La’Keisha Johnson
King of Prussia,PA
Summary
Experienced Revenue Cycle and Healthcare Financial Operations professional with over 20 years in hospital billing, charge reconciliation, denial resolution, and reimbursement. Expertise in analyzing payer responses, resolving billing discrepancies, and fostering collaboration among clinical, coding, and finance teams to enhance reimbursement accuracy and operational efficiency.
Overview
26
26
years of professional experience
Work History
Inpatient Clerk
Children’s Hospital of Philadelphia (CHOP)
Phila., PA
10.2011 - Current
- Support inpatient unit operations while coordinating administrative and operational workflows that impact patient registration, billing accuracy and cycle processes.
- Maintain patient census data and ensure timely communication of patient status changes across departments to support accurate billing and documentation.
- Collaborate with clinical staff, case management, and administrative teams to ensure documentation accuracy and compliance with hospital policies.
- Screen and manage visitor access to ensure compliance with hospital safety and operational procedures.
- Provide operational support to clinical teams during high volume periods, ensuring continuity of care and efficient patient throughput.
Charge Data Quality Coordinator
Children’s Hospital of Philadelphia
Phila., PA
03.2004 - 10.2011
- Investigated and corrected billing discrepancies and charge errors before claim submission, ensuring compliance with payer reimbursement guidelines.
- Reconciled charges by reviewing billing slips, encounter forms, and financial reports, ensuring accurate charge capture and claim submission.
- Reviewed patient accounts to identify and resolve duplicate accounts, missing charges, and coding discrepancies affecting reimbursement.
- Supported weekly billing cycles and coordinated with registration, billing, and coding teams to resolve data integrity issues.
- Ensured proper use of ICD coding within hospital and physician billing systems to support accurate claim processing.
HBS Specialist II/Medical Biller
Tenet Health Systems
Phila., PA
09.2000 - 02.2004
- Processed and submitted insurance claims for inpatient and outpatient services, ensuring compliance with payer requirements and maximizing reimbursement potential.
- Conducted accounts receivable follow-up to resolve unpaid and underpaid claims and improve reimbursement turnaround.
- Analyzed insurance responses and remittance advice to identify denial trends and determine appropriate follow-up actions.
- Managed billing inventories and monitored account status to ensure timely claim resolution and compliance with billing policies.
- Assisted with special projects on Medicare billing adjustments and account reconciliation, contributing to accurate financial reporting and compliance.
Education
Certification - Medical Coding Coursework
Drexel University
Phila, PACertificate of completion - Medical Office Administration
Data Processing Trainer Business School
Phila, PASkills
- Revenue Cycle Operations
- Insurance Reimbursement & Appeals
- Reimbursement appeals
- Charge reconciliation
- CPT, ICD-10, and HCPCS Code Review
- Payer compliance
- Accounts Receivable Follow-Up
- Billing improvement
- Revenue Integrity Support
- Data analysis
- Data Review & Problem Solving
- Financial systems
Timeline
Inpatient Clerk
Children’s Hospital of Philadelphia (CHOP)
10.2011 - Current
Charge Data Quality Coordinator
Children’s Hospital of Philadelphia
03.2004 - 10.2011
HBS Specialist II/Medical Biller
Tenet Health Systems
09.2000 - 02.2004
Certification - Medical Coding Coursework
Drexel University
Certificate of completion - Medical Office Administration
Data Processing Trainer Business School