Medical Billing Manager

Michele Johnson

Member Reimbursement Coordinator/ Claims Examiner

Baltimore, MD 21230

*********@***.*** - 410-***-****

Authorized to work in the US for any employer

WORK EXPERIENCE

Member Reimbursement Coordinator/Claims Examiner

Superior Vision - Linthicum Heights, MD - April 2016 to Present Process member reimbursements, approve and/or deny medical claims, answer phone calls from providers daily, complete claim status reports, help new co-workers as needed. Teamleader

LifeStar Response - Baltimore, MD - April 2012 to April 2016 Trained new billing staff, compliance training, handled escalated calls and resolved complicated billing issues, managed A/R reports, assisted billing manager as needed, organized company functions and events; holidays, birthdays, etc.

Appeals Specialist

Lifestar Response Companies, Inc - Baltimore, MD - February 2008 to April 2012 working insurance claims in a timely and efficient manner after insurances and/or facilities have process sent claims

Field of Interests

• Medical billing

• Claims management

• Follow up

EDUCATION

Education Details

Lansdowne High School

1992

SKILLS

• Ability to read and review EOBs and electronic remits

• Knowledge of appeals and corrected claims

• Recognize denials and reconcile accordingly

• Research payor specific information

• Review claims for accurac (10+ years)

ADDITIONAL INFORMATION

Medical billing specialist with over 17+ years experience with providers and insurance companies. Excellent knowledge of procedures used by insurance companies, including Medicare and Medicaid. Proficient in use of Microsoft Word, Excel, etc. and insurance related websites such as Navinet, Gateway, Instamed, Crossroads, HSP and many others. Several years using ICD-9 and ICD-10 codes and procedures. Created Standard of Operations for many aspects of the department.

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