Accounts Receivable Medical Office
Resume:
Lori Johnson
Shorter, AL *****
ad9oji@r.postjobfree.com
Objective: To secure a position with a stable environment that will utilize and improve my skills and lead to a lasting career.
Skills: Over twenty years of experience in a physician’s medical office, with the ability to work independently or as a team player. Specializing in filing accurate claims, adjusting/appealing rejected claims, & understanding insurance contracts. Additional expertise in quality control, reimbursements, implementing improved processes to enhance accuracy of business. Proficient in Microsoft Office Suite: Word, Excel, Power Point, & Outlook, ICD-10 coding, CPT Coding, Allscripts, Medical Billing & Accounts Receivable, Medicare/Medicaid, HMO/PPO, Workers Compensation. Excellent phone etiquette and time management, of assigned duties. Goal oriented with the ability to learn new processes quickly. EMPLOYMENT HISTORY
Physicians Professional Management, Montgomery, AL November 2022 - Present 2024 Accounts Receivable Specialists:
Verify claims have been received by our clearinghouse; work EOB denials daily, payer mapping, crossover claims
Review all accounts that have a credit to see if patient/insurance is due a refund; monitor accounts to verify that money/write off amount was posted correctly, Update greensheets, & maintain production logs
Work closely with multiple collection agencies; email, call, fax, upload bad debt files, confirm compliance with updated billing laws
Ensure all customer/client/patient interaction and service is performed in a manner that consistently exceeds expectations; provider approval emails, records request, faxing requests/consent forms. Payments/ payment arrangements.
Call all insurance companies to verify claim status, eligibility, and benefits; confirm claim information via provider insurance websites
Move payments to correct claim lines or accounts posted/not posted in error, check charge/payment batch reports, coordinate monthly close outs
Special statusing projects as needed
Claim Return, Escondido, CA November 2021 – February 2022 Collections Recovery Specialists:
Heavy phone work in a call center setting
Communicated with insurance companies by phone, email & fax
Followed up on overpaid claims per CMS guidelines & time limit for recovery per each state limitations.
Office Administrative duties, generating report
Assumes additional responsibilities and performs special projects as needed or directed Center for Physical Medicine and Pain Specialist Management, Montgomery, AL Nov. 2018 – Nov. 2021 Billing/Collections Specialist/MR Coordinator
Daily input of patient charges, manual/electronic payments
Managed delinquent accounts in a timely and effective manner toward maximum collection
Assessed NR report working with patient's insurance companies regarding claim denials and unpaid claims, as well as unpaid patient balances Ensure all customer/client/patient interaction and service is performed in a manner that consistently exceeds expectations; provider approval emails, records request, faxing requests/consent forms. Payments/ payment arrangements.
Provide all aspects of workers compensation authorizations, electronic and/or paper claim submissions Call all insurance companies to verify claim status, eligibility, and benefits; confirm claim information via provider insurance websites
As the Medical Record Coordinator, responsible for all medical record requested following HIPPA guidelines
The Center for Physical Medicine and Pain Management - Montgomery, AL June 2006 – October 2018 Medical Receptionist:
Answered multiple phone lines, registered patient demographics into system; Scheduled follow up appointments and sent referrals to outside providers
Processed all medical record requests following HIPPA guidelines; Scanned in charges and medical records to and communicated daily with all physicians through EMR
Verified patient insurance benefits and getting any insurance referrals
Collected daily balances and copays after review of patient’s accounts. Reconciled daily charges, payments for multiple physicians. Deposited patient/insurance checks electronically
Provide all aspects of workers compensation authorizations, electronic and/or paper claim submissions
Assessed A/R report working with patient's insurance companies regarding claim denials and unpaid claims, as well as unpaid patient balances
Assisted physician when needed.
Education:
High School Diploma
REFERENCES:
Available upon request
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