Summary
Overview
Work History
Education
Skills
Certification
Timeline
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Brittany Johnson

Elgin,SC

Summary

Results-driven healthcare professional with over 10 years of expertise in revenue cycle management, reimbursement analysis, and regulatory compliance. Proficient in preparing Medicare, Medicaid, and cost reports with meticulous accuracy and adherence to industry standards. A proven track record of optimizing financial performance while navigating complex healthcare regulations underscores a commitment to delivering high-quality results that enhance operational efficiency and support organizational objectives. Strong analytical skills combined with a collaborative approach drive effective reimbursement processes and foster teamwork to achieve seamless operations.

Overview

10
10
years of professional experience
1
1
Certification

Work History

Appeals Specialist

CGS Administrators
11.2024 - Current
  • Review and process Medicare and Medicaid claim appeals, ensuring compliance with CMS regulations and contractual guidelines.
  • Collaborated with cross-functional teams to gather necessary documentation and evidence to support the appeals process.
  • Maintain detailed records to support external audits, regulatory reporting, and Medicare cost reporting accuracy.
  • Managed high-stress situations with professionalism, ensuring that appeals were handled promptly and accurately even under tight deadlines or heavy caseloads.

Dental Billing Specialist

Affordable Care
08.2023 - 10.2024
  • Processed and corrected Medicaid and commercial dental claims using Dentrix and EHR platforms.
  • Enhanced communication with insurance companies through professional correspondence, resulting in faster claim processing times.
  • Managed case workflow and follow-ups using Salesforce.
  • Leveraged advanced knowledge of dental software systems to optimize record-keeping practices and streamline day-to-day operations within the office.

Enrollment Specialist

Change Healthcare
06.2022 - 08.2023
  • Coordinated Medicare and Medicaid provider enrollment to ensure uninterrupted reimbursement flow.
  • Ensured compliance with Medicaid and Medicare enrollment requirements and HIPAA standards.
  • Updated and analyzed payor contract data to support reimbursement modeling and forecasting.
  • Maintained compliance documentation for external audits and regulatory submissions.

Billing Administrator

CareSouth
09.2017 - 07.2020
  • Supported mobile dental units with full-cycle billing, claims submission, and insurance verification.
  • Prepared documentation for Medicaid DSH submissions and supported cost reporting processes.
  • Performed regular audits of client accounts, identifying potential errors and rectifying them proactively before impacting customer relations.
  • Managed complex billing situations with a high level of professionalism, resolving disputes and maintaining client satisfaction.

Patient Care Coordinator

Novant Health
12.2015 - 08.2017
  • Managed patient scheduling, insurance verification, and referrals using Epic.
  • Verified benefits and authorizations for Medicare and Medicaid patients to ensure accurate reimbursement.
  • Managed sensitive patient information with strict adherence to HIPAA guidelines, maintaining confidentiality and privacy at all times.
  • Provided exceptional customer service by addressing concerns, answering questions, and ensuring patient satisfaction with their care experience at the clinic.

Education

Bachelor of Science - Computer Science

Fayetteville State University
Fayetteville, NC
03.2026

Bachelor of Science - Healthcare Administration

Charleston Southern University
Charleston, SC
05-2022

Skills

  • Revenue Analysis
  • Healthcare Reimbursement & Cost Reporting
  • EHR & Financial Systems: Epic, Centricity, Salesforce, Microsoft Excel and adaptable to HFS reimbursement software
  • HIPAA compliance
  • Data reporting
  • Accurate clinical reporting
  • Reimbursement strategy development and contract assessment

Certification

  • CompTIA A+ – Trident Technical College, July 2024
  • CompTIA Network+ – Trident Technical College, July 2024

Timeline

Appeals Specialist

CGS Administrators
11.2024 - Current

Dental Billing Specialist

Affordable Care
08.2023 - 10.2024

Enrollment Specialist

Change Healthcare
06.2022 - 08.2023

Billing Administrator

CareSouth
09.2017 - 07.2020

Patient Care Coordinator

Novant Health
12.2015 - 08.2017

Bachelor of Science - Computer Science

Fayetteville State University

Bachelor of Science - Healthcare Administration

Charleston Southern University

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Brittany Johnson