Contract Analyst Customer Service
Resume:
Toniette C Johnson
Address: **** ********* **** ******, ** 75048
Phone: 682-***-****; Email: ***********@*****.***
Purpose Summary:
** *****’ Experience in the Healthcare Industry with exceptional knowledge of medical terminology, collections and HIPPA laws. Strong problem-solving and research skills. Looking to utilize skills with a growing diverse company.
Skills & Knowledge:
Customer Service
Accounting
Type: 60+ wpm
Data Entry
Excellent communication skills
Microsoft Word
Microsoft Excel
Microsoft Power Point
Excellent organizational skills Credentialing experience
Leadership skills Insurance verification
Medical Terminology
Education:
Kaplan University
Degree: Bachelor of Science
Healthcare Administration
GPA: 4.0, Academic Award: Cum Laude
Everest College
Degree: Associate of Applied Science
Medical Assistant
GPA: 4.0, Academic Award: Salutatorian
Southern Technical College
Degree: Associate of Computerized Office Technology
GPA: 4.0, Academic Award: Salutatorian
Work Experience:
SCP-Health February 2017 to Current Medical Collections Specialist
Responsibilities included:
Follow-up with payers on collection efforts.
Percentage of Accounts Receivable <120 days.
Process denials.
Appeal claims.
Achieve and exceed productivity and quality expectations.
Beacon Hill/Walnut Hill Medical Center November 2016 to January 2017
Contract Analyst/Commercial Biller
Responsibilities included:
Complete, organize, and oversee the proper documents from the member in person or telephone to start the appeal process.
Obtain information from members and/or provider to determine the need to appeal.
Respond to appeal requests within designated time requirements.
Research and problem-solve issues of an appeal with other teams.
Kindred at Home February 2014 to October 2016
Collection Team Lead
Responsibilities included:
Oversee the appeal process with various teams.
Prepare summary reports for upper Management.
Determine the need for additional information and notifying other team leadership.
Respond in person or on the telephone to complaints and concerns of the outcome of a decision from an appeal.
Train team members on the appeal process and timely filing.
Multiplan, Inc. November 2008 to January 2014
Claims Negotiator
Responsibilities included:
Negotiate on appeals that were denied due to timely filing.
Complete and organize the documents to be submitted on behalf of the member and/or provider for payment.
Accurately respond by telephone or through correspondence to all inquiries involving requests for appeals.
Acknowledge member and/or provider complaints timely.
JPS Health Network April 2003 to September 2008
Patient Account Representative/Lead
Responsibilities included:
Training
Customer service in person to members and/or providers.
Inbound and Outbound calls from patients to schedule appointments.
Collect co-pays and process payments for deposits daily.
Express oneself clearly in a well-modulated tone with correct grammar and attention to members.
Oversee the front desk functions and process daily.
Check eligibility daily.
Contact this candidate