Rogenia Johnson
San Antonio,Texas
Summary
Seeking a position that will allow me to use my experience to increase the productivity of the office or facility.
Overview
26
26
years of professional experience
Work History
Scheduler, Insurance Verifier, Front Desk Clerk
Texas Digestive Disease Consultants
10.2019 - 03.2020
- Schedule patients for office visits and gastroenterology procedures
- Verify insurance and obtain authorizations and referrals for office
- Check patients in at front desk when they come into the office
- Check patients out when leaving, collecting co-pays, deductibles and co-insurance
- Call patients to schedule gastroenterology procedures
- Input patient information into computer for new patients
- Input information for patients that have new or different information
- Email information to prospective members to get them set up in our system
- Maintain high standards of excellence.
Appeals Representative
United Health Group
01.2016 - 08.2019
- Set up appeals for medical offices, facilities and members for correct reimbursement
- Used computer to set up appeals
- Called offices, facilities, members and pharmacies to verify information for reimbursements
- Used multiple programs simultaneously to set up the appeal
- Mailed copies of information to requesting physicians, members and medical facilities
- Maintained high standards of excellence.
Medical Records Release of Information Clerk
Health port
08.2015 - 11.2015
- Temporary position with agency
- Scanned medical record information in correct areas of internet chart
- Responded to written requests for medical record information
- Checked written requests for appropriate information on the request
- Sent letters for incorrect written requests
- Entered information into computer.
Medical Records Clerk
JAS Recruitment Staffing Agency
02.2015 - 11.2015
- Temporary position with agency
- Scanned medical record information in correct areas of internet chart
- Responded to written requests for medical record information
- Checked written requests for appropriate information on the request
- Sent letters for incorrect written requests
- Entered information into computer.
Medical Office Clerk
Office Works - Staffing Agency
09.2014 - 02.2015
- Discharge, medical records, registration and insurance verification clerk
- Answered multiple phone lines
- Verified insurance and obtained referrals/authorizations
- Calculated and collected payments for patients
- Scheduled patients for office visits
- Entered information into computer
- Checked patients in for visits, made sure information was correct in computer system, copied and scanned necessary forms and cards
- Provided personalized service to patients and other office staff
- Responded to written and telephone requests for patient.
Business Office Clerk
Pediatric Orthopedics
10.2012 - 10.2013
- Telephoned insurance companies to verify patient's coverage and to obtain information concerning extent of benefits
- Answered patient's questions regarding statements and insurance coverage
- Telephoned insurance companies with unpaid insurance claims to obtain settlement of claim
- Responded to written and telephone requests for patient records and information
- Assisted subordinates and supervisors in identifying and resolving problems
- Demonstrated effective presentation skills
- Provided personalized service to patients and other office staff
- Maintained high standards of excellence
- Assisted patients with forms for registration
- Calculated and collected fees for services based on insurance verification.
Financial Counselor
Bariatric Institute of San Antonio
06.2011 - 02.2012
- Provided personalized service to patients
- Successfully handled insurance questions
- Answered patient's questions regarding statements and insurance coverage
- Telephoned and wrote insurance companies with unpaid insurance claims to obtain settlement of claim
- Assisted patients with insurance benefits to make the best choice for the service that they wanted to receive
- Created payment plans for patients that wanted to have weight loss surgery
- Followed up and collected on unpaid claims.
Admission Supervisor/Registrar/Ins. Verification Specialist
Baptist Health System
03.1998 - 04.2011
- Excellent track record of supervision, 50+ employees in hospital admission department
- Instrumental in maintaining system policies in department
- Maintained employee records for the department and produced reports for admission director
- Interviewed prospective new hires
- Conducted annual reviews for employees
- Responsible for employee payroll
- Verified insurance and obtained authorizations and referrals
- Collected patient payments
- Made daily bank deposits
- Responded to correspondence
- Learned all aspects of insurance verification and billing for hospital
- Assisted subordinates and supervisors in identifying and resolving problems
- Responded to written and telephone requests for medical records and other patient information
- Compiled data for occupancy and census record.
Authorization Specialist
Home Care Home Base
05.2021 - 01.2024
- Improved patient satisfaction by streamlining authorization processes and ensuring timely responses to inquiries.
- Enhanced departmental efficiency with thorough knowledge of insurance guidelines and medical terminology.
- Collaborated with healthcare providers to obtain necessary documentation for prior authorization requests.
- Reduced processing times by effectively managing a high volume of authorizations, referrals, and appeals.
Education
Penn Foster
04.2024
Capella Online University
05.2016
Louisiana State University
05.1982
Northeast LA University
05.1980
Louisiana State University
05.1979
Skills
- Practice Management
- Rain Tree
- Centricity
- Clear Practice
- Chart Logic
- Data entry proficiency
- Insurance Verification
- Medical terminology expertise
- Prior authorization processing
- Medical coding knowledge
Timeline
Authorization Specialist
Home Care Home Base
05.2021 - 01.2024
Scheduler, Insurance Verifier, Front Desk Clerk
Texas Digestive Disease Consultants
10.2019 - 03.2020
Appeals Representative
United Health Group
01.2016 - 08.2019
Medical Records Release of Information Clerk
Health port
08.2015 - 11.2015
Medical Records Clerk
JAS Recruitment Staffing Agency
02.2015 - 11.2015
Medical Office Clerk
Office Works - Staffing Agency
09.2014 - 02.2015
Business Office Clerk
Pediatric Orthopedics
10.2012 - 10.2013
Financial Counselor
Bariatric Institute of San Antonio
06.2011 - 02.2012
Admission Supervisor/Registrar/Ins. Verification Specialist
Baptist Health System
03.1998 - 04.2011
Penn Foster
Capella Online University
Louisiana State University
Northeast LA University
Louisiana State University
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