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Insurance Medical

Location:
Austin, TX
Posted:
October 29, 2013

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Resume:

**** ****

Commerce Ave.

Gladewater,

Texas *****

Mobile (903)

***-****

Christy L. Johnson

Objective To obtain a challenging position while being given

the opportunity to demonstrate accuracy, attention

to detail, as well as the ability to work as a

team; to communicate with team members, and with

all levels of management.

Work experience 2012 - present Health and Human

Services Longview, TX

Texas Works Advisor

Conducts reviews to determine or verify eligibility

or continued eligibility and benefit level.

Processes changes to client status, overpayments,

and adjusts or restores benefits. Documents case

records using automated equipment to form a record

for each client. Communicates on an intermediate

level with others (internally or externally) to

provide, exchange, or verify information, answer

inquiries, address issues, or resolve problems or

complaints. Works with clients and/or OSS Workers

to attempt resolution of disputed case actions.

Appears as a representative of the agency during a

fair hearing.

2010 - 2012 Health and Human Services

Longview, TX

Texas Works Advisor

Determines and re-determines eligibility for Food

Stamps, Temporary Assistance for Needy Families

(TANF) and Medicaid programs using automated

systems. Work involves interviewing clients,

documenting information gathered, determining

benefits, verifying case data, explaining program

benefits and requirements. Reviews eligibility of

clients for ongoing services.

2010 - 2012 Health and Human Services

Longview, TX

Texas Works Advisor

Determines and re-determines eligibility for Food

Stamps, Temporary Assistance for Needy Families

(TANF) and Medicaid programs using automated

systems. Work involves interviewing clients,

documenting information gathered, determining

benefits, verifying case data, explaining program

benefits and requirements. Reviews eligibility of

clients for ongoing services.

2007 - 2010 Health and Human Services

Tyler, TX

Texas Works Advisor

Determines and re-determines eligibility for Food

Stamps, Temporary Assistance for Needy Families

(TANF) and Medicaid programs using automated

systems. Work involves interviewing clients,

documenting information gathered, determining

benefits, verifying case data, explaining program

benefits and requirements. Reviews eligibility of

clients for ongoing services.

2006 - 2007 UT Health Center

Tyler, TX

Billing Specialist

Responsible for billing to and from insurance

companies for medical services; Manually review

claims for rejections and errors that may prevent

them from being adjudicated after being accepted

into the claims clearinghouse; Manage and maintain

an aging report for insurance / patient balances;

answer patient phone calls and assist them with any

billing problems; Medical insurance follow up

2004 - 2006 Dermatology

Associates Tyler, TX

Billing Specialist

Responsible for billing to and from insurance

companies for medical services under the

dermatology specialty; Manage and maintain an aging

report for insurance and patient balances; Maintain

a monthly budget for self pay balances for patients

Concentra Tyler, TX

Workers Compensation Billing Specialist

Workers Comp Insurance follow up for physical

therapy, and other outpatient medical services;

Post payments to the patient's accounts and

maintain the process for remaining under the

workers compensation process

Readily willing to assist caseworkers in solution

solving using my obtained billing information and

other tools

2003 - 2003 ETMC Tyler, TX

Insurance Specialist

Assigned specialist for pediatric account -

Responsible for billing to and from insurance

companies for medical services under the

dermatology specialty; Manage and maintain an aging

report for insurance and patient balances; Maintain

a monthly budget for self pay balances for patients

2001 - 2003 UT Southwestern

Dallas, TX

Senior Clinical Administrative Assistant

Schedule and coordinate Orthopedic Surgery

appointments from outside referrals; Maintain

authorizations for surgical procedures; Review

monthly credit balance reports, and distribute

refunds as needed; Input ICD-9 and Procedure Codes

for medical services; Provide financial counseling

as well as payment options to patients with

outstanding self pay balances

Maintained relations, and worked closely with other

medical facilities throughout the Dallas/Ft. Worth

area for referral purposes, and patient

confidentiality

1998 - 2001 UT Health Center

Tyler, TX

Admissions/ Insurance Verification/Data Entry

Promptly register patients for emergency room

visits and inpatient / outpatient admissions; To

prepare GI patients for upcoming procedures; Post

private pay payments, and commercial insurance

payments for physician billing; Screen inpatients

for state aid programs, i.e., Medicaid, Medicaid

Spend Down; Disability/Social Security; Served as a

liaison for the inpatients and the Department of

Human Services

Summary of Dedicated, a detail-oriented, creative, a fast

qualifications study who quickly meets or exceeds requirements,

achieves management diverse goals through research,

development, and personal implementation of all

assignments from inception to completion; a quick

learning,consistent, and articulate person, with

minimal training required

Education 2005-2006 Tyler Junior College Tyler, TX

Medical Coding Certificate

2000-2001 Tyler Junior College

Tyler, TX

1991-1992 Kilgore Junior College

Tyler, TX

1987-1991 Gladewater High School Tyler, TX

Available on request

References

Email ******************@*****.***

Preference:



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