Bethany Johnson
Gastonia,NC
Summary
Medical Office Assistant with 13 years of experience in administrative positions. Known for excellent interpersonal skills and deep knowledge of medical terminology. Knowledgeable of submitting all insurances including: Medicare, Medicaid and Commercial. Organized Office Manager with noted experience in administrative management. Prioritize projects and multitask effectively to achieve project goals. Methodical and detail-oriented team player with expertise in team leadership. Offering these skills and strong work ethic.
Overview
12
12
years of professional experience
Work History
Lead Intake Representative-Remote
Cigna Healthcare
10.2023 - Current
- Designated as the primary support for high-cost limited distribution drugs and high cost injectables overall by creating and maintaining single case agreements and enforcing buy and bill restriction policies.
- Participated in interdisciplinary team meetings to coordinate services for clients.
- Created and implemented workflows for team to drive efficiency and consistency in the workplace, including leading multiple project initiatives within department.
- Maintain file ownership of high-volume cases with Case Managers and provide accurate and desired redirection result in efficient manner resulting in large savings and customer satisfaction for Specialty Care Options & Pathwell.
- Selected on consistent basis to participate in pilot programs to provide feedback based off knowledge within company from hire.
- Streamlined operations for increased efficiency by implementing new processes and procedures.
- Evaluated requests for service modifications or changes in status.
- Developed individualized plans of care for each client based on assessment results.
- Assisted in resolving conflicts between applicants and providers of services.
Office Manager/Scheduler Coordinator/Human Resources Specialist
Retina Institute Of The Carolinas & The Macular Degeneration Center
10.2014 - 09.2023
- Communicated effectively with staff members, physicians and patients, employing active listening and interpersonal skills.
- Submitted insurances for patients including: Medicare, Medicaid, all commercial insurances and Medicare Advantage plans. Resolved any issues that came back.
- Provided proper scheduling of patients, ensuring timely and effective allocation of resources and calendars.
- Developed close working relationships with front office and back office staff.
- Completed background and reference checks to facilitate hiring and onboarding of employees.
- Created and implemented organizational policies and procedures.
- Assisted with recruitment process by posting job ads, filtering applications, scheduling interviews, assisting in interview process and drafting offer letters.
- Resolved customer inquiries and complaints with timeliness and professionalism.
Lead Ophthalmic Technician/Retina Photographer
Retina Institute Of The Carolinas & The Macular Degeneration Center
05.2013 - 09.2023
- Reviewed inventory levels to check medications and other materials, placed orders and restocked supplies to meet forecasted needs.
- Measured intraocular pressure using Goldman and Tonopen tonometry process.
- Applied eye medications and drops to dilate pupils in preparation for examinations.
- Operated ophthalmic equipment for patient eye examinations and prepared patients for examinations and surgeries.
- Measured and recorded visual acuity and color vision testing.
- Use highly specialized imaging equipment to take detailed pictures of eye and its inner structures.
- Assured timely verification of insurance benefits prior to patient procedures or surgeries.
- Scheduled patient appointments in respective doctors' calendars and followed up with reminder.
- Maintained vendor records, tracked overdue accounts and performed collections.
- Provided emotional support during difficult diagnosis discussions while maintaining a professional demeanor at all times.
Education
Bachelor of Science - Healthcare Administration
ECPI University
Virginia Beach, VA05.2014
Skills
- Policy and procedure writing
- Open enrollment for insurance
- Submitted all insurance types (Medicare, Medicaid, commercial insurances, and Medicare Advantage plans)
- Staff compensation
- Finance and accounting
- In-person and telephone interviewing
- Recruitment management
- Industry-specific HR regulations
- HR support
- Human Resources Management Systems
- Retention program development
PERSONAL INFORMATION
Work Permit: Authorized to work in the US for any employer
Timeline
Lead Intake Representative-Remote
Cigna Healthcare
10.2023 - Current
Office Manager/Scheduler Coordinator/Human Resources Specialist
Retina Institute Of The Carolinas & The Macular Degeneration Center
10.2014 - 09.2023
Lead Ophthalmic Technician/Retina Photographer
Retina Institute Of The Carolinas & The Macular Degeneration Center
05.2013 - 09.2023
Bachelor of Science - Healthcare Administration
ECPI University
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