Aaliyah Johnson
Dallas,TX
Summary
Dynamic Account Manager with proven expertise in insurance verification and a strong ability to resolve complex client issues. Adept at mentoring teams and enhancing operational efficiency through effective communication and problem-solving skills. Committed to delivering exceptional service and building lasting client relationships. Emphasizes accuracy, HIPPA compliance, and proficiency with EHR systems and specialized healthcare technology.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Benefits Verification Specialist
Amgen
03.2022 - Current
- Contacting insurance companies to verify patient eligibility,benefits, copays, deductibles and coverage limitations
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
- Verified patient insurance coverage and benefits for medical and pharmacy claims.
- Mentored and coached team members on benefit investigation topics and strategies.
- Completed data entry tasks with accuracy and efficiency.
LICENSED INSURANCE AGENT
Contracted
04.2020 - 10.2024
- Explained features, advantages and disadvantages of various policies to promote sale of insurance plans.
- Customized insurance programs to suit individual customers, often covered variety of risks.
- Sold insurance policies to businesses and individuals on behalf of insurance companies, including automobile, fire, life, property, medical and dental insurance, and specialized policies, such as marine, farm/crop and medical malpractice.
- Contract
CLIENT SERVICES REPRESENTATIVE
Primerica
04.2018 - 02.2020
- Answer incoming phone calls from health care providers and members. Identify the type of assistance the provider needs (EG. benefit and eligibility, billing and payments, authorizations for treatment, explanation of benefits)
- Performed case management to provide outstanding client services and meet company's mission.
- Built sustainable relationships and trust with customers using open and interactive communication.
- Conduct benefit verification, obtain insurance determinations, and qualified clients to ensure eligibility.
CUSTOMER SERVICE REPRESENTATIVE / FRAUD SPECIALIST
Arbonne
06.2016 - 04.2018
- Developed and maintained working knowledge of internal policies, procedures and services to appropriately address customer issues.
- Led or participated in fraud investigation teams.
- Created and maintained logs, records and databases of information about fraudulent activity.
- Engaged with clients via inbound/outbound calls, chat, and email to place orders, handle complaints, and returns.
Education
No Degree - Health And Science
El Centro College
Dallas, TX06-2028
Skills
- Problem Solving
- Adaptability
- Communication & Verbal Skills
- Issue & Complaint Resolution
- Operating System Knowledge
- Team Training
- Data entry proficiency
- Insurance Verification
Certification
- Life & Health License
- Google IT Support
- CompTia A+ 2023
Timeline
Benefits Verification Specialist
Amgen
03.2022 - Current
LICENSED INSURANCE AGENT
Contracted
04.2020 - 10.2024
CLIENT SERVICES REPRESENTATIVE
Primerica
04.2018 - 02.2020
CUSTOMER SERVICE REPRESENTATIVE / FRAUD SPECIALIST
Arbonne
06.2016 - 04.2018
No Degree - Health And Science
El Centro College
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