Barbara Johnson

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.

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

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