Breana Johnson
Houston,Tx
Summary
Dedicated professional with a strong work ethic, integrity, and meticulous attention to detail. Extensive background in the medical industry, fueled by a genuine desire to make a positive impact on individuals' lives. Eager to enhance skills and drive organizational growth, passionate about leveraging expertise to support company objectives and deliver exceptional results.
Insurance professional with extensive experience in verifying insurance details and optimizing patient intake processes. Known for reliability in team collaboration and consistently meeting objectives. Skilled in data entry and customer service, with proactive approach to adapting to changing requirements.
Overview
4
4
years of professional experience
Work History
Insurance Verifier
Women’s Healthcare Affiliates OBGYN
03.2024 - 05.2025
- -Responsible for verifying patients' medical benefits for upcoming appointments, surgery, and or child birth delivery.
- - Knowledge in AthenaOne, EMR System, insurance provider portals, and avality.
- -Communicating with patient regarding explanation of plan benefits and reasoning of costs.
- - Answering all incoming calls and responding to emails as well as sending emails.
- - Being in coordination with the Physician’s schedule and clinic requirements of service.
- -Responsible for verifying patient surgery benefits and maternity benefits through insurance portals and provider services line for office visits and delivery to calculate the cost owed to physician.
- -Maintaining an organized workflow and clear communication with provider and billing department.
- -Required to scan and document patient information accurately.
Health Benefits Advisor
Alight solutions
Remote
01.2023 - 03.2024
- -Experience in high call volume as well as chat, while toggling between screens.
- -Facilitated open enrollment periods by distributing materials, hosting informational sessions, and answering questions from employees about available options.
- -Analyzed various health plan options, presenting recommendations for plan adjustments based on organizational needs and goals.
- -Assisted employees with enrollment in benefit plans, addressing any questions or concerns they may have had.
- -Processed health insurance claims, reviewing documentation for completeness and accuracy before submission.
- -Provided guidance to employees regarding their rights under COBRA continuation coverage upon termination or other qualifying events.
Front Desk Registrar
Nextcare Urgent Care
09.2021 - 12.2023
- -Responsible for checking in all patients using the systems SOLV, Next GEN, Instamed, and EMR software.
- -Received, answered, and responded to telephone calls.
- -Responsible for verification of insurance plans.
- -Protected patient data through strict compliance with HIPAA requirements.
- -Filed paperwork and organized charts for easy accessibility by medical staff.
- -Processed incoming correspondence such as lab results or consultation notes from external providers.
- Completed insurance claim forms or other required paperwork.
Education
High School Diploma -
Montgomery High School
06.2015
NCT Xray Program - Radiology
Rainbow C.E LLC
San Antonio, TX09-2022
Skills
- Microsoft, Excel, Conflict Resolution, Detail Oriented, PowerPoint, Typing, Communication, Adaptability Administrative Support, Time Management, Appointment Scheduling, Complaint resolution, Data Entry, Data Collection, Payment Processing
- Customer service experience
- HIPAA compliance
- Insurance verification
- Data entry and review
- Electronic medical records
- Patient confidentiality
- Eligibility determination
- Computer proficiency
- Insurance authorizations
Timeline
Insurance Verifier
Women’s Healthcare Affiliates OBGYN
03.2024 - 05.2025
Health Benefits Advisor
Alight solutions
01.2023 - 03.2024
Front Desk Registrar
Nextcare Urgent Care
09.2021 - 12.2023
High School Diploma -
Montgomery High School
NCT Xray Program - Radiology
Rainbow C.E LLC