR
- Assisted Doctor, Nurse Practitioner & Medical Assistant with patients & assuring that the front desk ran smoothly
- Answered calls & rectified any issues that any clients had
Insurance Credentialing Specialist
Edgewater Health
07.2019 - 12.2019
- Responsible for ensuring providers are credentialed, appointed, and privileged with health plans such as Medicare, Medicaid, and commercial payers
- Maintain and update all Insurance Credentialing requirements and assist in the licensure application process for licensed professionals
- Maintain up-to-date data for each provider in credentialing databases and online systems; ensure timely renewal of contracts and is responsible for all issues relating to payer issues as it relates to credentialing
- Maintains knowledge of current health plan and agency requirements for credentialing insurance payors and as it relates to providers
- Maintains copies of current state licenses, DEA certifications, malpractice coverage and any other required credentialing documents for all providers
- Sets up and maintains insurance payor information in online credentialing databases and or excel spread sheet renewals
- Ensures practice addresses are current with health plans, agencies, and other entities
- Compiles and maintains current and accurate data for all insurance payors
- Completes Insurance credentialing and recredentialing applications; monitors applications and follows-up as needed
Finance Data Clerk
Edgewater Health
08.2018 - 07.2019
- Creating accurate spreadsheets
- Entering and updating information into relevant databases
- Ensuring data is backed up
- Handling additional duties from time to time (Cash posting, Billing for Anthem, making sure the treatment plans & progress notes are signed & corrected to bill out, working denials for several insurances)
- Storing hard copies of data in an organized manner
- Correcting errors and organizing the information in a manner that will optimize accurate capturing
- Bookkeeping and general accounting
- Verifying claims
- Performing clerical work and interoffice support including receiving and processing mail
- Operating data calculators and other office equipment
Secretary II
Church of Today
01.2011 - 12.2016
- Coordinated meetings, conferences, and video conferencing and travel arrangements, for the pastoral team
- Managed account records, financial reports, legal documents and compliance questionnaires
- Developed PowerPoint presentations, for weekly worship service
- Maintained confidential personnel files composed of annual performance reviews and salary data in Excel
- Processed account payable and receivable invoices and processed requisition orders
- Provided exceptional customer service to members
Administrative Assistant
Loehmann
01.2008 - 12.2011
- Successfully managed personnel activities, retained new hire documentation, and maintained confidential personnel files composed of annual performance reviews and salary data within Abra Suite System
- Assisted in payroll, administered temporary employment within organization
- Coordinated and prepared interview agenda for candidates and hiring team
- Processed account payable and receivable invoices and processed requisition orders
- Coordinated and scheduled phone, onsite and web-based interviews for department managers
- Managed account records, financial reports, legal documents and compliance questionnaires
- Developed PowerPoint presentations, spreadsheets and correspondence
- Investigated account transactions, demonstrating a strong ability to identify and resolve discrepancies
- Process and deposit check statements
- Prepared product and service reports by collecting and analyzing customer information
- Proofread and edit drafts and final materials for appropriate and consistent format and correct punctuation, spelling and grammar
- Retain daily and weekly reports for the department
- Provided training and workshop for new sales associates
- Conducted weekly orientations for new sales associates
- Coordinated meetings, conferences, and travel arrangements for the sales team as well as the store manager of the department
- Assisted in visual merchandising
- Managed database to check inventory levels and add customers to email database
- Ensured store safety and cleanliness standards are maintained and properly reported customer and employee incidents and injuries to manager
Education
Business Management
Kennady King College
Chicago, IL01.2018
Business Management
South Suburban College
South Holland, IL01.2012
High School Diploma -
Curie Metropolitan High School
Chicago, IL06-2009
Skills
- Bank reconciliation
- Purchase order management
- Invoice processing
- Account
- Accounting software proficiency
- Cash flow management
- Billing resolutions
- Customer relationship development
- Teamwork and collaboration
- Multitasking
- Excellent communication
- Account updating
Timeline
Insurance Credentialing Specialist
Edgewater Health
07.2019 - 12.2019
Lead Accounts Specialist
Edgewater Health
01.2019 - 01.2025
Finance Data Clerk
Edgewater Health
08.2018 - 07.2019
Secretary II
Church of Today
01.2011 - 12.2016
Administrative Assistant
Loehmann
01.2008 - 12.2011
Business Management
Kennady King College
Business Management
South Suburban College
High School Diploma -
Curie Metropolitan High School
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