Shawn Johnson
Waco,TX
Summary
Objective:
Dedicated professional motivated and eager to contribute to overall company success. Excited to obtain a position that will enable myself to use core strengths, education, professional experiences, and leadership capabilities. Seeking a challenging new role with the opportunity to make a lasting impact and provide top-notch solutions with a progressive organization.
Overview
20
20
years of professional experience
Work History
Senior Lead Insurance Specialist
Meduit
Waco, TX
12.2009 - 07.2023
- Insurance Verification
- Medical insurance billing and collections efforts for laboratory, and providers-based clinics
- Knowledge of Medicare, Medicaid, and Commercial Insurances
- Focused efforts on reducing AR over 90 days
- Registration
- Daily productivity and accuracy for ICD-10 code and charge entry
- Contact insurance companies for claim status and prepared appeals as needed.
- Patient medical records
- Work list identification and resolution of general patient account issues.
- Assisted resolution of outstanding payments from past due accounts
- Ensure timely receipt of claim payments, processing payments accordingly and reconciling all necessary data
Insurance Supervisor
Meduit
Waco, TX
12.2009 - 07.2023
- Supervise Medical insurance billing and Collections efforts.
- laboratory, Provider-based clinics, and Worker Comp
- Prepared statistical reports, Narrative reports, and Graphic presentations for review and monitoring of AR.
- Trained new staff on policies and procedures for Billing and Collections.
- Knowledge of Medicare, Medicaid, Workers Comp, and Commercial Insurances
- Focused efforts on reducing AR over 90 days.
- Monitor daily productivity and accuracy for ICD-10 code and Charge entry.
Data Research/Copy Service Analysist
EMSI
Waco, TX
11.2006 - 11.2009
- Managed approximately 50 incoming calls, emails and faxes per day.
- Agent Status
- Requested medical records from multiple medical facilities
- Fax Services
- Data Entry
Tax Preparer (Seasonal)
H&R
Waco, TX
12.2005 - 04.2006
- Assisted in resolving complex tax issues, strengthening client relationships and building trust.
- Streamlined tax filing processes for clients, ensuring smooth and efficient experience.
- Reviewed clients tax filing papers thoroughly to determine eligibility for additional tax credits or deductions.
Sales Associate/Cashier
Marshalls
Waco, TX
02.2003 - 04.2004
- Greet customers
- Built relationships with customers to encourage repeat business.
- Customer Service
- Cashier
- Markdowns
- Fitting room
Education
High School Diploma -
05.1994
Skills
- Reporting abilities
- HIPAA
- Tax Experience
- CORE STRENGTHS: Leadership, team building, regulatory requirements, policies and procedures, data evaluation, process resolutions, process improvements, billing and collections best practices - 10 years
- Medical records, Medical Coding, Medical terminology, Medical Office Experience
- ICD-10
- Insurance Verification
- Front Desk
- Medical Billing
- TECHNICAL SKILLS: Microsoft Office, meditech ,magic, emdeon, medicare FISS (DDE), ace, e-clinical works (ECW)
- EMR Systems
- 10 Key Calculator
Timeline
Senior Lead Insurance Specialist - Meduit
12.2009 - 07.2023
Insurance Supervisor - Meduit
12.2009 - 07.2023
Data Research/Copy Service Analysist - EMSI
11.2006 - 11.2009
Tax Preparer (Seasonal) - H&R
12.2005 - 04.2006
Sales Associate/Cashier - Marshalls
02.2003 - 04.2004
Itasca High School - High School Diploma,