Veronica A. Johnson
Administrative & Billing Support
Atlanta,GA
Summary
Experienced Healthcare Administrator with 20+ years in medical billing, claims management, and insurance verification. Skilled in optimizing revenue cycles, resolving billing issues, and ensuring HIPAA compliance. Proficient in EMR systems (Salesforce, Medical Manager, NextGen) and claims resolution. Proven ability to streamline processes, reduce aged accounts, and maximize reimbursement. Seeking a Billing Specialist role for operational efficiency and financial growth.
Professional billing expert with strong expertise in financial analysis, invoicing, and account reconciliation. Proven track record in optimizing billing processes and resolving discrepancies efficiently. Known for collaborative teamwork, adaptability, and achieving organizational goals. Skilled in medical coding, insurance claims, and ERP systems.
Experienced with managing billing cycles and maintaining financial accuracy. Utilizes billing software to streamline processes and resolve discrepancies. Knowledge of financial regulations and compliance ensures accurate and timely billing operations.
Overview
27
27
years of professional experience
1
1
Certification
Work History
Account Payable Billing Specialist
Wayne State University Physician Group
- Served as a liaison between business departments, billers, and third-party payers.
- Handled patient information in compliance with HIPAA regulations and managed all billing updates.
- Processed charge entries, payments, and adjustments, ensuring accurate medical record billing.
- Resolved underpayments, rejections, and submitted refund requests as needed.
Patient Account Specialist
University Physician Group
- Facilitated patient care by obtaining necessary insurance authorizations for medical procedures and tests, ensuring adherence to healthcare protocols.
- Improved billing accuracy and revenue recovery by identifying and correcting claim errors, leading to successful re-billing and coordination with collection agencies for aged account settlement.
Family Caregiver
11.2024 - 07.2025
- Provided full-time care and medical support for an immediate family member.
- Scheduling, medical coordinating for billing, payment resolution
- Transporting for all medical related appointments.
Insurance Analyst II
Spectraforce Staffing – AbbVie Temp.
08.2024 - 12.2024
- Verified patient benefit pharmacy coverage and processed pharmacy claims for AbbVie patients.
- Collaborated with internal teams to support underinsured patients and resolve benefit issues.
- Utilized Salesforce EMR to maintain patient records and update coverage information.
- Managed patient and pharmacy benefit resolutions, ensuring timely claim submissions and updates.
- Prepared and updated patient spreadsheets and medical history reports as needed.
Billing/Intake Agent
Thriveworks Counseling
08.2022 - 12.2023
- Assisted clients with billing inquiries, insurance coverage, and resolving claim denials.
- Managed intake for new patients, setting appointments and updating medical charts.
- Handled accounts receivable, working on aged accounts and offering payment plans under ORMB.
- Maintained high customer service quality scores in a call center setting.
Billing & Follow-Up Coordinator
All About Kids Therapy Service
01.2020 - 02.2022
- Investigated and resolved denied claims, ensuring timely billing and payments.
- Worked closely with team members to keep AR low and track outstanding balances.
- Process billing claims verified insurance benefits, and managed patient files.
- Coordinated with insurance providers and patients to clarify billing issues.
Billing Specialist
Wayne State University Physician Group
04.2005 - 05.2019
- Managed the billing process, ensuring accurate coding of procedures and diagnoses for insurance claims, and effectively resolved discrepancies to reduce the incidence of unpaid accounts.
- Maintained compliance with federal and state regulations regarding patient information, and enhanced payer communication, resulting in expedited claim responses; additionally supported patient intake to improve practice efficiency.
Team Lead/Billing Clerk
University Physician Group
04.1998 - 11.2004
- Streamlined the process of investigating overdue invoices, reducing the quantity of unpaid accounts through meticulous record-keeping and coordination with the collections department.
- Ensured the accuracy and completeness of patient medical records to meet insurance company requirements, enhancing the reliability of billing procedures.
- Delivered comprehensive administrative support to a team of physicians, while managing patient billing inquiries for MVA, WC and verifying appointment details to facilitate efficient scheduling and insurance coverage confirmation.
Education
High School Diploma -
Pontiac Northern High School
Pontiac, MI01.1991
Skills
- Medical Billing & Coding (Mental Health, Physical Therapy, Pharmacy)MVA billing
- Insurance Verification HMOs, Blues, Medicare, Medicaid
- EMR Systems (Medical Manager, Next Gen, Centricity, Salesforce
- Claims Auditing & Resolution
- Billing Software (Change Healthcare, AIM Authorization Portal, Gammis Medicaid)
- Payable Accounts, Refund Processing and Oracle RMB
- HIPAA Compliance & Data Privacy
- Data Management (Excel, Word)
- Authorization Management
- Active Listening, Empathy, Conflict Resolution, Client Relations
- Communication Skills
- Time Management, Attention to Detail, Problem-Solving
- Adaptability, Collaboration
Certification
- Academy Health Careers-Warren,MI
- Billing & Coding Certification
Timeline
Family Caregiver
11.2024 - 07.2025
Insurance Analyst II
Spectraforce Staffing – AbbVie Temp.
08.2024 - 12.2024
Billing/Intake Agent
Thriveworks Counseling
08.2022 - 12.2023
Billing & Follow-Up Coordinator
All About Kids Therapy Service
01.2020 - 02.2022
Billing Specialist
Wayne State University Physician Group
04.2005 - 05.2019
Team Lead/Billing Clerk
University Physician Group
04.1998 - 11.2004
Account Payable Billing Specialist
Wayne State University Physician Group
Patient Account Specialist
University Physician Group
High School Diploma -
Pontiac Northern High School
Training Seminars
- BCBS of Michigan: Billing/Claims/Updates
- Ongoing in-house training and mandatory seminars
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