Patricia Johnson
*** ******* ***, ********,** ***09
Home: 315-***-**** • Cell: 315-***-****
*************@*******.***
CAREER OVERVIEW
Independent; also capable of performing as a team member.
Exceptional knowledge of workers compensation fee schedule for the state of New York.
Highly trainable, fast learner willing to undertake new and exciting challenges.
Innovative and flexible in approach to problem solving.
Excellent communicate, effective mentor and tutor.
Able to interact with people from all walks of life.
Dedicated and hardworking, proven ability to work in a fast-paced environment.
Trained in medical terminology and medical coding
Trustworthy and dependable with access to confidential information.
CORE STRENGTHS
Strong organizational skills Data entry
Active listening skills Documentation
Telephone inquiries specialist Telephone skills
Customer service expert Faxing skills
Adaptive team player Typing
ACCOMPLISHMENTS
Consistently contact insurance companies by mail or phone to bring accounts current; assisted
co-worker with problem solving.
WORK EXPERIENCE
Account Representative, 09/2012 to Current
Syracuse Orthopedic Specialists - Syracuse
Maintain accounts with carriers by mail, phone, faxing.
Filing forms against carriers who don't want to pay or pay incorrectly.
Updating accounts with correct policy information.
Assisting patient with bill questions or problems.
Appealing incorrectly paid bills.
Claims Administrator, 08/2010 to 02/2012
PMA Management Corp. - Syracuse
3 point contact
Processed bills for payment
Authorized treatment
Customer service
Data entry,
Faxing
Copying
Senior 15-8 claims examiner, 03/2001 to 09/2010
Special Funds Conservation Committee - Syracuse
Maintained work flow within the department
Record and process reimbursement requests and balance dues from different carriers.
Update claimant records for processing reimbursement request: examples rate changes,
amending a body part and third party actions.
Interact with manager, supervisor and various carriers regarding production and reimbursement
status.
Medical Bill Review Level II, 08/2000 to 03/2001
CCN - Management Care Network - Liverpool
Audited, recorded and processed medical bills from providers for New York
State.
Investigated and resolved bill disputes from providers.
Interacted with providers regarding bill payment.
EDUCATIONAL BACKGROUND
Associate of Science: Accounting /Data Processing, 1987
Central City Business Institute - Syracuse, NY, Onondaga