Kleashara Johnson

Performed duties as patient care representative for Medicare Advantage, expanding responsibilities to include billing and coding.

Communicated with diverse insurance companies to verify claim status effectively.

Constructed claims for submission, incorporating necessary modifiers and diagnosis indicators.

Interacted with patients regarding billing matters via telephone and face-to-face discussions.

Processed corrected claims using Waystar clearinghouse to ensure accuracy.

Coordinated scheduling of patient appointments while verifying insurance details.

Ensured accuracy of referrals prior to processing.

Communicated critical messages to providers promptly and efficiently.

Prevented fraudulent claims in California's EDD during the pandemic, safeguarding unemployment resources.

Coordinated with inter-state agencies to combat cross-border benefits fraud.

Implemented advanced detection techniques to identify suspicious activity in claims.

Optimized claimant verification procedures for faster and more accurate eligibility checks.

• Documented patient intake and dietary requirements and aided with feeding and monitoring.
• Supported healthy patient skin with bedside baths, wound care and integrity checks.
• Transported patients to other areas of hospital in wheelchairs and gurneys for tests, treatments and therapies.
• Collected biological specimens and packaged for laboratory transport to complete diagnostic tests.

• Sanitized workstations and instruments to avoid cross-contamination.
• Handled administrative tasks for laboratory staff and overall operations.
• Produced and submitted laboratory documents and reports per compliance requirements.
• Participated in team collaboration initiatives to plan for company's future growth.
• Enhanced senior staff productivity by managing various support-related tasks.