Stephanie Johnson

About the Candidate

MEDICAID BILLING AGENT | ALLHEART SENIOR CARE OF ARKANSAS | MARCH 2022 – AUGUST 2022
·   Daily billing of all Medicaid-related charges stemming from caregivers’ weekly time logged taking care of clients
·   Reviewed all denied charges, researching reason(s) for the denials, and correcting each claim for proper billing and payment
·   Helped caregivers get logged into the Authenticare app for daily time tracking at the clients’ residence
·   Audited client charts to ensure proper billing and payment from prior submitted timesheets

BUSINESS OFFICE MANAGER | ENCORE HEALTH AND REHABILITATION | JULY 2021 – DECEMBER 2021
·   Processed daily financial transactions for the company, including cash receipt posting, check writing, and posting of deposits and withdrawals to resident Trust accounts
·   Ensured all income into the facility is posted correctly and money was deposited into the appropriate bank account
·   Ensured all money was transferred appropriately among the bank accounts the company uses on a daily basis to do business
·   Verified insurance coverage and benefits for all residents both currently at the facility and who would potentially enter the facility
CLINICAL RESEARCH FINANCE ADMINISTRATOR AND MEDICAL BILLING SPECIALIST UAMS | APRIL 2018 – FEBRUARY 2021
·   Conducted second tier research charge review to ensure accurate and timely review of research charges for posting to insurance and/or research account.
·   Managed and identified quality concerns such as CLARA budget inconsistencies, protocols not followed or timelines of modifications to fee schedules.
·   Acted as the primary liaison in the management of research accounts by communicating highly complex information which may have a substantial impact on UAMS research programs
·   Performed correct payment posting to each patient account when payments were received from the pt. insurance.
·   Reviewed Medicare claim denials and analyze the reason for the denial
·   Researched appropriate methods for correction and rebilling for payment
·   Utilized software-based EPIC system for claim review, correction, and rebill for payment
·   Utilized websites, such as Novitas, for documentation upload as requested by insurers
SOFTWARE TECHNICAL SUPPORT AND ACCOUNT SERVICES REPRESENTATIVE | DATAPATH, INC | JANUARY 2016 – JANUARY 2018
·   Troubleshot proprietary software issues both by phone and by e-mail
·   Utilized proprietary tool using SQL-based commands to troubleshoot and correct data in tables
·   Answered questions for clients regarding HSA accounts, debit cards, and provider card payments
·   Utilized CRM to track information from customer phone calls and created cases to be reviewed by senior staff
CONTRACTOR BUSINESS ANALYST | HEWLETT PACKARD | AUGUST 2015 – JANUARY 2016
·   Tested MMIS (Medicaid Management Information Systems) system functionality with an upgrade to Windows Server 2008
·   Gathered system requirements prior to writing test cases
·   Wrote test cases in preparation for system testing
·   Performed system testing to ensure proper functionality after software upgrade
CONTRACTOR BUSINESS ANALYST | NOVASYS HEALTH | AUGUST 2014 – JANUARY 2015
·   Reviewed insurance information for accuracy
·   Updated insurance enrollee information in the database to ensure accuracy
CONTRACT NETWORK ANALYST AND ASSOCIATE NETWORK ANALYST | WINDSTREAM, INC | JANUARY 2013 – JUNE 2014
·   Troubleshot all network issues relating to poor connectivity and network latency and programmed static IP addresses in customers’ routers
·   Programmed field equipment with brands such as Cisco and Lucent to ensure all connections were correct to ensure customers received quality service
MEDICARE DENIALS SPECIALIST | PRACTICE PLUS | DECEMBER 2011 – JANUARY 2013
·   Reviewed Medicare Part B claims and analyzed denial reasons for claims correction and resubmission
·   Utilized proprietary hospital software to obtain more information regarding patient accounts
·   Corrected denied claims and transmitted back to Medicare for payment
BUSINESS/TEST ANALYST | ARKANSAS BLUECROSS BLUESHIELD | MAY 2007 – JULY 2011
·   Tested changes and updates for the Medicare Part A FISS system that was used for claim processing
·   Gathered system requirements to use for subsequent writing of test cases
·   Wrote test cases based on programming guidelines
·   Tested software system to ensure proper functionality after system updates