Natasha Johnson
Baton Rouge,LA
Summary
Medical Billing Specialist with 10+years’ experience in tracking and maintaining records of patient billing and billable items, preparing, and submitting billings to insurance companies. Efficient in Payment Posting and insurance follow up on delinquent claims and past due invoices, manage Medicare and Medicaid claims. I’m a team player with excellent communication skills. Strong collections and negotiating skills with the ability to show empathy and professionalism. I’m highly self-motivated and have a proven track record of providing and maintaining high quality work while working from home. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Equipped with strong problem-solving abilities, willingness to learn, and excellent communication skills. Poised to contribute to team success and achieve positive results. Ready to tackle new challenges and advance organizational objectives with dedication and enthusiasm. Pursuing full-time role that presents professional challenges and leverages interpersonal skills, effective time management, and problem-solving expertise.
Overview
10
10
years of professional experience
Work History
Claims Research Specialist
Insight Global Contractor- Wellpath
06.2023 - Current
- Manage a minimal of 60 calls per day from providers and customers assisting with resolving medical claims issues
- Documenting calls in Salesforce to review and track all correspondence received
- Triage issues and determine for cross-functional dept needed for involvement to resolve billing claims
- Research and answer questions from providers and sites regarding claims payments, eligibility and authorizations for services rendered via phone and emails.
- Build, develop, and maintain relationships with providers, sites, and administrators, through continual claims education processes
- Clearly and truthfully communicate with callers, internal resources, and others.
Accounts Payable Specialist
Modis WFH/Remote
01.2020 - 08.2022
- Assist with the annual audit process and 1099s
- Review and validate documents
- Handle vendor questions and/or issues regarding payments
- Respond to vendor inquiries, set up new vendors in the accounting system, and ensure the vendor master file records are kept up-to-date
- Process Regional Accounts Payable in a timely and accurate manner
- Identify reoccurring problems relating to Regional Accounts Payable, communicate those issues surrounding these problems to management and be part of the solution to resolve these problems
- Perform data entry and administrative duties
- Assist in the preparation of 1099s and ensure timely completion of 1099 reporting to reduce the risk of penalties
- Send welcome packets for all new vendors, track and follow up on vendors that don’t comply
- Receive, validate, and enter accurate and complete vendor information
- Ensure new vendors are approved by Vendor Risk Management
- Ensure vendor’ bank details are entered according to region’ banking format
- Validate IBAN prior to entry in Oracle
- Ensure TIN/Name matches to IRS tool
- Ensure vendor’ documents are filed into FIS scanning.
- Maintained up-to-date customer records, facilitating accurate invoicing and prompt payment receipt.
- Managed a high volume of invoices, prioritizing payment schedules to optimize cash flow and maintain strong vendor relations.
- Provided exceptional customer service to both internal departments and external clients regarding billing inquiries or disputes resolution.
- Supported month-end closing activities, ensuring accuracy in financial records and adherence to deadlines.
- Ensured timely payments for all invoices, maintaining strong relationships with vendors and suppliers.
- Reduced invoice processing time with accurate data entry and timely vendor communication.
- Reached out to vendors and customers to verify information and follow up on client issues.
- Facilitated dispute resolution between company departments and vendors regarding payment issues or discrepancies in invoicing.
- Updated vendor information regularly, ensuring accurate contact details and banking information for prompt payments.
- Collaborated with procurement team to resolve discrepancies between purchase orders and invoices received.
- Matched purchase orders with invoices and recorded necessary information.
- Managed and responded to correspondence and inquiries from customers and vendors.
Accounts Receivable Specialist
Xpress Technologies
10.2017 - 05.2018
- Review account balances for accuracy
- Post and adjust insurance payments, copays, and deductible
- Verify and apply insurance and patient refunds
- Follow up with insurance on underpayments
- Review accounts for expected reimbursement
- Appeal claims
- Follow up with patients for additional information needed
- Follow up with patients for balances due
- Issue invoiced for outstanding balances
- Resubmitted corrected claims when needed
- Navigate through various computer systems.
- Ensured the accuracy of customer records in internal systems by updating contact information, payment terms, and other relevant data as needed.
- Increased efficiency of the collections process by implementing new strategies and procedures for tracking delinquent accounts.
- Contributed to a positive work environment by working closely with colleagues across departments to ensure efficient information exchange and collaboration on financial matters.
- Followed up overdue payments and payment plans from clients to establish good cash flow.
- Improved customer satisfaction by providing prompt, courteous service when addressing billing concerns or inquiries.
- Negotiated payment arrangements with customers to establish timely receipt of payments.
- Monitored accounts to verify compliance with payment terms and schedules.
- Trained new team members on company policies, software systems, and effective accounts receivable practices for seamless integration into the role.
Accounts Receivable Specialist
McKesson
08.2016 - 12.2016
- Review and negotiate insurance settlement offers for Approval
- Review and sort correspondences from patients, insurance companies, Workman Comp, Auto Insurance, and various Attorney offices
- Review and resolve insurance denials and rejections by updating, resubmitting corrected claims, attaching additional documentation, and/or appeal when necessary
- Accurately post payments per Insurance EOB
- Reviewed patient payment plans, payment history, and coordinate a payment plan according to company guidelines
- Answer patient calls and patient correspondence inquires
- Set up patient payment plans and review accounts for credits and refunds.
- Reduced outstanding accounts receivable balances by diligently following up on overdue payments.
- Prepared and mailed invoices to customers, processed payments, and documented account updates.
- Followed up overdue payments and set up payment plans from clients to establish good cash flow.
Accounts Receivable Specialist
St Vincent’s Hospital
08.2014 - 07.2016
- Monitor customer account details for non-payments, delayed payments and other irregularities
- Process credit card payments
- Collections from insurance companies and collect on patient delinquent accounts
- Ensures all contractual adjustments are done correctly
- Contacted various insurance companies to discuss and resolve EOB issue
- Resolved patient insurance, benefits, and patient balance questions and concerns
- Posts 3customer payments by recording cash, checks, and credit card transactions
- Review and resolve patient refund credits
- Worked weekly aging reports and met scheduled deadlines
- Negotiate payment plans and SIF settlements in full.
Education
Credits towards an Associates Degree-Business Management -
Prairie State College
Chicago Heights, IL01.2010
Licensed Cosmetologist -
John Amico's School of Hair Design
Oak Forest, IL01.1993
Skills
- Proficiency in Microsoft tools such as MS Word, MS Excel, MS PowerPoint, MS Outlook, and other business systems
- Ability to multi-task
- Analytical and problem-solving skills
- Excellent Communication
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Claims Research Specialist
Insight Global Contractor- Wellpath
06.2023 - Current
Accounts Payable Specialist
Modis WFH/Remote
01.2020 - 08.2022
Accounts Receivable Specialist
Xpress Technologies
10.2017 - 05.2018
Accounts Receivable Specialist
McKesson
08.2016 - 12.2016
Accounts Receivable Specialist
St Vincent’s Hospital
08.2014 - 07.2016
Credits towards an Associates Degree-Business Management -
Prairie State College
Licensed Cosmetologist -
John Amico's School of Hair Design
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