Rhea L Johnson
Tulane University Medical Group
Gretn,LA
31
years of professional experience
To utilize my customer service and office experience in an endeavor to build a long term career as an Insurance Receivable Specialist in the hospitality industry.
Work History
Billing Specialist III
14 Years- Collaborated with healthcare providers to resolve billing discrepancies and improve invoicing procedures.
- Trained new staff on billing software and regulatory requirements, fostering a knowledgeable team environment.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Analyzed billing data to identify trends, leading to improved revenue cycle management strategies.
- Coordinated with insurance companies to facilitate timely claim submissions and payments, enhancing operational efficiency.
- Collaborated with the collections team to recover overdue payments from clients, maintaining cash flow and minimizing writeoffs.
- Assisted colleagues in resolving complex billing issues, promoting teamwork and knowledge sharing within the department.
- Worked with multiple departments to check proper billing information.
- Coordinated with insurance providers to resolve discrepancies in claims processing.
- Reduced outstanding accounts receivable balances by diligently following up on overdue payments.
- Processed medical claims with accuracy, ensuring compliance with regulatory standards.
- Reviewed and resolved discrepancies in claim submissions, enhancing overall processing efficiency.
- Collaborated with healthcare providers to obtain necessary documentation for claims adjudication.
- Trained new staff on claims processing systems and best practices for accuracy and efficiency.
- Handled complex claim issues, effectively communicating with patients, providers, and insurance companies to ensure resolution.
Accounts Receivable Specialist
6 Years 3 Months- Processed, filed/refiled insurance claims and recorded expected payments based on received explanation of benefits. Entered payments received based on deposit slips. Used Word to create appeal letters for unpaid claims. Contacted patients and insurance companies daily (via phone and mail) to discuss overdue payment arrangements. Utilized Excel to create past due spreadsheet, which were faxed monthly to collections agency. Maintained bad debt log of indegent patients using proprietary software. Prepared monthly and daily reports (collections, payment processing, etc.) using Excel. Assisted with the creation of special reports as needed. Corrected and edited flow sheets to ensure correct billing to insurance company. Answered multi-line phone system, prepared bank deposits and delivered to bank as necessary. Verified insurance coverage.
Accounts Receivable Specialist
3 Years 5 Months- Lead Billing Representative
- prepared and balanced bank deposits and delivered to bank daily. Processed, filed/refiled insurance claims and recorded expected payments based on received explanation of benefits. Entered payments received based on deposit slips remitted from Accounting Department. Prepared appeal letters for unpaid claims. Contacted patients and insurance companies daily (via phone and mail) to discuss overdue payment arrangements. Maintained bad debt log of indigent patients using proprietary software. Prepared monthly and daily reports (collections, payment processing, etc.) using Excel. Assisted with the creation of special reports as needed. Corrected and edited flow sheets to ensure correct billing to insurance company.
Processor
7 Years 3 Months- Entered allowed/disallowed charges based on insurance company Explanation of Benefits report into patient's files. Reconciled payments received, receipts received and Accounts Receivable reports. Per information recorded in daily accounting reports, entered payment information into individual's accounts.
Education
Associate of Arts - Human Resources Development
- Awarded certificate in APPLIED BUSINESS
- Awarded certificate in PROFESSIONAL ADVANCEMENT
Skills
(20) years of customer service based industries.
Excellent multi-tasker with superior communication
Word & Excel skills.
Self-motivated team player that works well alone and with others.
Proven track record of professional customer service
even under high pressure situations.
Billing systems and software
Insurance verification
Customer service
Timeline
Billing Specialist III
Tulane University Medical Group
06.2012 - CurrentRead More
Accounts Receivable Specialist
Dialysis Clinic Incorporated
11.2005 - 02.2012Read More
Accounts Receivable Specialist
Dr. Kinneth
06.2002 - 11.2005Read More
Processor
Tenet Physician Services
01.1995 - 04.2002Read More
Tulane University
Associate of Arts from Human Resources Development
Read More