Barbara Johnson
Medical Reimbursement Specialist
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About
To be a professional in this ever-changing career of Medical Healthcare, there will always be a need for individuals who are knowledgeable about medical billing and coding for physicians.
Experience
Medical Reimbursement Specialist at Modern Nephrology & Transplant LLC (2023-01 – Present)
- Verification of each patient's insurance
- Billing & Coding for All Dialysis Patients
- Sending Medical Records to Insurance for Appeals
- Working as a Front Desk Receptionist when needed
Medical Billing & Coding Specialist at Emergency Medical Associates (2008-01 – 2023-12)
Responsibilities include working in a Call Center, speaking directly with patients, and discussing information sent in by the patient.
- 3 years of working from home in remote customer service, resolving Insurance issues
- Verification of Patients with Medicare, Medicaid, and Commercial insurance policies
- Understanding all Insurance Protocol
- Submitting the bill to all Workers' Compensation carriers as well as PIP Carriers
- Gathering all patients' documentation for disputes for unhappy services to resolve issues
- Discounting and adjusting all bills for PBS ENY & CEP accounts with Hospital Charity Care
- Handling incoming faxes and Emails for attorneys who want to settle and make Payments
- Checking PIP Fee Schedule for Negotiations for the State of New Jersey for Auto claims
- Submitting Primary EOB Remittance to Secondary Insurance Carriers with 1500 CMS Form
- Taking patients' copay payments by Credit card through the Company Website Page
Customer Service Representative at Biomet Technologies (2006-01 – 2008-12)
- Processing orders for Surgical supplies for the Patients
- Working directly with the patients' insurance companies to process claims
- Resolving Payments Issues
Claim Specialist at Horizon BCBS (2004-01 – 2007-12)
Started as a temporary employee, recapping money for facilities.
- Working full-time in the Call Center on the Correspondence Team, answering Enrollment questions
- Working in CIU Cross Functional Team responsibilities include adjusting all professional claims to Pay in-network for hospitals, Skilled Nursing Facilities, and Acute & Sub-Acute care facilities
Education
Surgical Technologist Program in Surgical Technology – Dover Institute (2010-01 – 2011-12)
CBCS Medical Billing & Coding Certification in Medical Billing & Coding – CDM Institute (2006-01 – 2007-12)
Certification in Medical Terminology – National Healthcare Association
Certification in Medical Billing & Coding – National Healthcare Association
Certification in ICD 9 Coding & CPT-4 Coding – National Healthcare Association
