Tomeka Johnson

Houston, TX *****

adxlvz@r.postjobfree.com

832-***-****

Work Experience

•Medical Billing Rep./Customer Service Rep/ Collections Rep./Data Entry Clerk/ Call Center Rep.

K Force-Maximus/ Marker Group/ Blake Credit Union/ Empower/ AK Law Firm/ Crossfire- JB Medical Supply/ Byram Medical Supply/ Help at Home Medical - Houston, TX April 2021 to March 2023

Conducted medical claims submissions. Perform claim audits. Pending claim follow ups, denials, and resubmissions. Redeterminations and reconsiderations. Hospital and OAG lien search -Lien reductions. A/R balancing. Update case assignments and settlement cases. Assist lead Attorney. Client Settlement disbursement. Appointment scheduling, Invoicing, Insurance data entry and filing. Auto and medical debt collections. Banking A/R systems. Daily calls to insurance companies, patients' and doctors' offices. Medical records requests, and retrieval. Customer services and interaction. Monthly excel reports, Manage fax and emailing systems. Update case assignments and settlement Negotiator Assistant/ Medical Bill and Records

•The Godsey Martin Law Firm - Houston, TX

February 2018 to April 2021

Medical Bill Reductions. Create demand packets. Use of Needles software. Follow checklist compliance. Medical bills and records retrieval and review. F/u and negotiate calls to providers, auto insurance companies, and call to clients. Data entry and filing. Use of word, excel and adobe. Fax, email and text messaging. Hospital and OAG lien search -Lien reductions and negotiations to hospitals, third party collectors and attorney lien holders. Client settlement disbursement. Client scheduling and interaction. Update case assignments and settlement memos.

•Reimbursement Specialist and Medical Billing Associate

The Care Group - Houston, TX

August 2016 to June 2017

DME billing and collections. Insurance verification and eligibility. Insurance, Medicare and Medicaid calls and collections. Patient bill collections, monitor unpaid balances as needed. Claim call follow- ups, pending claims, denials, and rejected. Conduct re-determination request and appeals. Generated reports- month end and write -off's. Confirm orders created and delivery ticket orders.

•Self Employed Contractor- Billing Specialist

Community Medical Supply - Houston, TX

September 2013 to August 2016

Self- contracted DME claims biller. TMHP home health billing. Insurance eligibility and verification. Power Wheelchair and Scooter billing. Claims follow- up. Re-determinations, Medicare and Medicaid appeals. Call providers, insurance, Medicare and Medicaid). Medical documentation evaluations. Authorization requests and appeals. Follow up calls to Home Health Agencies on evaluations. Coordinate delivery schedules. Filing, fax, data entry, invoicing and excel reports.

•DME Billing Specialist

Reliance Billing Services - Houston, TX

February 2008 to April 2011

DME claims biller. Re-determination and Reconsideration, Medical records, data entry and invoicing provider accounts. Read EOB's, translate claims billing reports and medical records. Generate monthly performance records. Maintain weekly billing quota. Calls to Insurance, Medicare and Medicaid. Set and handle CEO meetings and conferences. Maintain and assist CEO on projects and reports. Greet visiting clients, fax, filing, answer phones, and messages. Manage fax and email systems, follow up and distribute provider invoicing.

Education

•Diploma in Medical Billing and Coding

Academy of Healthcare Professionals - Houston, TX, US May 2006 to June 2007

•High School Diploma

General Douglas Macarthur Senior High School - Houston, TX August 1996 to May 1999

Skills

• ICD Coding

• Medical Billing

• Medical Records

• FileVine

• Medical Terminology

• CPT Coding

• Accounts Receivable

• Availity

• ICD-10

• Needles software

• Zirmed

• Medical Receptionist

• Medical Coding

• Medical Office Experience

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