Summary
Overview
Work History
Education
Skills
Timeline
Generic

Aurtretta R. Johnson

Louisville

Summary

To obtain a position within a growing and stable company utilizing my experience and promoting advancement eternally.

Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth.

Overview

14
14
years of professional experience

Work History

Accounts Receivable II

UofL Physicians
11.2024 - Current
  • Responsible for supporting the Central Business Office in a variety of financial, clerical, or administrative duties based on team assignment.
  • Meet productivity and quality standards as set by management. As well as monitor and execute daily work assigned to the Electronic Task Manage and/or Work queues.
  • Making sure that I am able to daily work independently and collaboratively in a team environment.
  • Research, file, resolve and follow up on appeals with payors. As well as
  • Work, research and resolve claim denials and rejections as it adheres to team assignment and protocol.
  • Update charges, correct information and refile claims via paper and/or electronically.
  • Make follow calls and/or emails as needed.

Team Lead

Pharmacord
09.2022 - 11.2024
  • Collaborated with other department leads to streamline workflows, improve interdepartmental coordination, and achieve business goals collectively.
  • Made sure the claims were being paid correctly and that all rejections, denials, and appeals were researched correctly and resolved promptly.
  • Operated as a Specialty Pharmacy Liaison. Responsible for creating strong relationships with health care professionals.
  • Monitored and executed work against assigned the work queues. Made sure that calls and emails received from payors and Pharmacy Benefits Managers were being responded to in a timely manner.


Pharmacy Care Coordinator

Amerisource Bergen
02.2019 - 09.2022
  • Maintain strong customer and/or physician communication to Healthcare related parties.
  • Managed Patient Healthcare record retention.
  • Board member of current Healthcare Policies and Implementations.
  • Worked productively in fast-moving work environment to process large volumes of claims.
  • Followed up with customers on unresolved issues.
  • Handled complex claim issues, effectively communicating with patients, providers, and insurance companies to ensure resolution.
  • Supported departmental goals by working closely with team members to maintain consistent quality standards across all submitted claims.
  • Collaborated with healthcare providers for timely resolution of discrepancies, ensuring accurate reimbursement.

Property Clerk

Whitney M Young Job Corps
02.2016 - 02.2019
  • Accounts payables and receivables.
  • Inventory Management.
  • Service Compliance with Property CPM in Accordance with DOL and Center Guidelines.

Customer Service Team Lead

Gould's Discount Medical
07.2011 - 02.2016
  • Supported representatives in navigating difficult interactions with customers, offering guidance on appropriate de-escalation techniques when needed.
  • Managed high-volume caseloads while maintaining strict deadlines for completing benefit verifications and authorizations.
  • Ensured compliance with HIPAA regulations during all aspects of the benefit verification process, protecting patient privacy.
  • Reduced claim errors by providing thorough training for team members on policy changes and regulations.
  • Made contact with insurance carriers to discuss policies and individual patient benefits.

Education

Associates - Office Administration

Sullivan University
Louisville, KY
01.1991

Skills

  • Friendly, positive attitude
  • Teamwork and collaboration
  • Problem-solving
  • Time management
  • Attention to detail
  • Flexible and adaptable
  • Multitasking Abilities
  • Insurance regulations
  • Claims investigation
  • Problem-solving abilities
  • Critical thinking

Timeline

Accounts Receivable II

UofL Physicians
11.2024 - Current

Team Lead

Pharmacord
09.2022 - 11.2024

Pharmacy Care Coordinator

Amerisource Bergen
02.2019 - 09.2022

Property Clerk

Whitney M Young Job Corps
02.2016 - 02.2019

Customer Service Team Lead

Gould's Discount Medical
07.2011 - 02.2016

Associates - Office Administration

Sullivan University

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Aurtretta R. Johnson