Medical Billing Specialist

SANDRA JOHNSON

**** * *** *****, ***** Falls, SD 57103

Cell: 605-***-**** Email: ***@***.*****.***

Professional Summary

Accomplished professional who proudly supports a highly productive, efficient, and quality-driven environment with expertise in accounts receivable management, leadership and positive company outcomes.

Skills • Leadership • Communication •Word

• Management • Organization •Excel

• Teamwork • Problem Solving •Outlook

Work History

Medical Billing Manager, 3/24/14 to 2/23/24 F & S Medical Consulting – Sioux Falls, SD

Supervise staff in all areas to create a professional, efficient work environment.

Resolve all electronic claim issues to ensure all claims are received by the correct payer.

Reconcile and issue insurance/patient refund checks on all credit balance accounts.

Responsible for all patient collections and working with the collection agency for account resolution.

Monitor and help with all A/R past due accounts to ensure proper follow-up is being completed.

Collaborate with external partners for comprehensive office services and support.

Office Manager, 07/2013 to 12/2013 Alternative Resources – Sioux Falls, SD

Oversaw employees and tasks within the customer service, phone support, data entry, mail sorting and mail packaging areas.

Entered email forwarding requests and created spreadsheets for daily mailings and prepacking of out- going mail/packages.

Maintained the client database and created spreadsheets and company forms as needed.

Created month end and quarterly reports to track errors, production and comparisons of specified time periods.

Helped with interviewing and hiring company team members.

Director of Financial Services, 10/2007 to 07/2013 Envive Chiropractic – Sioux Falls, SD

Directed and coordinated all accounts receivable processes.

Implemented a collection policy providing company procedures and guidelines for the collection of past due account balances.

Monitored and kept a correct fee schedule for all contracted payers.

Found process improvements in the day-to-day functioning of the department.

Functioned as HR Director to ensure proper processing of all employment and payroll related activities. This included creating, implementing, and communicating the company employee handbook.

Initiated credentialing for new providers and responded to all credentialing related requests.

Created spreadsheets and forms for use by team members as needed.

Coordinated all activities involving the setup of new clinics.

Closely collaborated with the management team to make necessary improvements to enhance patient care in all areas of the business.

Operations Manager, 01/2003 to 10/2007 Eide Bailly – Sioux Falls, SD

Provided leadership to all employees associated with provider billing for clinics assigned to Associates and Sr. Associates under my direction. This included employees in the Sioux Falls, Aberdeen, Pierre, and Watertown Medical Practice Management locations.

Performed all tasks associated with the setup and training of the system collection module.

Helped with developing department goals, targets, standards of performance, policies, and procedures.

Recruited, hired, trained and coached new employees in accordance with the company culture, mission and values.

Maintained open communication with clients and met with them as requested.

Provided backup coverage for system support calls for external clients.

Business Office Manager, 01/2001 to 01/2003 Palisade Manor – Garretson, SD

Organized and performed all tasks associated with A/P and A/R for the nursing home.

Executed all tasks associated with Human Resources and payroll processing including implementation and communication of all policies and procedures for the nursing home.

Maintained all resident trust fund accounts.

Accountable for month end processing including bank account reconciliation, general ledger coding/posting, preparing financial reports and communicating this information to the nursing home Administrator and Board of Directors.

Helped in developing and watching individual department monthly/yearly budgets.

Found process improvements in the day-to-day functioning of the nursing home.

Strategically planned methods to achieve operational goals and targets.

Filled in for the nursing home Administrator as needed.

Patient Account Supervisor, 11/1997 to 12/2000 University Physicians Clinics – Sioux Falls, SD

Supervised and managed the daily activities of a team responsible for entering patient registration information, charge entry, payment posting and processing refunds.

Investigated all unpaid BCBS account balances. This included the resubmission of insurance claim forms, completing charge corrections and filing appeals.

Maintained the insurance company database.

Provided patient registration training for new employees.

Performed month end closing of books.

Routinely collaborated with department managers to correct problems and improve processes.

Education

Received 1-year diplomas in both General Business and Computer Operations equivalent to an Associate’s Degree in Business Administration and Computer Operations, 1996

National College/National American University - Sioux Falls, SD

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