Lakesha Johnson
Virginia Beach
Summary
Hardworking Patient Access Representative brings top-notch abilities in reception and clerical work. Equipped to handle fast-paced office operations with continuous flow of patients and assignments. Meticulous in completing assignments and always ready to help team members.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Patient Access Representative II
Sentara Norfolk General Hospital
08.2022 - Current
- Under the supervision of the Team Coordinator, serve as the first point of contact and assist patients with the administrative aspect of gaining access to medical treatment.
- Gather medical records, financials, & insurance information from patients in a timely manner and keep data organized in compliance w/HIPAA
- Deliver exceptional customer service with 90% + patient satisfaction answering questions with compassion and offering additional resources for follow-ups post-discharge.
- Answer phone calls, respond to emails and prepare comprehensive documentation to support appointment scheduling, billing, & patient discharge process.
Patient Care Specialist
Sentara Medical Group
03.2021 - 07.2022
- Provided non-clinical support within a physicians office to ensure an exceptional patient experience by performing a variety of complex administrative tasks to support patient care delivery.
- Scheduled appointments and outpatient procedures under general supervision, to include required coordination of referrals, resources, & pre-authorizations.
- Employed a high level initiative & independent judgement to make decisions about appropriate prioritization & handling/routing of incoming requests & difficult problems.
- Adhered to HIPAA requirements & maintained all confidentiality
Customer Service Representative
Sentara Healthcare
02.2019 - 02.2021
- Assisted patients with payments/setting up payment plans, adding & verifying insurance, updating demographics and screening for financial assistance.
- Remained calm and professional in stressful circumstances and effectively diffused tense situations.
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
- Provided non-clinical support within the call center environment and ensured an exceptional patient experience.
Patient Account Representative
EVMS Medical Group
05.2016 - 01.2019
- Responsible for the electronic and manual billing to Anthem Healthkeepers and Virginia Premier Insurance in a timely manner.
- Identified and made corrections to any CPT/ICD9/ICD10/Modifier coding error that prohibited the claim(s) from the final adjudication process.
- Utilized the PCS tickler system to follow through on the carrier's promise to pay and resolved incorrect payments, denials,and other issues with outstanding accounts.
- Collaborated with relevant parties to resolve billing issues, insurance claims and patient payments.
Medical Billing Specialist
ABC Healthcare Plans
02.2015 - 03.2016
- Completed appeals and filed and submitted claims.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Collaborated closely with other departments to resolve claims issues.
- Submitted refund requests for claims paid in error.
Education
Medical Billing & Coding - Medical Billing & Coding
Centura College
Norfolk, VA06.2015
Skills
- Medical Billing & Insurance
- Ability to multitask & strong attention to detail
- Compassionate & Committed to helping people
- Written verbal & interpersonal communication skills
- EPIC, Athena, Electronic Medical Record & HIPAA Experience
- Strong administrative & organizational skills
- Referral Verification
- Insurance Verification
Certification
- NRCSS CERTIFIED (2015)
- HIPAA CERTIFIED (2014)
Timeline
Patient Access Representative II
Sentara Norfolk General Hospital
08.2022 - Current
Patient Care Specialist
Sentara Medical Group
03.2021 - 07.2022
Customer Service Representative
Sentara Healthcare
02.2019 - 02.2021
Patient Account Representative
EVMS Medical Group
05.2016 - 01.2019
Medical Billing Specialist
ABC Healthcare Plans
02.2015 - 03.2016
Medical Billing & Coding - Medical Billing & Coding
Centura College
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