Melissa Johnston
Interim HealthCare Houston SE
Durant,OK
6
years of professional experience
Dedicated and dependable healthcare administration professional with experience managing the daily operations of a home health agency serving 100+ employees. Skilled in office management, billing, payroll, insurance authorizations, intake, Medicare and CMS guidelines, compliance, emergency preparedness, QAPI, and team coordination. Proficient with healthcare and business software systems including Axxess, WellSky, AxisCare, Paylocity, ADP, Availity, Worldview, and Velocity. Known for being accountable, reliable, approachable, and a fast learner who builds positive and productive working relationships. Passionate about healthcare administration and committed to continued professional growth.
Diligent Alternate Administrator with solid background in Medicare billing. Successfully managed claims processing and ensured compliance with healthcare regulations. Demonstrated expertise in resolving billing discrepancies and providing exceptional customer service.
Healthcare professional poised to leverage extensive Medicare billing experience. Known for accuracy in claims processing and compliance with regulations. Collaborative team player with results-oriented mindset, adaptable to changing needs. Proficient in billing software and possessing strong analytical abilities.
Work History
Medicare Biller
2 Years 11 Months- Reviewed patient eligibility, coverage details, and authorization requirements for compliant claim preparation.
- Processed Medicare claims, verified coding accuracy, and resolved billing discrepancies before submission.
- Investigated denied claims, corrected errors, and resubmitted documentation to support reimbursement.
- Reconciled remittance advice, posted payments, and maintained accurate account balances.
- Reduced claim denials, while maintaining thorough knowledge of Medicare regulations and guidelines.
- Conducted regular audits of billing records to identify potential errors, leading to improved overall accuracy.
Alternate Administrator / Office Manager
3 Years- Coordinated day-to-day administrative operations for home health agency with over 100 employees, ensuring effective workflow and communication.
- Supported leadership by managing daily operational needs, coordinating staffing, facilitating employee communication, and overseeing office administration.
- Oversee billing-related processes and work routinely with insurance companies, authorizations, claims, and payer requirements.
- Work extensively with Medicare and CMS guidelines to support compliant operational and billing practices.
- Manage payroll-related responsibilities and utilize payroll systems to support accurate and timely processing.
- Coordinate patient intake and assist with ensuring appropriate documentation and authorization requirements are met.
- Serve as QAPI Coordinator, assisting with quality improvement activities, monitoring, documentation, and organizational follow-through.
- Serve as Emergency Preparedness Coordinator, helping maintain preparedness plans, communication procedures, emergency response processes, and staff/client notifications.
- Coordinate and manage Zoom accounts and virtual meetings to support communication and business operations.
- Work collaboratively across departments to identify issues, resolve operational concerns, and keep daily processes moving efficiently.
- Maintained clear communication with staff, clients, families, insurance representatives, and healthcare professionals to enhance operational effectiveness.
- Quickly learn new systems, processes, and responsibilities and apply knowledge to improve day-to-day operations.
Intake Coordinator
3 Years 9 Months- Coordinated new patient intake, verifying referrals, demographics, and documentation for accurate case setup.
- Scheduled assessments and services, aligning caregiver availability with patient needs and care plans.
- Communicated with physicians, families, and field staff to clarify orders and resolve intake discrepancies.
- Entered and updated patient information in scheduling and electronic records systems with consistent accuracy.
- Tracked referral status, follow-ups, and missing documentation to maintain timely intake workflow.
- Supported branch operations by prioritizing urgent referrals and managing multiple intake requests efficiently.
- Collected, verified, recorded and processed client demographics, insurance payments, and referral information.
- Communicated with referral sources, physicians, and associated staff to check documentation for proper signatures.
- Documented patient medical information, case histories, and insurance details to facilitate smooth appointments and payment processing.
Medical Biller
4 Years 4 Months- Processed medical claims and verified coding accuracy for timely reimbursement.
- Reviewed denied claims and corrected documentation errors for resubmission.
- Coordinated billing questions with insurance carriers and internal care teams.
- Posted payments, adjustments, and patient balances within billing systems.
- Resolved billing discrepancies by reconciling charges, payments, and authorizations.
- Verified patients' insurance to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Managed the appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
- Accurately entered patient demographic and billing information in the billing system to enable tracking history and maintain accurate records.
- Organized filing system for patient records, expediting access to essential documents when needed.
- Improved patient satisfaction levels with clear explanations of their financial responsibilities and available payment options.
- Assisted patients in understanding insurance benefits, leading to a positive experience during their visit.
Healthcare Recruiter
5 Years 4 Months- Screened candidates for licensure, experience, availability, and role-specific healthcare requirements.
- Sourced qualified caregivers and clinicians through job boards, referrals, and applicant tracking systems.
- Coordinated interview scheduling between candidates, hiring managers, and branch leadership.
- Managed onboarding paperwork, background checks, and credential verification for compliant hires.
- Conducted thorough candidate screenings, including reference checks and verification of licenses, certifications, and educational credentials.
- Utilized social media sites to recruit new employees.
- Developed strong relationships with clients to understand their unique staffing needs and provide tailored solutions accordingly.
- Assisted with writing job postings and job descriptions for boards.
- Developed and monitored employee recognition programs.
CSR-Scheduler
5 Years 7 Months- Coordinated caregiver schedules, matching client needs with staff availability and service continuity.
- Managed daily shift assignments, resolving call-offs and coverage gaps promptly.
- Balanced staffing calendars across home health visits, minimizing conflicts and missed appointments.
- Communicated schedule changes clearly to clinicians, clients, and internal teams.
- Tracked scheduling updates in electronic systems, maintaining accurate records and compliance.
- Facilitated smooth handovers between shifts by creating comprehensive documentation of completed tasks and pending items for follow-up action.
- Established and maintained strong working relationships with both internal and external stakeholders, facilitating open communication channels for improved collaboration.
- Maximized efficiency in project delivery through strategic prioritization of tasks based on urgency, complexity, and available resources.
Certified Nursing Assistant
5 Years 9 Months- Assisted patients with bathing, grooming, dressing, and personal hygiene while preserving dignity and comfort.
- Monitored vital signs and documented changes accurately for nursing staff review.
- Supported mobility, transfers, and repositioning using safe body mechanics and transfer equipment.
- Provided meal assistance and hydration support according to individualized care plans.
Education
Associate of Arts - Business, Business Administration / Business Studies
Skills
Billing & Insurance
Office administration
Insurance Authorizations
Patient Intake
Compliance & Documentation
Payroll Administration
QAPI management
Payroll Management
Quality Improvement
Crisis Management
Microsoft Outlook & Excel
Virtual meeting management
Staff coordination
Interpersonal communication
Team leadership
Remote Communication
Timeline
Medicare Biller
Interim HealthCare Houston SE
11.2023 - CurrentRead More
Alternate Administrator / Office Manager
INTERIM HEALTHCARE HOUSTON SOUTHEAST
10.2023 - CurrentRead More
Intake Coordinator
Interim HealthCare Houston SE
01.2023 - CurrentRead More
Medical Biller
Interim HealthCare Houston SE
06.2022 - CurrentRead More
Healthcare Recruiter
Interim HealthCare Houston SE
06.2021 - CurrentRead More
CSR-Scheduler
Interim HealthCare Houston SE
03.2021 - CurrentRead More
Certified Nursing Assistant
Interim HealthCare Houston SE
01.2021 - CurrentRead More
San Jacinto College
Associate of Arts from Business, Business Administration / Business Studies
Read More