Erica Ridges-Johnson
Claims Processor at My Performance Health- Claim this Profile
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Topline Score
Bio
Credentials
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Notary Public Commission
Richmond Community CollegeJan, 2020- Sep, 2024 -
Nursing Assistants, Certified (CNA 1)
Richmond Community CollegeJan, 2016- Sep, 2024
Experience
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My Performance Health
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Insurance
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1 - 100 Employee
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Claims Processor
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Sep 2022 - Present
Assist in the accurate and timely processing of insurance claims, ensuring compliance with company policies and industry regulations. Conduct thorough claims investigations, including reviewing medical records and policy details, to determine coverage and liability. Investigate and resolve claims discrepancies, appeals, and denials in a timely manner. Maintain accurate records and documentation of claims activities and communication. Collaborate with medical providers, policyholders, and third-party vendors to gather necessary documentation for claim resolution. Show less
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Providence Anesthesia
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United States
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Medical Practices
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Medical Billing Specialist
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Jun 2020 - Oct 2022
Reviewed and accurately coded medical procedures, diagnoses, and services for billing purposes using CPT and ICD-10 codes. Verified patient insurance coverage, benefits, and eligibility to ensure proper billing and reimbursement. Prepared and submitted electronic and paper claims to insurance companies, following established guidelines. Researched and resolved billing discrepancies, denials, and rejected claims in a timely manner. Collaborated with medical providers, patients, and insurance companies to address billing inquiries and appeals. Monitored accounts receivable, tracked payments and followed up on outstanding balances. Show less
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First Health of The Carolinas
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United States
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Hospitals and Health Care
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700 & Above Employee
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Medical Office Assistant
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Apr 2009 - Jun 2020
Greeted patients, scheduled appointments, and managed patient check-in and check-out processes.Assisted physicians with patient examinations, minor procedures, and patient education.Maintained accurate electronic health records (EHR) and updated patient information as needed.Managed incoming calls, responded to inquiries, and routed messages to appropriate medical staff.Processed insurance claims, verified coverage, and assisted patients with billing inquiries.Ensured a clean and organized reception area, restocking supplies as required. Show less
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Outpatient Representative
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Jan 2005 - Apr 2009
Greeted and checked in patients, verified insurance information, and collected necessary documentation to facilitate the registration process.Scheduled patient appointments, tests, and follow-up visits, ensuring optimal utilization of resources and minimal patient wait times.Collaborated with medical staff to coordinate patient care plans, update patient records, and communicate relevant information.Provided clear and accurate explanations of billing and insurance procedures to patients, addressing inquiries and concerns.Managed a high volume of incoming calls and inquiries, providing timely and helpful responses to patients and their families.Maintained organized and up-to-date electronic health records (EHR), ensuring compliance with privacy regulations. Show less
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Ultrasound Secretary
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Jan 2000 - Jan 2005
Coordinated patient appointments, managed scheduling conflicts, and communicated with patients to ensure a seamless ultrasound imaging process.Maintained accurate and confidential patient records, including demographic information, medical history, and examination results.Assisted ultrasound technicians and radiologists in preparing examination rooms, equipment, and necessary supplies.Performed general administrative tasks such as answering phones, responding to inquiries, and managing patient billing and insurance information.Collaborated with other administrative staff to streamline operations, improve patient experience, and uphold quality standards. Show less
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Education
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2016 - 2018
Richmond Community College
Associate of Arts - AA, General Studies
Community
