Kimberly Johnson

Lithonia, GA *****

ad2ggk@r.postjobfree.com

+1-404-***-****

Work Experience

Cash Applications Specialist

BlueLinx Company

August 2018 to Present

Cash Application/ Payment Posting *Post manual/electronic payments to accounts balance goals accordingly.

*Apply cash, check, credit card, wire transfers, and lock box payments for assigned reloads/assigned sites.

*Depending upon functional group, may resolves past due accounts, customer deductions from remittances and/or all other accounts receivable issues.

*Processes requests from the sales group and furnishes information requested regarding customer accounts.

*Analyses customer account status and reports findings to management as required.

*Solves routine customer problems, investigates reasons / causes for customer dissatisfaction and evaluate customer satisfaction (for both internal and external customers). Cash Application Specialist

Treatment Management - Atlanta, GA

January 2018 to August 2018

Payment Posting *Post manual/electronic payments to accounts *Post all zero pay explanation of benefits to accounts *Review/documenting in the master reconciliation work log daily.

*Posting commercial, government and patient payments *Apply cash, check, credit card, wire transfers, and lock box payments *Posts adjustments in an accurate and timely manner Medicare Part B Claims Rep

Cahaba GBA

May 2017 to January 2018

• Follow-up on unpaid claims and underpaid claim • Submit claim resubmissions to insurance carriers • Handling incoming phone calls from providers and patients in regards to the status of medical insurance claims.

• Knowledge of Medical Provider network process • Interprets and understands health insurance appeals and provider dispute resolution processes, applicable clinical guidelines, and health payer coverage policies in order to effectively prepare claim packages • Managed /Update Provider Information.

• Assisted with the Appeal Process

Accounts Receivable Specialist

Laureate Medical Group - Atlanta, GA

January 2017 to May 2017

Account Receivable/Cash Application • Apply cash remittances, consisting of lockbox deposits, credit cards, and ACH / wires, accurately and in a timely manner • Perform cash reconciliation on disputed applications, as necessary.

• Post customer remittances and research unapplied cash in a timely and efficient manner in Oracle.

• Processed returned payments • Verify EOB's • Processing of lockbox uploads • Audits patient accounts for insurance or personal over payments.

• Ensures appropriate authorization and signing of checks • Monitors and acts on Refund or Credit reports as needed.

• Interact with EMR and other IT systems for claims research, recoups, refunds, reprocessing, posting payments and collections

Account Receivable Specialist

Althea Medical Group - Atlanta, GA

July 2016 to December 2016

Account Receivable/Cash Application • Apply cash remittances, consisting of lockbox deposits, credit cards, and ACH / wires, accurately and in a timely manner • Perform cash reconciliation on disputed applications, as necessary.

• Post customer remittances and research unapplied cash in a timely and efficient manner.

• Processed returned payments • Pulling of daily data from bank portals for payment processing • Processing of lockbox uploads • Audits patient accounts for insurance or personal over payments.

• Ensures appropriate authorization and signing of checks • Monitors and acts on Refund or Credit reports as needed.

• Receive prepared refund packets from on-site refund staff for review and distribution to payer analyst to review and approve.

Senior Care Associate

Mindlance/Cigna HealthSpring - Atlanta, GA

January 2016 to July 2016

* Accurately create and document assessments, notes and reviews in the case management system * Facilitate the request for prior authorization information of inpatient and outpatient services, ensuring timely and accurate responses in compliance with state and federal guidelines * Prepare approval/denial letters and meet regulatory turnaround times * Facilitate CHT Meetings * Manage the fax boxes and submit pertinent information to the nurse pre\-auth team, UM leadership team and the medical directors in a timely manner * Prepared Discharge Reports and Calls * Prepared commercial and government insurance Admissions, Transportation/Ambulance rides to providers.

* Case Management Profiles

Call Center Leader

Morneau Shepell/Health Republic Insurance - Atlanta, GA January 2013 to December 2015

Monitor service levels of the team to ensure that client service standards are being maintained.

* Conducts quality evaluations with Service Representatives.

* Responds to escalated calls from client's plan members.

* Conducts research to identify solutions to client issues.

* Leads internal training sessions to help develop Service Representatives.

* Provides feedback to Call Center Manager regarding Service Representatives; participates in performance management for the team.

* Provides feedback to management regarding status and effect of outstanding issues.

* Manages the relationship between clients, administrators, insurance providers, and analysts.

* Prepares reports on Call Center metrics.

* Participates in internal and external meetings.

* Peer review of documentation regarding client memberships.

* Manages multiple priorities simultaneously in a fast paced environment.

* Devises ways to continuously improve team operations and performance. Merchant Account Services Rep

Interactive Communication/Incomm - Doraville, GA

September 2009 to December 2012

Responsible for first level support of technical problem resolutions on point-of-sale activation of financial card holders.

* Respond to high volume in-bound calls from merchant (store) sales representatives/customers who sell the company's products.

* Communicate via telephonic and email correspondence to/from tech support to the fraud department for vendors, account managers, and store owners.

* Activate and Reactivate financial cards * Strong analytical and problem solving skills; able to develop and use structured approaches to identify root causes and recommend resolutions; can present results in a meaningful term.

* Understand, utilize and adhere to SnapPay/MIO desktop application, Payment Manager, and proper navigation of.

* Tracks client financial and other performance vs. plan figures. Identify key issues (product/platform, financial, regulatory, or other) affecting performance and works with Regional Sales Manager to actively manage outcomes

Front Desk Registrar

Southside Medical Center - Atlanta, GA

July 2005 to August 2009

* Collected personal and medical data from the patient or the family of the patient.

* Initiated medical records written and electronically.

* Collected personal data as well as payment information and verified health insurance coverage.

* Utilized knowledge of medical terminology on a daily bases as a liaison between the hospital patients as well as outside medical clinics and laboratory facilities.

* Compiled and recorded patients information from notes of doctors and nurses. Burn Unit Ward Clerk/Burn Clinic

Grady Health Care System - Atlanta, GA

February 2000 to June 2005

Dermatology Clinic/Clerk II * Handled clerical tasks at the nurse's station of the intensive care unit of hospital floor.

* Created records of new patients and regularly update patient records from chart.

* Recorded diagnoses and treatments on insurance and medical forms also processed discharge forms.

* Arranged, and transported patient transfers to other wards.

* Scheduled surgeries/patient care plans * Responsible for processing patient's claim * Verified patient's insurance coverage through online and telephonic contact.

* Pulled denial report and resubmitted billable claims.

* Also responsible for filing appeals and specialized in Medicare and Managed Care follow-ups.

* Managed 7-10 employees to assure that all office duties/rules are completed.

* Referrals and pre-certifications

Education

Medical Billing and Coding

Georgia Medical Institute - Decatur, GA

March 2004 to June 2004

Academic Studies, Benjamin E. Banneker High School, College Park, Georgia Skills

• 45 wpm (10+ years)

• AS400 (6 years)

• Cisco (Less than 1 year)

• Citrix. (6 years)

• Posting (8 years)

• Cash Application (5 years)

• Driving Experience (3 years)

• Customer Service (10+ years)

• Live chat

• English

• Typing

• Typing

• Medical terminology

• ICD-9

• Clerical experience

• Hospital experience

• Customer service

• PeopleSoft

• Cash handling

• Research

• Technical support

• Salesforce

• QuickBooks

• EMR systems

• Accounts receivable

Additional Information

Skills

* SMS, Med iSOFT, Medical Manager, Cisco, QuickBooks, Outlook, Lync, Oracle, Medics, CashPro, Emdeon, Availity, Navinet

KIPU, Salesforce, CPT, ICD-9 Codes, Billing/Posting, SAP, Phreesia EMR, AS400 Systems, Citrix. HIMR, MCS, PeopleSoft

* Microsoft Office XP

* Alpha and Numeric Filings

* Switchboard Operator, Multi Line Phone System

* Data Entry 10,000 ksph

* 44-45 wpm

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