Administrative Assistant Records Specialist

LUCINDA JOHNSON

*** ******** *** *, ******, OH 43302

Cell 419-***-**** ~ Email: *************@*****.***

HIGHLIGHTS OF QUALIFICATIONS

Worked with all major insurance companies including Medicare, Medicaid, and BWC

Strong investigative and documentation skills

Excellent Customer Service

Knowledge of Registration, submitting claims, correcting claims and reviewing claims for payments

Ten Key

Quick to learn new skills and adapt to change

PROFESSIONAL EXPERIENCE

ACCOUNTS RECEIVABLE SPECIALISTS

OHIOHEALTH HOMECARE- COLUMBUS, OH 1/18-CURRENT

Daily follow-up with assigned managed Medicaid’s

Coverages- review and correct for coverage errors and if discrepancies email appropriate department for additional review

Escalation sheet-manage and maintain escalation sheets for problem accounts with assigned payers

Adjustment sheets-manage and maintain for daily adjustments on accounts

Work Que’s- daily review and working of claims in assigned Work Que’s

Miscellaneous reports- review and complete all received reports and return in a timely manner

Claim errors-review, correct, complete or email based on the claim error to correct as soon as possible

Retro authorizations(based on the insurance) for claims denied for No authorization

Stop bills-review and correct

Appealing and Reconsiderations for assigned managed Medicaid’s

Helping other team members

ACCOUNTS RECEIVABLE SPECIALISTS

MEDICAL BILLING EXPERTS- COLUMBUS, OH 1/14 TO 3/17

Daily follow-up with assigned insurance companies

reviewing balances for insurance companies

Manage daily reports accuracy and payment

EDI failed claims- corrected in the EDI system

Review Self-Pay patients to verify if patient has Medicaid eligible

Hospital Registration

Verify if patient has Medicaid or HCAP/Charity

Managed Medicaid Follow up

MEDICAL BILLER

MOUNT CARMEL CLINICAL CARDIOVASCULAR SPECIALISTS-

COLUMBUS, OH 5/12 TO 12/13

Daily Patient Credit Reports

Daily Patient Outstanding Balance Reports

Manage charge logs for daily production of EKG, device checks, office visits and conversations with patients for tracking of self-pay, no shows, payments

Data entry of EKG’s and device checks and device interrogation; verify demographics and creating new accounts for patients

Posting payments, deposit, and daily close worksheet

Initiated Calling patients with outstanding balances for payments or to call Central Billing Office for payment arrangements or self-payments; creating Excel spreadsheet for documenting findings

Review daily office visits after coder review for correct insurance, signature by doctor, and modifiers before processing to insurance company for payments

Accounts Receivable follow-up questions from patient or Central Billing Office; researching, correcting, appropriate calls to patient, insurance, or Central Billing Office

Back up for referrals and prior-authorizations

A/R SPECIALISTS

FREDERICK SMITH CLINIC-MARION, OHIO (CONTINGENT) 9/12 TO 8/14

Registration for hospital patients for x-ray claims

MEDICAL CLAIMS SPECIALISTS

DENTAL FACULTY PRACTICE- COLUMBUS, OHIO 8/08 TO 5/12

Customer service calls to all parties

Entering insurance for oral pathology and process claims

Insurance follow-up for Account Receivables and denied claims for 52 dentist and oral pathologist

Payment entry

Responsible for working correspondence on a daily basis-to accurately update accounts with the provided information

Data entry

Integral part in implementing new processes

Work collaboratively with various departments

Interact with third parties representative and utilize online sites to review status and update accounts as needed to expedite the claims process

Interact with manager and team members regarding Accounts Receivable research results

BILLER

SMITH CLINIC- MARION, OHIO 5/01 TO 11/08

Responsible for follow up for Account Receivable; denied claims; review status of accounts, action taken, and further course of action if warranted for X-ray, Laboratory, MRI, CT-Scans, Sleep Lab, EEK, EKG for technical and professional

Preparation and review of related reports (from open and denied claims, wrong pricing or wrong revenue codes) and appeal claims. Letters done on Microsoft Word and Excel

Responsible for incoming calls

Responsible for working correspondence on a daily basis-to accurately update accounts with the provided information

Back up data entry for laboratory and x-ray charge entry

Data entry for three years for laboratory and x-ray charge entry

Trained new employees on data entry for laboratory

Responsible for identifying trends with impact revenue and determine best course of action to resolve outstanding accounts

Interact with third parties representative and utilize online sites to review status and update accounts as needed to expedite the claims process.

Interact with manager and team members regarding Accounts Receivables research results

ADMINISTRATIVE ASSISTANT

TIME SERVICES- MARION, OHIO 12/00 TO 5/01

Assisted Human Resource manager with administrative duties

Follow-up on Worker’s Compensation claims, investigate, reports, and complete all necessary paperwork

Processing bills for payment

ADMINISTRATIVE ASSISTANT

HEALTH MANAGEMENT SOLUTIONS- POWELL, OHIO 8/99 TO 12/00

Assistant to RN Manager of Worker’s Compensation claims

Duties included administrative tasks, processing Worker’s Compensation forms, and follow up

Customer Service

EDUCATION AND TRAINING

Marion Technical College- Marion, Ohio 12/2011-8/13

Columbus State College- Columbus, Ohio 10/97-1/98

Madison Adult Education-Mansfield, Ohio 8/93-3/94

Certificate of Completion- Office Related Skills

SYSTEM KNOWLEDGE

Epic

Relay

Windent

Cerner

IDEX

MYSIS

Cerner

MUSE

Microsoft Office, Excel, Outlook, Word

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