Rasheeda Johnson
Lithonia,GA
Summary
Dedicated and service-focused professional seeking a rewarding position in the Health Information Management Department. Efficient contributor with ability to quickly learn new concepts and skills. Backed by a solid work history, a collaborator with a passion for serving others.
Overview
12
12
years of professional experience
Work History
Lead Insurance Verifier
Children's Healthcare of Atlanta
10.2023 - Current
- Quality review of all team member’s assigned work queues
- Coach staff on timely submission of authorization request and accurate documentation in Epic
- Provide feedback on staff performance to Supervisor
- Onboard new employees
- Conduct daily team huddles to discuss possible schedule disruptions and surgical cases at risk for being rescheduled
- Timely responses to emails from various departments
- Communicate with Payment Estimators on self-pay accounts
- Contacts patients and provide updates on benefits verification information, request additional information, assisting patients with understanding their financial responsibility
- Assist staff with escalating authorizations that require further research/Investigation
- Participate in process improvement projects
- Assist with overturning denials.
Insurance Verifier
Children's Healthcare of Atlanta
07.2021 - Current
- Verify eligibility through Insurance Carrier web portals
- Ensure Insurance coverage is appropriate and active
- Provide supporting clinical documentation for Utilization Management for review
- Confirm correct CPT codes are applied to surgical case order
- Initiate Authorization request in a timely manner
- Communicate with utilization review nurses to check status of pending cases and request expedited review when appropriate
- Assist with overturning denials
- Contact parents when necessary to ensure demographic and Insurance information is correct
- Assist with answering any questions or concerns
- Communicate with Clinic Coordinators to relay messages regarding delays or when Peer to peer discussions are needed
- Ensure communication is clearly documented in Medical record.
Scheduler/ Registration Associate
Children's Healthcare of Atlanta
01.2019 - 07.2021
- Management of referral queue to ensure patients are scheduled for consultation in a timely manner
- Scheduled initial surgical consultations, hospital follow ups, post op visits, and prenatal consultations
- Scheduled Telemedicine appointments
- Communicate with providers and other staff through In-basket
- Collect co-pays and ensure insurance coverage is properly loaded and active prior to visit
- Ensure appropriate diagnosis is attached to referral
- Contact interpreter services
- Answer telephone and route calls to appropriate departments
- Processed cancellations, or special requests promptly
- Remind families to bring copies of imaging or lab work to appointment
- Inform clinicians of delays; relay messages affecting flow of clinic.
Medical Assistant
Children's Healthcare of Atlanta
02.2015 - 01.2019
- Prepare patient exam rooms for physical examinations; interview parents to obtain medical histories
- Explain treatments, sterilize equipment, properly dispose of contaminated supplies
- Record patient's vitals, and follow up with timely and accurate charting procedures
- Check nurse line daily and return voicemail messages
- Assist provider with scheduling diagnostic testing; inform provider of any resulted lab results
- Helped resolve wait times, acting as a liaison between front office and physicians
- Commended for multitasking ability
- Ensure exam rooms are fully stocked and free of expired items
- Set up and assist physicians with minor surgical procedures
- Scan signed consents into EPIC
- Provide educational materials to patients at provider’s request
- Safely transport specimens and medical supplies to the hospital.
Phlebotomist
Children's Healthcare of Atlanta
12.2014 - 02.2015
- Collected blood samples using vacutainer tubes, tourniquets, syringes, butterfly needles, and straight needles
- Accurately labeled vacutainer tubes with patient name, date and time of collection
- Spoke with patient's parents to gather information for lab records, reduce fear or anxiety and optimize cooperation
- Protected patients by following infection control, sharps disposal and biohazardous waste disposal procedures
- Registered outpatient lab orders
- Prepared specimens to be collected by outside lab services and couriers
- Maintained stock and ensured supplies were safely secured.
Medical Assistant
Children's Healthcare of Atlanta
10.2012 - 12.2014
- Obtained patient medical history, including medication information, symptoms and allergies
- Obtain vital signs and chart appropriately
- Escort patient and family to exam rooms
- Assist nurses with patients in preparing for food challenges and various allergy testing procedures
- Attend educational webinars to stay informed of changes and new ideas to be implemented within the department
- Safety coach
- Assisted with training of new staff members.
Education
Medical Billing and Coding Certificate - Health Information management
DeVry University
Atlanta, GA05.2024
Medical Assistant Diploma - Medical Assisting
Sanford Brown
Atlanta, GA02.2007
Skills
- Customer Service
- Prior authorization processing
- Coverage and Authorizations
- Coordination and Scheduling
- Medical Terminology
- Eligibility Determination
Timeline
Lead Insurance Verifier
Children's Healthcare of Atlanta
10.2023 - Current
Insurance Verifier
Children's Healthcare of Atlanta
07.2021 - Current
Scheduler/ Registration Associate
Children's Healthcare of Atlanta
01.2019 - 07.2021
Medical Assistant
Children's Healthcare of Atlanta
02.2015 - 01.2019
Phlebotomist
Children's Healthcare of Atlanta
12.2014 - 02.2015
Medical Assistant
Children's Healthcare of Atlanta
10.2012 - 12.2014
Medical Billing and Coding Certificate - Health Information management
DeVry University
Medical Assistant Diploma - Medical Assisting
Sanford Brown
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