Latisa Johnson

• Monitored accounts receivable, advising of delinquencies or other account irregularities.
• Directed and oversaw office personnel activities.
• Liaised with leadership to oversee and execute financial, budget and contractual matters.
• Monitored office inventory to maintain supply levels.
• File Medicaid applications, appeals, and act as an authorized representative for hearings.
• Work with families and residents to obtain all documentation needed for the Medicaid process.
• Reconcile both the patient trust account and the petty cash account. Ensuring proper utilization and allocation of funds.
• Make collection calls for past due patient liabilities.

• Liaise with insurance and third-party payers to help provide claim resolution, obtain patient benefit information, and set up prior authorizations.
• Analyze and identify trends in claim data to reduce claim denials and maximize claim payouts.
• Set expectations for balance reconciliation with patients prior to appointments, and train front staff for upfront collections.
• Collected and posted payments to patient accounts.
• Followed industry-wide and office-specific guidelines for patient medical record retention timelines, purging office records as appropriate.
• Delivered patient information, appointment results and insurance information to other office staff for reporting and billing purposes.

• Analyzed, reviewed, and adjudicated Medicaid and Medicare claims based on standard operating procedures, while ensuring 100% quality.
• Worked with other departments to audit automated processing and create bots for automated processing.

Promoted:

• Reviewed and analyzed processed claims for accuracy.
• Reprocessed, based on guidelines, when needed.
• Exceeded all performance metrics.
• On-the-job trainer for new hire classes.

Promoted:

• Provided training to groups and one-on-one coaching to ensure quality adjustments.
• Created SOP improvements for more streamlined processing.
• Managed inventory to meet all promise guarantees made to the state.
• Analyzed data and identified trends and solutions for claim resolutions.

• Assisted the pharmacist with preparation and distribution of patient medications, tracking drug inventory, and maintaining federal and state regulations for medication handling.
• Provided front-facing customer service and customer resolution.

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• Answered calls in a fast-paced, inbound call center.
• Provided account information, set up charge disputes, evaluated accounts for credits, and hit monthly sales goals for banking products.

Promoted:

• Monitored rep calls for quality, provided feedback and developmental plans to improve quality, sales, and overall business goals.