Medical Billing

ROXANN JOHNSON-ALLEN

**** *** ********* ******, ******, PA 18045 484-***-**** ************@*****.***

PROFESSIONAL PROFILE

Customer service oriented and performance driven professional, possessing a strong understanding of the importance of accurate claims processing. Pays close attention to detail for accurate and compliant documentation and maintains and ensures patient privacy and confidentiality.

Well organized and experienced with Microsoft Word and Office Suite; Types 45 WPM.

Proficient in obtaining and processing information with initiative and action.

CMS Certification of Continued Education, UMA Certificate of Recognition.

Worked with Volunteers of America in New York City and Ronald McDonald in Philadelphia during the holidays as well as an annual event called Day of Caring.

Member of AAPC preparing for Certification

KEY QUALIFICATIONS

Medical Billing Medical Coding ICD-9-CM HCPCS CPT Introduction to ICD-10-CM Medical Terminology

Electronic Health Records (EHR) Electronic Medical Records (EMR) Greenway

Managed Care (HMO, PPO, and POS) Government Payers Third Party Payers Worker’s Compensation

Centers for Medicare and Medicaid CMS 1500 CMS 1450 (UB-04) Tricare

EOBs Payment Posting Revenue Cycle Management Scheduling Superbill

Insurance Verification Insurance Billing Procedures Insurance Claim Processing

Practice Management Medical Office Procedures Anatomy & Physiology

Co-Payments Deductibles Co-Insurance HIPAA Compliance

Reimbursement Methodologies Fee Schedules Outpatient / Physician Inpatient / Facility

EDUCATION & CERTIFICATION

Ultimate Medical Academy Medical Billing and Coding Associate of Science Degree, 2016

Completed an intensive, accredited training program which included:

Analyze and code surgical procedures and diagnosis using ICD-9-CM and CPT codes.

Collaborate across collection/billing departments to ensure billing related issues are resolved

Maintenance of medical charts and electronic medical records (EMR/EHR) systems.

Verify insurance eligibility, and submit claims to various insurance companies electronically.

Monroe College – Bronx, NY Accounting Associate’s Degree, 1997

Pursuing National CPC-A Certification

PROFESSIONAL EXPERIENCE

Cigna Health Group – Bethlehem, PA 12/2014 – 09/2015

Contract Worker, Revenue Management – Commissions Verification

Verified Broker Licensing, reviewed client applications, and released commission holds.

Brought finely tuned attention to detail and commitment to quality to all assigned tasks.

Provides financial related support for banking and/or billing related functions to new and/or existing accounts. Sets up, manages, reconciles, processes, and/or balances bank and/or customer accounts. Researches problems and negotiates with internal/external customers, banks, vendors, and/or partners to resolve moderately complex issues. Creates, analyzes, and responds to standard and/or non-standard reports. Bills and/or collects outstanding/delinquent payments or issues payments. Researches and identifies trends and develops and implements methods to improve results. May support larger markets and/or National Accounts.

Weston Group – Easton, PA 09/2014 – 10/2014

Medical Billing, Temporary Position

Verified health insurances and posted payments.

Managed collection calls and provided appropriate follow-up.

Brandywine Realty Trust – Radnor, PA 03/2004 – 03/2013

Property Resource Corporation – New York, NY 01/1999 – 03/2004

Accounts Receivable Clerk

Verified details of transactions, paid for funds received, and totaled account balances.

Researched and resolved billing and cash applications.

Issued late payment letters as well as recommended and issued default letters.

Assisted with bank statement reconciliations when needed.

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