Melissa A Johnson
Fredericksburg
Summary
Proficient Account Clerk offering 15 years' experience in Accounting/Revenue. Successful at reviewing documents, updating records and maintaining legal compliance with financial regulations.
Organized professional bringing excellent communication skills and proactive nature, with proven history of performing with integrity and efficiency. Committed to optimizing administrative resources to meet business objectives and leveraging strengths to maximize team performance. Offering several years of experience in leadership and administrative support roles.
Overview
25
25
years of professional experience
Work History
Claims Service Specialist
GEICO, Government Employees Insurance
Fredericksburg
06.2025 - Current
- Processed insurance claims efficiently and accurately for diverse clientele.
- Evaluated claim documentation to ensure compliance with company policies.
- Collaborated with adjusters to gather necessary information for claims resolution.
- Communicated effectively with customers regarding claim status and requirements.
- Resolved customer inquiries and disputes related to claims promptly.
- Utilized company software to track and manage claims throughout the process.
Office Coordinator
Mary Washington Health Care
Fredericksburg
04.2024 - 05.2025
- Performs leadership functions that support the goals of Medical Imaging of Fredericksburg (MIF, LLC) and the mission, vision, and values of Mary Washington Healthcare.
- Oversees operations and manages the departmental resources to assure efficient and effective performance of services provided for area(s) overseen.
- Assists in developing, administering, and monitoring the departmental budget to ensure cost-effective operations within authorized budget allocations.
- Receptionist, File Room/Archive, Insurance Verification and Scheduling.
- Organizes, prioritizes, and assigns tasks of support Associates based on customer needs and degree of urgency.
- Monitors workflow to maximize productivity, efficiency, and customer satisfaction.
- Monitors patient schedules, workflow, and activities of all Radiology sub-sections to assure a smooth and coordinated traffic flow.
- Assures that patients, family members, and Associates are kept informed of activities and delays.
- Assists with the development, revision, and enforcement of departmental policies, procedures, protocols, and standards to ensure quality care, efficiency, and procedural compliance.
- Initiates Performance Improvement activities for Support Services utilizing the FOCUS PDCA (Plan, Do, Check, Act) approach to improvement.
- Conducts subject research, evaluates, recommends, and implements new programs, services, technologies, and operational tools with the MIF, LLC Management Team and fellow supervisors.
- Maintains a safe environment for patients, personnel, and visitors by requiring and supporting the establishment, maintenance, and education of effective safety management program.
- Coordinated office operations to ensure efficient workflow and communication.
Administrative Analyst
State of New Jersey Department of Education
Trenton
01.2005 - 06.2023
- Analyzed data to support educational program development and policy recommendations.
- Coordinated administrative activities for department initiatives and special projects.
- Prepared reports summarizing findings and presenting recommendations to stakeholders.
- Managed documentation and records to ensure compliance with state regulations.
- Assisted in budget planning by providing financial data and analysis support.
- Developed and prepared contracts, solicitations and other professional agreements and documentation.
- Performed data entry tasks using various software applications including Word, Excel, Access, Outlook.
- Prepared reports for senior management on operational trends and areas of improvement.
Medical Billing Specialist
Central Billing Services, Radiology Affiliates
Hamilton
08.2001 - 10.2004
- Prepared billing statements for patients, ensuring correct diagnostic coding.
- Contacted patients for unpaid claims for HMO, PPO and private accounts and performed friendly follow-ups to ensure proper payments were made according to contracts.
- Remained up to date with all insurance requirements, including details of patient financial responsibilities, fee-for-service and managed care plans by participating in training programs.
- Oversaw regulatory and strategic initiatives to ensure accuracy of medical claims.
- Prepared and attached all required claims documentation including referrals, treatment plans or other required correspondence to reduce incidence of denials.
- Analyzed and interpreted patient medical and surgical records to determine billable services.
- Contacted insurance providers to verify correct insurance information and obtain authorization for proper billing codes.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Reviewed and verified benefits and eligibility with speed and precision.
- Determined prior authorizations for medication and outpatient procedures.
- Submitted refund requests for claims paid in error.
Education
Certification - Health Information Technology
Lincoln Technical Institute
Philadelphia, PASkills
- Learning Strategies
- Operation Monitoring
- Research and Analysis
- Budgeting
- Financial Reporting
- Financial Statements
- Payment Management
- Document Management System Software
- Data Entry Software
- SAP
- Reconciling Accounts
- Claims processing
- Documentation management
- Customer relationship management
- Claim evaluation
- Budget monitoring
- Workflow optimization
Timeline
Claims Service Specialist
GEICO, Government Employees Insurance
06.2025 - Current
Office Coordinator
Mary Washington Health Care
04.2024 - 05.2025
Administrative Analyst
State of New Jersey Department of Education
01.2005 - 06.2023
Medical Billing Specialist
Central Billing Services, Radiology Affiliates
08.2001 - 10.2004
Certification - Health Information Technology
Lincoln Technical Institute