Brian Johnson
Children's Healthcare of Atlanta
Austell,GA
11
years of professional experience
Experienced Account Resolution Coordinator skilled in problem-solving, effective communication, and teamwork. Successfully streamlined claims processing and resolved discrepancies, resulting in improved reimbursement turnaround times and enhanced patient satisfaction.
Work History
Account Resolution Coordinator
1 Year 11 Months- Billed claims daily to third-party insurance per UB04 and HCFA 1500 guidelines, ensuring compliance and accuracy.
- Addressed special billing needs by payor to prevent claim denials and payment delays, enhancing revenue cycle efficiency.
- Prepared and submitted final bill claims, secondary claims, rebills, and late charges daily, ensuring timely processing and current status tracking.
- Prioritizes and works proactively on accounts in assigned work queue to ensure all accounts are submitted in a timely manner.
- Prepares and submits all final bill claims, secondary claims, rebills, and late charges on a daily basis, maintaining a current status.
- Contacts guarantors and other insured parties when additional information is needed and takes appropriate action to resolve any delay in reimbursement.
- Contacted guarantors and other insured parties to obtain additional information.
- Complies with department workflows and routines.
Patient Account Specialist
5 Years 3 Months- Streamlined claims processing procedures, reducing errors and improving turnaround times for reimbursements.
- Collaborated with insurance providers to resolve discrepancies and expedite payment approvals effectively.
- Managed patient billing inquiries, ensuring accurate and timely responses to enhance patient satisfaction.
- Trained new team members on billing software and compliance protocols, fostering a knowledgeable workforce.
- Analyzed account discrepancies, identifying trends to implement corrective actions that improved revenue cycle efficiency.
- Expedited claim resolutions by skillfully navigating complex insurance policies, regulations, and guidelines.
Health Service Specialist
2 Years 1 Month- Coordinated patient care plans to enhance telehealth service delivery and improve patient outcomes.
- Implemented process improvements to streamline appointment scheduling and reduce patient wait times.
- Managed electronic health records with precision, ensuring compliance with privacy regulations.
- Trained new staff on telehealth protocols and software systems, fostering a collaborative work environment.
- Collaborated with cross-functional teams to optimize operational workflows and enhance overall efficiency in telehealth services.
- Improved patient satisfaction by providing timely and accurate health information and resources.
Education
Associate of Science - General Studies
Skills
Negotiation techniques
Medical billing
Insurance verification
Claims resolution
Payment processing
HIPAA regulations
Collections management
Insurance collaboration
Attention to detail
Problem-solving
Time management
Communication skills
Team collaboration
Financial reconciliation
Assertiveness
Medical terminology knowledge
Bookkeeping procedures
Timeline
Account Resolution Coordinator
Children's Healthcare of Atlanta
09.2024 - CurrentRead More
Patient Account Specialist
Northside Hospital Atlanta
02.2018 - 05.2023Read More
Health Service Specialist
MDLIVE Telehealth
01.2016 - 02.2018Read More
Tallahassee Community College
Associate of Science from General Studies
Read More