Alecia Johnson Email & Phone Number

Tolleson, Az, Us

Tolleson, Az, Us

Tempe, Arizona, Us

Phoenix, Arizona, Us

West Palm Beach, Florida, Us

Supervised team of 16 A/R Follow-Up specialists working EMS / ambulance claims for all Arizona Medicaid/HMO payers (AHCCCS, Mercy Care, AZ Complete, Care1st, RBHA, UHC, and HRPP for client producing 500 claims a day in Arizona.Reduced overall claims housed by 2,000 in 2 months including 5% over 180 days.Managed scheduling/payroll, daily work assignments, and claim escalations for teamWorked with provider liaisons at HMO payers to resolve claim underpayments for 3,200 claimsGenerated production and quality assurance reports for team to ensure all team members were meeting KPIsResponsible for hiring, promoting, and firing new team members.

Establish billing processesIdentify coding errors and provide staff training to increase clean claimsFollow-up on outstanding billing (24 months)Identify credentialing needs for individual and group payer contractingEnroll new staff in payer contractsCreate credentialing walkthroughsOptimization of Dr. Chrono and Athena softwares EFT/ERA enrollmentDigitized front office eligibility verifications

Brooklyn, Ny, Us

Project managed onboarding and implementation of MultiCare partnership in Washington & Oregon to expand behavioral health access in first 6 monthsImproved referral tracking process to identify pitfalls from referral partners which allowed more patients to be successfully paired with providersActed as a liaison between Valera teams and referral partners to foster successImproved onboarding process for new providers and physicians to allow for quicker onboarding by avoiding missing provider informationOversight of patient visit numbers and provider case loads to determine when additional recruitment of provider staff was necessary

Created a 8hr PT/OT/SLP Billing Concepts and Procedures course for Insurance Reimbursement with two other industry professionals during COVIDProvided consulting services to private practices including physical therapists (6), licensed clinical social workers (4), and registered dietitians (1). Services included monthly billing reconciliation, credentialing, contracting, Medicare chart audits, and suggestions for revenue cycle management improvement as needed by clients.

Us

Onboarded 10 TeleHospitalist physicians across the United States during the height of the COVID-19 pandemic to serve partner hospitals in a 6-week period.Assisted credentialing team with physician quality by assigning charts for proctoring and completing FPPE/OPPE requirements for over 120 physicians to catch up a 14-month period.Developed new shift requirements, paging protocol, and scheduling for TeleStroke panel that serves 115 hospitals in 7 states that is staffed by 27 physicians.Nurtured relationships between physicians and administrative staff on the broader Telehealth team to encourage seamless problem-solving for physicians.

Us

Managed initial appointment and reappointment applications for a team of Vascular Neurologists providing TeleStroke services to 90 hospitals across a 7-state footprint. Created new SmartSheets workflow to implement cleaner data tracking for initial appointment and reappointment dates creating fewer lapses in hospital privileges.

Bellevue, Washington, Us

Created compliance policies to ensure HIPAA compliance for 70+ providers in first 30 daysRevised chart audit process and completed Medicare chart audits for all providers in first 60 daysRequested and cataloged all group and individual insurances contractsContracting & Credentialing for 26 practice locations that staffed 70+ Physical and Occupational Therapists. Oversight and management of staff of 6 billing specialistsCreated a new bonus structure for billing specialists that encouraged A/R clean-up within 6 monthsPartnered with Patient Care Coordinator to improve front office workflows to ensure clean claims billingCompiled monthly reports for business stakeholders including profit & loss (P&L) statements for 26 clinics, monthly collection goals, and reviews of outstanding accounts receivable

Entered weekly billing charges manually for over 30 private practices including NDs, LAcs, PTs, DCs, LMPs, and PhDs.Applied patient payments and EOBSReviewed and mailed monthly patient statements

Portland, Or, Us

Master Of Science - Ms, Organizational Leadership

Bachelor Of Science (B.S.), Healthcare Administration

Associate Of Science - As, Business

Diploma, Medical Insurance Billing And Coding

Diploma, General Studies