Stephanie Johnson
Riverdale
Summary
Seeking opportunities to develop existing skills and advance within a company that upholds strong values and ethics. Eager to contribute to a team-oriented environment utilizing expertise effectively. Committed to continuous growth and learning, motivated to make a positive impact and drive success in alignment with the organization\'s goals.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Reimbursement/Coding Specialist
NxGen MDx
06.2024 - Current
- Execute reimbursement collection activities through collaboration with payors and effective communication channels.
- Address billing concerns and provided updates for patients and payors.
- Articulate outcomes of payor trend analysis with clarity.
- Review and interpret explanations of benefits.
- Perform diverse administrative duties such as managing data inputs, recording cash transactions, and addressing client needs.
- Ensure adherence to legal requirements in handling billing and financial transactions.
- Assign and sequence medical codes accurately according to regulations.
- Adhere to medical coding guidelines and policies.
- Abstract codes from verified patient charts as needed.
Account Resolution Coordinator
Children's Healthcare of Atlanta
10.2023 - 06.2024
- Handled and corrected returned claims in accordance with HCFA 1500 regulations.
- Ensured timely resolution of pending reimbursement issues.
- Handled appeal submissions for denied claims, securing highest possible reimbursement.
- Navigated insurance portals to track claim statuses.
- Thoroughly documents all interactions with third-party payers via phone and correspondence.
- Processed high-value account communications efficiently.
- Analyzed denial trends and implemented resolution strategies.
Cash Application/Billing Specialist
BakoDx
02.2023 - 10.2023
- Processed correspondence accordingly, ensuring effective management of communications.
- Maintained financial consistency through account and remittance processing.
- Investigated and corrected errors related to duplicate or inaccurate payments.
- Contributed to the optimization of processes related to managing collections.
- Processed account adjustments ensuring compliance with healthcare billing standards.
- Processed payments efficiently from patients and third parties.
- Conducted thorough evaluations to confirm compliance in approved write-offs.
- Reviewed Explanation of Benefits for accurate processing.
- Managed timely preparation of refunds.
- Handled claim submissions and conducted occasional follow-ups.
Client Services Specialist/Team Lead
BakoDx
02.2019 - 02.2023
- Handled numerous incoming calls in a demanding environment.
- Contribute to initial training sessions for new team members.
- Provided statistical evaluations of team members' performance.
- Conducted evaluations of team performance via call observation.
- Supported skill development through strategic assistance.
- Delegated various customer service tasks among team members.
- Developed and executed job-specific workflows.
- Addressed complex issues promptly to achieve seamless resolution during first interaction.
Education
Certification in Medical Coding Pro Fee -
AAPC
12.2024
Certificate in Medical Billing and Coding -
Laurus Technical Institute
Decatur, GA12.2014
Bachelor's degree - Biology Pre Med
Albany State University
05.2006
High school or equivalent - General Studies
Westside High School
Macon, GA12.2004
Skills
- Medical Billing
- Medical Terminology
- Microsoft Office
- Microsoft Outlook
- Medical Coding
- Insurance Verification
- NetSuite
- Conflict management
- EMR Systems
- Call Center
- Microsoft Excel
- ICD-10
- Medical office experience
- Anatomy knowledge
- Medical collection
- Communication skills
- Medical Records
- CPT Coding
Certification
- CPC-A, 01/01/25, 12/31/27, The 'A' will be removed by June 2025
- Certified Billing and Coding Specialist, 11/01/14, 11/01/17, CBCS Certification through the NHA
Timeline
Reimbursement/Coding Specialist
NxGen MDx
06.2024 - Current
Account Resolution Coordinator
Children's Healthcare of Atlanta
10.2023 - 06.2024
Cash Application/Billing Specialist
BakoDx
02.2023 - 10.2023
Client Services Specialist/Team Lead
BakoDx
02.2019 - 02.2023
Certification in Medical Coding Pro Fee -
AAPC
Certificate in Medical Billing and Coding -
Laurus Technical Institute
Bachelor's degree - Biology Pre Med
Albany State University
High school or equivalent - General Studies
Westside High School
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