LISA JOHNSON
Virginia Beach,VA
Summary
Dynamic medical billing professional with extensive experience at Tidewater Family Practice, adept at enhancing revenue cycle performance through strategic process improvements and effective team collaboration. Proven expertise in HIPAA compliance and insurance verification, resulting in reduced claim denials and increased patient satisfaction. Strong communicator committed to delivering exceptional service.
Professional with proven expertise in patient account management and revenue cycle operations. Adept at resolving billing issues, ensuring accurate financial records, and maintaining compliance with healthcare regulations. Strong focus on team collaboration and achieving results, with flexible approach to adapting to changing needs. Known for excellent communication, problem-solving skills, and commitment to patient satisfaction.
Overview
28
28
years of professional experience
1
1
Certification
Work History
Patient Account Representative
Atlantic Anesthesia, Inc
11.2019 - Current
- Managed patient account inquiries, ensuring timely and accurate resolution of billing issues.
- Collaborated with healthcare providers to verify insurance eligibility and benefits for patients.
- Processed patient accounts, including payments and adjustments, enhancing financial accuracy.
- Utilized electronic health record systems to maintain up-to-date patient information and documentation.
- Led initiatives to streamline workflows, resulting in enhanced processing times for claims submissions.
- Provided exceptional customer service, handling sensitive patient situations with professionalism and empathy.
- Worked with outside entities to resolve issues with billing, claims, and payments.
- Electronically submitted bills according to compliance guidelines.
- Enhanced patient satisfaction by promptly addressing inquiries and resolving account issues.
- Developed strong relationships with key contacts at insurance companies to expedite resolution of claim disputes or other account-related issues.
- Researched billing errors and discrepancies to initiate corrective action.
- Responded to customer inquiries and provided detailed account information.
- Entered client details and notes into system for interdepartmental access and review.
Payment Poster
Medical Temporaries
08.2018 - 11.2019
- Processed and applied payments accurately to patient accounts, ensuring timely revenue cycle management.
- Resolved discrepancies in payment postings through thorough research of remittance advice and payer guidelines.
- Monitored daily payment batches for accuracy and completeness, reducing error rates in financial reporting.
- Enhanced payment processing efficiency by implementing a streamlined posting system.
- Maintained compliance with HIPAA regulations while handling sensitive patient information during payment posting tasks.
- Processed payments that had been received from insurance companies and Medicare.
- Collaborated with billing specialists to streamline payment posting procedures, enhancing overall operational efficiency.
Medical Biller
Diane Epplein & Associates
08.2016 - 06.2018
- Processed medical claims efficiently, ensuring compliance with regulatory standards.
- Reviewed patient billing information for accuracy and completeness.
- Coordinated with healthcare providers to resolve discrepancies in billing statements.
- Implemented improvements in billing procedures, enhancing overall workflow efficiency.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Filed and updated patient information and medical records.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Verified insurance of patients to determine eligibility.
- Posted payments and collections on regular basis.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
- Liaised between patients, insurance companies, and billing office.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Delivered timely and accurate charge submissions.
- Established strong relationships with insurance representatives, facilitating prompt resolution of billing issues.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Organized filing system for patient records, expediting access to essential documents when needed.
- Adhered to established standards to safeguard patients' health information.
Medical Biller
Meeting House Lane Medical Practice
10.2013 - 06.2018
- Improved patient satisfaction levels with clear explanations of their financial responsibilities and available payment options.
- Resolved discrepancies in accounts receivable reports, contributing to improved cash flow management.
- Collaborated with healthcare providers, ensuring accurate documentation for seamless billing operations.
- Reviewed outstanding balances owed by patients; initiated collection actions if necessary resulting in improved account recovery efforts.
- Reviewed patient records, identified medical codes, and created invoices for billing purposes.
- Assisted patients in understanding insurance benefits, leading to a positive experience during their visit.
- Achieved significant reduction in outstanding accounts receivables by implementing rigorous follow-up procedures with insurers and patients.
- Reduced instances of denied claims, carefully reviewing and rectifying coding errors before submission.
- Responded to customer concerns and questions on daily basis.
- Audited and corrected billing and posting documents for accuracy.
- Monitored outstanding invoices and performed collections duties.
- Handled account payments and provided information regarding outstanding balances.
- Generated monthly billing and posting reports for management review.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
- Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Posted payments and collections on regular basis.
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Filed and updated patient information and medical records.
- Delivered timely and accurate charge submissions.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
Medical Billing Manager
Tidewater Family Practice
10.1997 - 03.2012
- Managed billing operations, ensuring compliance with healthcare regulations and optimal revenue cycle performance.
- Implemented process improvements that enhanced claim submission accuracy and reduced denial rates.
- Led training initiatives for staff on coding standards and billing software utilization.
- Analyzed financial reports to identify trends, recommend strategic adjustments, and optimize collections.
- Developed comprehensive billing policies that improved operational efficiency and reduced errors significantly.
- Increased patient satisfaction by addressing billing inquiries promptly and professionally.
- Developed strong relationships with insurance companies through effective communication and negotiation skills, enhancing payment turnaround times.
- Mentored junior staff in best practices for medical billing and coding, fostering professional growth within the team.
- Reviewed billing problems, researched issues, and resolved concerns.
- Reduced denied claims through diligent review, correction, and resubmission of errors.
- Enhanced revenue cycle management by overseeing timely and accurate claims submission.
- Managed a team of dedicated medical billers, focusing on professional development opportunities and maintaining a positive work environment conducive to high levels of productivity.
- Maintained up-to-date knowledge of regulatory changes impacting medical billing practices to ensure ongoing compliance within the organization.
- Trained team members on best practices in medical billing, ensuring consistent high-quality work across the department.
- Streamlined claim appeals process by creating clear documentation guidelines and templates for staff use.
- Developed policies and procedures for the medical billing department, establishing a strong foundation that supported growth and operational success within the organization.
- Collaborated with providers and staff to ensure accurate coding for billing purposes.
- Performed billing, collection, and reporting functions for office generating over $[Amount] annually.
- Managed monthly billing process to complete billings and returns to meet company revenue recognition policies.
- Improved medical billing processes by streamlining workflows and implementing efficient systems.
- Implemented new software systems for better tracking of accounts receivable and payable balances.
- Facilitated cross-departmental collaboration between clinical teams as well as finance and administrative staff to ensure seamless integration of billing-related tasks into daily workflows.
- Established and checked coding procedures, monitored reports and updated internal files.
- Performed testing for billing modules, enhancing new functionality and process improvements.
- Reviewed historical records, current operational data and forecasting information to identify and capitalize on system enhancement opportunities.
Education
Billing & Coding - Medical Billing & Coding
Bryant & Stratton
Virginia Beach, VA08-2007
High School Diploma -
Southampton High School
Southampton, NY06-1982
Skills
- HIPAA compliance
- Insurance verification
- Insurance billing
- Medical billing
- Medical terminology knowledge
- Medical Billing Understanding
- Payment processing
- Team collaboration
- Verbal and written communication
- Administrative support
- Insurance collaboration
- Coding
- Regulatory compliance
- Report generation
- HIPAA
- Patient care
- Healthcare industry
- Pleasant telephone demeanor
- Updating customer accounts
- Clear communication
- Decision-making
- Documentation and recordkeeping
Certification
Essentials of Anatomy
Medical Terminology
Professional Medical Coding Curriculum
Timeline
Patient Account Representative
Atlantic Anesthesia, Inc
11.2019 - Current
Payment Poster
Medical Temporaries
08.2018 - 11.2019
Medical Biller
Diane Epplein & Associates
08.2016 - 06.2018
Medical Biller
Meeting House Lane Medical Practice
10.2013 - 06.2018
Medical Billing Manager
Tidewater Family Practice
10.1997 - 03.2012
Billing & Coding - Medical Billing & Coding
Bryant & Stratton
High School Diploma -
Southampton High School