Lisa Johnson
Sandy,Utah
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Experienced in Medical Practice Management, Medical claims billing, Health insurance claim processing, ICD/CPT coding, Medical terminology, Authorizations, Appeals, AR research and resolution EDI, Credentialing with Carriers and Provider Staff credentialing, State and Federal Regulations, Health and Safety guidelines, Ambulatory Surgical Center Administration, Inpatient Hospital Administration, Small business administration, Staff management, payroll, scheduling, training, EMR/PM implementation, Policy and Procedure, writing QAPI program and General board bylaws, Disaster preparedness, Generator and safety systems upkeep and maintenance. Inventory management, auditing, Problem resolution, Data analytics and Microsoft office
Overview
24
24
years of professional experience
Work History
AR specialist/Coding and billing specialist
Reproductive Care Center
10.2021 - Current
- Resolution of aging claims
- Champion of new clearinghouse, Created training documents and plan to educate staff
- Denial and coding error trending and analysis followed by research and resolution implementation
- Processing remittance from payers, denial management, research and resolution of rejected claims
- Tracking and posting claims included in Infertility Cycle packages
- Coding and processing all daily encounters
- Tracking OHSS insurance policies, sending invoice for payment
- Anesthesia payroll
- Responding to email requests from staff and patients in a timely manner
- Training new billing staff members
- Preparation for ICD/CPT code changes and implementation
Implementation Consultant
Advanced MD
10.2020 - 10.2021
- Initial Software set up
- Customization and Configuration of Practice Management software, Telemedicine, Patient Portal, Integrated fax, and API connections to external software
- Implementation of training for purchased products focus on all functionality within the PM, Tele-med and Patient portal
- Help training line
- Microsoft 0365 Excel, Word, Teams, Sharepoint, Powerpoint and Outlook
- 8X8 and Shortel IP phone systems
- Netsuite CRM
- Online tools NPI registry, Updox fax portal, USPS, Change healthcare clearinghouse front and back end, Surescripts for e-prescribe and EPCS
- Responsible for implementation of 10-15 clients at a time with 11 to 14 hours of 1:1 training per client
- Responsible to work daily add on work orders with or without training hours
- Weekly or more contact with clients to ensure successful product implementation
- Strong training and customer relations skills
- Offered client training services via on-site and online interaction to streamline onboarding process for newly implemented systems
- Communicated effectively with third-party personnel involved in implementation efforts, coordinating activities to maximize progress
- Studied customers' business processes to customize implementation measures for minimal disruption to operations
Facility Administrator
Surgical Suite
- Family Surgical Suite-West Jordan Utah
- Scheduled, coordinated and supervised all facility-related tasks and activities to monitor performance
- Built relationships with vendors and contractors to support timely and cost-effective services
- Updated tracking system monitoring facilities-related materials, supplies and equipment
- Prepared reports and schedules with accuracy
- Created and implemented operational policies, processes and procedures to keep facilities running smoothly
- Established and maintained relationships with external vendors for prompt restocking of needed items and supplies
- Reviewed and oversaw construction and renovation projects
- Conducted regular facility inspections to identify repair needs or improvements
HIPPA compliance Officer
Utah Intermountain Surgical Center, Care Dental Surgical Center of Denver, Aurora
12.2018 - 08.2020
- Manage all Departments: Billing, Surgery Scheduling/Preauthorization’s, Director of Nursing, Anesthesiologists, Nursing Staff, Office Coordinators & Dental Techs
- Review and implement software packages, Train staff and audit for compliance
- Creating and maintain Policy and Procedures
- Working with Director of Nursing to train and implement
- Audit for compliance
- Create protocols to ensure compliance to State and Federal Requirements
- Implement and Train staff
- Audit for Compliance
- Create and maintain logs to track maintenance of equipment, inventory, daily log sheets, Audits, and billing
- Monthly reporting to owners AR
- Work with billing staff to identify issues and create solutions
- Track and maintain provider credentialing files
- Hold regular meetings with Staff and board members
- Maintain and train on phone system
- Implement new system for scheduling and time keeping
- Create training and work with all staff to ensure understanding and compliance
- Maintain records and renew all applicable licenses and certifications
- Create Risk Assessments to determine proper focus for Disaster plans for all facilities
- Responsible to report to the State of Utah during audits of facilities that occur every 3 years
- Run payroll and check to ensure accuracy
- Monthly safety audits and generator maintenance
- Oversee 3rd party contracts to ensure they are up to date and oversee work done
- Work with property management to ensure all safety checks of common areas are completed
- Maintain and track data to ensure we follow State regulations
- Maintain and manage access to security system
- Facilitate and record General board meetings
- General board member
- Projects in progress: Creating process to convert from paper charting to EMR
- Working with the system to prepare, add documents and test
- Creating process to add Patient Portal includes uploading documents, and testing flow
- Creating logins in PMR for all contracted Dental office utilizing our Surgical Center and provide training., OSHA compliance Officer
- Payroll
- Employee Reviews and disciplinary action
- Coordinated build of new office, move to new office
- Converted to EMR from paper charting
- Training of all staff on EMR
- Responsible to track and keep current all licenses and certifications
Administrative Assistant/HUC supervisor, •Support Nurse Manager and Senior
Primary Children’s Hospital
06.2017 - 12.2018
- Management staff
- Meeting scheduling, Meeting minutes, agendas, supply ordering, recording time and attendance, staff recognition, collecting and recording stats as they related to department goals, expense reports, creating newsletters and weekly updates for staff
- As HUC Supervisor; Staff oversight and training, Monthly check-in and goal progress review
- Successfully implemented several new processes to streamline workload and increase productivity
- Participated and attended training for conversion to I-Centra the new EMR that launched hospital wide
- I was responsible to train HUC staff on I-Centra and was onsite for cutover to support and help with questions or issues
- Responsible for helping management meet the needs of 108 staff members
- Monitoring progress of corporate goals
- Planning and coordinating large events
- Member of Hospital wide Care Council
- Member of Emergency and Disaster preparedness Council
Customer Success Manager
DealerSocket
11.2016 - 06.2017
- Complete simple to moderately complex tasks related to the satisfaction and retention of current customers
- Own overall relationships with assigned clients
- Training, Insuring adoption of all products
- Ensuring satisfaction with software products purchased
- Retention and creating opportunities to introduce other Dealersocket products
- Establish a trusted strategic advisor relationship with assigned customers
- Advocate for assigned customers in resolution of issues
- Submitting for product improvements on be
- Assist customers in achieving their goals through the establishment of agreed-upon performance metrics
Office Manager
Gregory C. Tanner M.D
01.2014 - 11.2016
- Management of Billers, Front office staff, Registered Nurses, Nurse Practitioner, Medical Assistants
- AR/AP
Owner
JEM Medical Billing of Utah
02.2008 - 01.2014
- Implementation of 2 Practice management Software packages
- Trained all staff including Physicians on all aspects of the PM
- First Conversion was Manual input printouts into new PM system
- Second conversion was into a newer PM that would ease transition to ICD10
- Training on ICD10
- Meaningful use
- Claims billing
- Claims follow up
- Problem resolution with back end billing and denials
- Appeals and prior authorizations
- Statements and applying insurance and patient payments
- Calls from insurance and patients
- Preparing accounts for collections
- Refunds sent to provider
- Email communications to patients as needed
- Cost analysis and cost effective strategy implementation
- Monthly reporting to clients
- Work with outside vendors to assist clients with phone and internet installation
Problem Management Coordinator
Regence Blue Cross Blue Shield of Utah
01.2000 - 01.2008
- Responsible for all systems in Utah, Idaho, Washington, and Oregon
- Identify product owners and contact regarding issues reported by ESC
- Follow to resolution
- Hold SWAT calls if needed to pull in multiple resources to determine root cause and resolution
- Keep Executive level updated and send out communications to effected areas
- Hold root cause analysis meetings and report findings to Executive level management
- Additional roles
- Customer Service
Business System Analyst
Blue Cross Blue Shield
- Accomplishments in testing:
- Blue Card program working on new builds and testing
- Conversion to Alternate ID numbers for members, build and testing
- Launch and test of Proclaim the first product available for providers to bill electronically to RBXBS, representative on the board of UHIN during the inception of NPI numbers for providers
Education
High School Diploma -
Hillcrest High School
Midvale, UT1986
Skills
- Creative Thinking
- Operational Efficiency
- Revising Policies
- Interdepartmental Coordination
- Meeting Support
- Compliance Requirements
- Company Organization
- Government Regulations
- Campus Operations
- Facility Policies and Procedures
- Special Projects
- Office Supplies and Inventory
- Construction
- Facility Workflow
- Conducting Drills
- Building Walk-Throughs
- Facility Improvement
- Standard Operating Procedures Proficient
- Employee Paperwork
- Employee Timesheet Processing
- Investigating Problems
- Federal Laws
- Risk Management Assurance
- Operational Standards
- Workflow Processes
Timeline
AR specialist/Coding and billing specialist
Reproductive Care Center
10.2021 - Current
Implementation Consultant
Advanced MD
10.2020 - 10.2021
HIPPA compliance Officer
Utah Intermountain Surgical Center, Care Dental Surgical Center of Denver, Aurora
12.2018 - 08.2020
Administrative Assistant/HUC supervisor, •Support Nurse Manager and Senior
Primary Children’s Hospital
06.2017 - 12.2018
Customer Success Manager
DealerSocket
11.2016 - 06.2017
Office Manager
Gregory C. Tanner M.D
01.2014 - 11.2016
Owner
JEM Medical Billing of Utah
02.2008 - 01.2014
Problem Management Coordinator
Regence Blue Cross Blue Shield of Utah
01.2000 - 01.2008
Facility Administrator
Surgical Suite
Business System Analyst
Blue Cross Blue Shield
High School Diploma -
Hillcrest High School
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