Shena Johnson Email & Phone Number

Philadelphia, Pennsylvania, United States

Effectively Managing the accounts receivable department to ensure that all accounts are collected within an appropriate timeframe. Reviewing insurance claims for accuracy and responding to questions about coverage from ShareholdersCoordinating with Billing staff to ensure that claims are processed accurately and in a timely manner. Establishing policies and procedures for maintaining patient records. Managing the billing cycle to ensure all claims are billed accurately and on… Show more Effectively Managing the accounts receivable department to ensure that all accounts are collected within an appropriate timeframe. Reviewing insurance claims for accuracy and responding to questions about coverage from ShareholdersCoordinating with Billing staff to ensure that claims are processed accurately and in a timely manner. Establishing policies and procedures for maintaining patient records. Managing the billing cycle to ensure all claims are billed accurately and on time.Working with insurance companies to obtain pre-authorization for procedures or services that are not covered by the patient’s health plan.Communicating with programs regarding their bills and insurance plansReviewing bills from providers to ensure they are accurate and in line with industry standards. Show less

Philadelphia, Pennsylvania, United States

Effectively train and support the billing staff with daily tasks and activities as well as support the Billing Supervisor with day-to-day operations and management of Team ad hoc billing projects. Continuously improve workflows and create efficiencies. Critically and assist and mentor the Billing Department to exceed the needs of the department. Resolve all denials, re-submissions, rejections and appeals. Effectively Communicate changes to billing rules and guidelines to the staff..

Philadelphia, Pa

Greater Philadelphia Area

Efficiently resolving outstanding Claims for Programs, Arrive, TCM, Capp, Stepping Stones, and Residential programs. I Appeal claim Status when denied in error. Completing Write-offs as a Last resort for claims resolution. Creating Client claim analysis for Monthly Meetings effectively communicating with Programs to ensure Proper claims resolution and Authorizations are up to date and entered correctly. Rebilling / reprocessing claims with in time frame to ensure proper Payment Preparing… Show more Efficiently resolving outstanding Claims for Programs, Arrive, TCM, Capp, Stepping Stones, and Residential programs. I Appeal claim Status when denied in error. Completing Write-offs as a Last resort for claims resolution. Creating Client claim analysis for Monthly Meetings effectively communicating with Programs to ensure Proper claims resolution and Authorizations are up to date and entered correctly. Rebilling / reprocessing claims with in time frame to ensure proper Payment Preparing Payment file and creating weekly analysis for all CBH and DBH group Billers and Other claims resolution specialist to review against claims that were previous Billed . Training Co-workers on effective practices and creating processes for a more productive and effective work flow. Communicating with supervisor any issues that May occur and creating a plan to resolve. Show less

Provided Excellent customer service , exceeded call volume and call quality while applying companies core values during calls .Responding to customers inquiries and disputes handling most calls with one call resolution . Advising customers of bank products that would offer the customer savings and convenience. Make outbound calls to inform or gain more information for disputes that were previously filed. Fax and email forms as needed.

Blue Bell, Pa

Process hmo medical claims, 19 per hour ,processing hospital out patient claims , and behavior health claims Data entry , answering incoming calls, answering customer questions in regards to claims processed and also explaining benefits to the member. Out bound calls to the provider to check status of referrals, also handle Flexible spending accounts calls explaining the members plan, and reviewing the member balance and claims submitted. Giving claim analysis on issue that may occur… Show more Process hmo medical claims, 19 per hour ,processing hospital out patient claims , and behavior health claims Data entry , answering incoming calls, answering customer questions in regards to claims processed and also explaining benefits to the member. Out bound calls to the provider to check status of referrals, also handle Flexible spending accounts calls explaining the members plan, and reviewing the member balance and claims submitted. Giving claim analysis on issue that may occur with claim processing also giving best practices for claim processing Show less

Conshohocken ,Pa

Educated patients on set up and use of their heart monitors prescribe by their doctors. • Answered patient’s questions and concerns concerning heart monitor setup. • Received incoming calls from patients to troubleshoot any issues that arrived concerning their heart monitors. Followed-up with practices making sure patients were properly connected to their in a timely fashion.

Wayne ,Pa

Works in high call volume area servicing approximately 75 to 85 or more calls daily. • Assists customers with opening and processing insurance claims for their cellular units. • Oversees claim approvals and denial letters for customers. • Answer customer’s questions regarding their insurance policies for their cellular units. • Fax and email forms as well as provide claim status information to the customers

Associate'S Degree, Human Services, General, Junior

High School Diploma, Liberal Arts And Sciences/Liberal Studies

Activities and Societies: Debate Team liberal arts , debate team and school counselor assistant