Kristie Johnson

*** ********** ***** #***

Birmingham, AL 35242

205-***-****

Education

Diploma-Medical Assistance Associates Degree-Medical Coding and Billing

Virginia College at Birmingham American Intercontinental University

Homewood, Alabama Hoffman Estates, Illinois

Oct 2002 –September 2004 January 2009-April 2009

Healthcare Reimbursement High School Diploma

Virginia College at Birmingham Midfield, Alabama

Homewood, Alabama May 1997

July 2007-Dec 2008

Related Skills

Anatomy & Physiology Business Management Project Management

Medical Office Procedure Project Management Word Processing

Medical Law & Ethics International Business Medical Terminology

Medical Insurance Procedures Clinical Office Procedures Business Ethics

Fundamentals of Marketing Medical Externship

Experience

Team Lead-December-2012 to Present

The Outsource Group, Birmingham, Alabama

Work with Unit Manager to ensure the billing staff is capable of handling current

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production goals within department(s).

Assist in training new staff by demonstrating sound billing practices, participating in role

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plays, monitoring new hire calls and providing feedback. Provide feedback to Unit

Manager on new hire progress, surfacing issues or other actions that should be taken to

improve/maintain success.

Provide first level help to billing staff by answering questions, addressing escalated

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issues, researching accounts or providing feedback to staff.

Provide feedback to Unit Manager on staff performance.

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Maintain a working inventory of accounts, manage a queue of problem accounts and

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make follow-up calls or provide other supervisory resolution action as needed. Escalate

problems as deemed appropriate.

Prepare daily and weekly reports as needed as to the status of the billing production

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goals.

Conduct weekly Rap sessions with staff members and provide updates to the Unit

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Manager regarding issues discussed. The goal of this meeting is to provide the staff an

open forum to discuss collection related issues that affect clients, co-workers, the

company etc.

Document meetings and provide staff billing updates.

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All other duties as assigned

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Billing Representative-July-2010 to December 2012

The Outsource Group, Birmingham, Alabama

Process and file electronically insurance claims to all third party payers.

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Analyze and correct accounts on edit reports in billing system.

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Print and mail paper claims.

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Bill secondary claims after primary claims have processed.

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Analyze and correct accounts on any payer rejection reports

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Review demographic data on patient accounts prior to claim dropping for billing for

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accuracy and correctness of data.

Client Representative-August 2009-July 2010

The Outsource Group, Birmingham, Alabama

• Obtain claim status on insurance claims from various insurance providers to ensure

claims are substantially paid and thoroughly review patient accounts to ensure billing is

accurate.

• Call patients to obtain missing insurance information to ensure claims are paid

• Request medical records, mail patient letters, print and mail paper claims, and file

provider complaints/ appeals

Inquiry Analyst, October 2008 –June 2009

Blue Cross Blue Shield of Alabama, Birmingham, Alabama

• Processed claims and inquiries from providers and subscribers nationwide via computer,

accurately and proficiently.

• Obtained accurate information from providers and customers service representatives to

ensure a claim or inquiry is processed correctly by using GMCD to obtain a valid

diagnosis and procedure codes based off of submitted images

Customer Service Representative May 2008-October 2008

Lincare Inc, Pelham, Alabama

• Coordinated new patient service orders from physicians and referrals and scheduled

delivery within the service area.

• Verified insurance and informed the collections department of required actions for billing.

• Provided information from internal sources when requested.

Customer Service Representative, September 2007-May 2008

DST Health Solutions, Birmingham, Alabama

• Assisted customers nationwide with questions pertaining to their HAS/FSA accounts,

entered claims, searched claims, provided account status and account history.

• Assisted customers with determining if they had a qualified medical expense per the IRS

rules and regulations.

Wire Transfer Specialist, May 2003 –September 2007

Compass Bank, Birmingham, Alabama

• Took as many as 150 wire transfers over the phone nationwide from all Compass Bank

offices and customer base, processing wire transfers on a personal computer.

• Processed Domestic and International wires, investigated wires, and ensured the pay plus

system was properly ready to run for start of business day.

Client Service Clerk/Collection Specialist, October -2002-January 2003

Amsher Collection Services, Birmingham, Alabama

• Collected on past due accounts for a variety of large companies such as Alabama Power,

Blue Cross Blue Shield, and Time Warner Cable.

• Verified monetary payments by calling the clients, verifying a specific payment amount

by the customer.

Collection Specialist, October 2001- October 2002

SouthTrust Bank, Birmingham, Alabama

• Collected on overdrawn checking accounts through an automated dialer system.

• Set up monetary payment arrangements and assisted customers with their account balance

and help manage their checking accounts.

Cage Cashier, October 2000 – August 2001

Greektown Casino, Detroit Michigan

• Performed monetary transactions such as balancing, processing cash advances, and

cashing checks in a fast passed high volume environment.

REFERENCES-Available upon request

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