Data Entry Insurance Verification
Resume:
Melissa Johnson
La Habra, CA *****
*************@*****.***
Professional Summary
To obtain a challenging position with the opportunity for advancement. Work Experience
Registration Lead, Revenue Specialist III
DaVita-Irvine, CA
September 2017 to Present
Registration lead, in house Registration
• Lead/Supervise 3 Teammates
• Assist all teammates with registration related issues within our lanes/team, total of 40+
• Heavy Training
• Heavy communication with Directors, Management, and teammates within all CBO’s.
• Heavy phone and face to face communication.
• Call center
• Data Entry
• Insurance verification of all plans, Commercial, Medicare, Medicaid
• Authorizations /Referrals
• Fix all Registration issues within our scope to insure payment, right revenue
• Resolve patient account errors that cause registration denials
• Resolve registration denials
• Adjustments, payment posting Credits/over payments
• Microsoft Excel, Power Point, Word, Outlook
• Medicare, Medi-cal, Commercial Insurance, HMO, PPO, POS, IND
• Medicare Coordination of Benefits
• Multiple Reports, SOX, Entitlement, Registration Denials
• Special Projects, Heavy Communication with Field Teammates
• HMO
• POS
• PPO
• EPO
• IPA
• Medicare Advantage
• Covered California (Exchange)
• capitated agreement (DOFR) commercial and government payors
• Medicare
• Medi-Cal
• Value Pin award -Accountability and Team
Regional Reimbursement Specialist, Revenue Specialist II DaVita-Irvine, CA
September 2007 to November 2017
• Insurance Verification
• Data Entry
• Authorizations
• Medicare, Medi-Cal, Commercial Insurance, HMO, PPO, POS, IND, CMS, Exchanges
• Medicare Coordination of Benefits
• Multiple Reports, SOX, Entitlement,
• Registration Denial
• Special Projects,
• Heavy Communication with Field Teammates and Patients, Customer service Patient Account Representative, Revenue Specialist I DaVita Kidney Care (Dialysis Center)-Irvine, CA
May 2005 to September 2007
• Collection of all revenue
• Heavy phone communication
• Claim Status, some insurance verification
• Medicare, Medi-Cal, All Insurance types
• Data Entry
Patient Account Analyst Lead/Supervisor
United West Labs-Santa Ana, CA
August 2002 to May 2005
Collections of all revenue
• Insurance Verification, Claim Status, all Insurance Types, Payment posting, adjustments/corrections
• Lead/Supervisor of all collections pertaining to 3 hospitals
• Billing Manager Assistant
• Data Entry
Skills
• Health information management
• Medical records
• Medical billing
• Documentation review
• Data entry (10+ years)
• HIPAA
• Call Center (10+ years)
• Personal Shopper (2 years)
• Accounting
• Medicare
• Medicaid, all 50 states (10+ years)
• Microsoft Outlook
• Revenue cycle management
• Microsoft Office
• Customer service (10+ years)
• Office experience
• In-store displays (2 years)
• Windows
• Microsoft Word
• Accounts receivable
• English
• Organizational skills
• Medical office experience
• Customer service
• Microsoft Excel
• Heavy phone communication (10+ years)
• Medical collection
• Insurance verification
Certifications and Licenses
Driver's License
Contact this candidate