Shiela Johnson
Reimbursement Officer at District 19 Community Service Board- Claim this Profile
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English -
Topline Score
Bio
Experience
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District 19 Community Service Board
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Mental Health Care
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1 - 100 Employee
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Reimbursement Officer
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May 2017 - Present
Complete posting and balance receipts for incoming invoices for payment received from insurance companies. File claims with Insurance, Anthem, United Healthcare, Medicaid, Humana, Tricare, Optima, Virginia Premier, Aetna, Medicare, Magellan. Complete denials from insurance companies received. Provide phone coverage for billing line to include speaking with consumers or support staff or clinical staff regarding billing and account information. Provide technician support to reimbursement staff in the clinics by answering billing questions and insurance inquires, provide guidance to satellite offices on reimbursement policies as needed. Email clinics with guidance on correcting technical errors on denial worksheets and assist with contacting payor on difficult issues. Distribute denials and payor rejects monthly to clinics, work unpaid claims report, work non-applied cash report, work return mail monthly, send adjustment requests to payor for over cite of payments. Attend yearly three-day conference (Varo). Complete training as needed. Help prepare for yearly Support Staff training in regards to Reimbursement policies and procedures. Show less
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Office Associate II
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Dec 2015 - May 2017
Greets consumers and other callers (Phone or office) in a courteous and professional manner with attention to confidentiality. Gather information to facilitate connection with requested service. Screen phone calls and connect caller with appropriate staff in regarding confidentiality. Monitors the waiting area in relation to safety needs of all consumers. Schedule staff’s appointment. Maintain master schedule booklet. Creates and compile Service activity logs (SAL) for clinical staff daily. Types correspondences with final work having few or no inaccuracies. Prepare requisitions and invoices for designated program/clinic. Organize files, chart and office space. Coordinate with central reimbursement office, managers, and clinical staff concerns regarding consumers fees and account balances. Collect consumer fees and maintain related records. Obtain verification of consumer’s Medicaid eligibility monthly. Prepare and submit weekly deposits to central reimbursement. Maintain petty cash. Enter consumers information including demographics, admission forms, updates and discharge information in CMHC. Verify Medicaid eligibility for all consumers on a monthly basis. Show less
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Medical Receptionist
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Oct 2010 - Jul 2011
Answer Multi-line phone, take messages or direct to appropriate person, check-in patients, pull patient charts, file medical records, shredding, copying, writing receipts for co-payments, run credit cards thru credit card machine, scan patient ID card, and insurance cards, verify insurance is current, monitor waiting room, clean if needed, other office duties as assigned. Answer Multi-line phone, take messages or direct to appropriate person, check-in patients, pull patient charts, file medical records, shredding, copying, writing receipts for co-payments, run credit cards thru credit card machine, scan patient ID card, and insurance cards, verify insurance is current, monitor waiting room, clean if needed, other office duties as assigned.
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Equifax Settlement Services
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Coraopolis, PA
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Appraisal Operation
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Apr 2008 - Apr 2010
Assign pre-qualified local appraisers based on a combination of geographic competency, past Performance and client requirements to preform appraisal of properties. Appraisal to be completed as Full Appraisal, FHA/USDA Appraisals, Drive-by Appraisals, or Desktop Appraisal Report. Appraisals to be completed within 3 business days of inspection of properties. Follow-up on Appraisal reports. Assign pre-qualified local appraisers based on a combination of geographic competency, past Performance and client requirements to preform appraisal of properties. Appraisal to be completed as Full Appraisal, FHA/USDA Appraisals, Drive-by Appraisals, or Desktop Appraisal Report. Appraisals to be completed within 3 business days of inspection of properties. Follow-up on Appraisal reports.
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Lenders Service Group LLC
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United States
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Real Estate
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Appraisal Operations
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Mar 2006 - Nov 2007
Assign pre-qualified local appraisers based on a combination of geographic competency, past Performance and client requirements to preform appraisal of properties. Appraisal to be completed as Full Appraisal, FHA/USDA Appraisals, Drive-by Appraisals, or Desktop Appraisal Report. Appraisals to be completed within 3 business days of inspection of properties. Follow-up on Appraisal reports. Assign pre-qualified local appraisers based on a combination of geographic competency, past Performance and client requirements to preform appraisal of properties. Appraisal to be completed as Full Appraisal, FHA/USDA Appraisals, Drive-by Appraisals, or Desktop Appraisal Report. Appraisals to be completed within 3 business days of inspection of properties. Follow-up on Appraisal reports.
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Riverside Regional Jail
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United States
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Law Enforcement
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1 - 100 Employee
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Records Technician
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Jan 2000 - Jan 2006
Operated the jail management system; maintained inmate records in accordance with the Virginia Jails Standard Operations Procedures. Maintained and organized records in hard copy and on computer. Served as liaison between the courts and judges as well as responded to inquiries regarding inmate’s commitment status; tracked and scheduled transportation of inmates for court appearances. Computed inmate sentencing up to 1 year confinement. Maintained records on inmates held on Immigration holds, as well as entering accurate billing of expenses incurred by each inmate into the Local Inmate Data System to generate billing for inmates housed at RRJ from other jurisdictions. VCIN/NCIC Certified. Show less
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Education
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Prince George High School
Diploma, General