Tomeka Johnson
Houston,TX
Summary
Experienced healthcare and personal injury professional with a dynamic background in medical billing coding, medical records, bill reductions, and collections. Skilled in insurance verification, intake and data entry. Proven ability to handle medical records retrieval, health information and insurance management. I excel in customer service, provider relations and client communications. Proactive and self motivated with a strong ability to perform under high pressure fast paced work environments.
Overview
12
12
years of professional experience
Work History
Unemployed
Unemployed
12.2023 - Current
Temporary Employee/ Remote Employee /Full Time Emp
Consultant Group
06.2021 - 12.2023
- Skilled at call center specialist inbound/ outbound calling.
- Learned new concepts in review of health insurance and retirement plan benefits.
- Worked effectively in collections and financial payment plan arrangements.
- Ability to negotiate and retrieve past due auto and credit card payments.
- Processed customer transactions.
- Assisted customers with inquires.
- Independently and collaboratively worked as a medical records retrieval specialist.
- Ability to effectively verify health and auto insurance benefits.
- Drafted and presented end of month banking reports.
- Proven ability to review healthcare clinical, therapy and home visits.
- Proven success in medical claims billing.
- Organized Medical Insurance analysis charts.
- Effectively drafted Health insurance data reports.
- Used critical thinking as a health information manager.
- Assisted with day to day filing and patient demographic data entry.
- Maintain rules and regulations of security and hipaa compliance.
- Learned security compliance.
Negotiator Asst./Medical Bill & Records Specialist
The Godsey Martin Law Firm
02.2018 - 04.2021
- Prepared detailed reports on the progress and results of the negotiations process.
- Proficiently created demand packets via mail, email/fax to third party auto insurance companies.
- Formulated bill reduction reports.
- Effectively maintained, sorted and updated records retrieval through electronic filing systems.
- Scanned documents for electronic/ digital filing systems.
- Daily communicated effectively with clients, providers, hospital, various lien holders and third-party vendors.
- Verified accuracy of client information in medical records.
- Proactively negotiated clients medical bills.
- Established strong relationships with clients, providers and lien holders.
- Assisted in verifying client auto insurance benefits.
- Prepared client settlement disbursement reports for case closure.
- Attended community planned events and assisted in volunteering work.
Medical Billing Specialist
Community Medical Supply
09.2013 - 08.2017
- Successfully processed home health and durable medical equipment claims.
- Ensured accurate and timely claims submission.
- Located payment errors and refiled rejected claims.
- Streamlined the billing process, increasing overall revenue.
- Monitored and maintained explanation of benefit statements (EOB).
- Accurately verified patient insurance eligibility.
- Reviewed Medicare evaluation reports for Power Wheelchair and Scooter approval.
- Conducted claims follow-ups, re-determinations and appeals.
- Prepared authorization requests.
- Resolved billing discrepancies through effective communicating with insurance carriers and patients.
- Maintained strong working relationship with patients, healthcare providers and insurance carriers.
- Effectively coordinated delivery tickets and set delivery appointments.
- Assisted with filing, faxing and invoicing reports.
Education
Graduate Certificate - Medical Billing And Coding
The Academy of Healthcare Professionals
Houston, TX01-2008
High School Diploma -
Douglas MacArthur High School
Houston, TX06-1999
Skills
- Experienced in ICD-9 and ICD-10 coding practices
- Medical Terminology
- Medical audit expertise
- Insurance verification expertise
- Healthcare documentation management
- Patient intake coordination
- Client communication skills
- Receptionist Experience
- Software & Systems
- Availity, ZirMed (Waystar)
- Devero, Ivans, RhinoBill
- Salesforce, File Vine, Needles Software
- AccessLine and PointClickCare experience
Timeline
Unemployed
Unemployed
12.2023 - Current
Temporary Employee/ Remote Employee /Full Time Emp
Consultant Group
06.2021 - 12.2023
Negotiator Asst./Medical Bill & Records Specialist
The Godsey Martin Law Firm
02.2018 - 04.2021
Medical Billing Specialist
Community Medical Supply
09.2013 - 08.2017
Graduate Certificate - Medical Billing And Coding
The Academy of Healthcare Professionals
High School Diploma -
Douglas MacArthur High School