Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic
KIMBERLY JOHNSTON

KIMBERLY JOHNSTON

Chicago

Summary

Detail-oriented medical billing and coding professional skilled in managing, coding and billing mental healthcare insurance claims with timely processing, as well as, being efficient in patient account management. Experienced in accurately coding medical procedures and ensuring compliance with billing regulations. Adept at collaborating with healthcare providers to optimize revenue cycles and resolve billing discrepancies. Committed to maintaining data integrity and improving operational efficiency in medical billing environments.

Overview

7
7
years of professional experience
1
1
Certification

Work History

Medical Biller

KJH
Chicago, IL
01.2019 - Current
  • Processed medical claims efficiently to ensure timely reimbursement and minimize denials.
  • Reviewed patient records and insurance information to verify coverage and billing accuracy.
  • Collaborated with healthcare providers to resolve billing issues and optimize revenue cycles.
  • Maintained compliance with healthcare regulations to safeguard data integrity and audit readiness.
  • Processed and submitted accurate medical claims for behavioral health services, ensuring timely reimbursement and compliance with insurance regulations.
  • Collaborated with healthcare providers and insurance companies to resolve billing discrepancies and optimize revenue cycle management in behavioral health settings.
  • Utilized specialized billing software to manage patient accounts, verify insurance eligibility, and code behavioral health procedures according to ICD-10 and CPT standards.

Education

BSGS -

IUPUI
Indianapolis, IN
05.2001

Skills

  • Medical Coding
  • Medical Billing
  • HIPPA Compliance
  • Insurance Verification
  • Claims Processing
  • Revenue Cycle Management
  • Data Accuracy
  • Regulatory Compliance
  • Communication
  • Problem Solving
  • Patient Relations
  • Billing and collection procedures
  • Customer service
  • CPT knowledge

Certification

I am proficient with billing the following platforms: Simple Practice, Availity, UHC, Optum, Aetna, Anthem BCBS, ComPsych, Lyra, Affiliate Connect, Health Advocate, Cigna, UMR, Comp EAP, Unified Group Services, Anthem EAP

Timeline

Medical Biller

KJH
01.2019 - Current

BSGS -

IUPUI
KIMBERLY JOHNSTON