Summary
Overview
Work History
Education
Skills
Timeline
Generic

Brooklynn Johnson

Magnolia,TX

Summary

Experienced in processing medical and insurance claims in high-volume environments. Successful at managing complete claims process with minimal direction. Looking for a long-term position with a growth-oriented company.

Overview

7
7
years of professional experience

Work History

Claims Representative

Sunlife Financial
Toronto, Canada
08.2023 - Current
  • Documented changes in claim statuses using specialized software systems.
  • Collaborated with other departments to resolve billing disputes or address customer concerns quickly.
  • Provided clear explanations of benefits, eligibility requirements, and applicable laws when communicating with customers.
  • Reviewed and verified claim information to ensure accuracy of data and compliance with established policies.
  • Processed a high volume of claims efficiently while maintaining quality standards.

Lead Referral Coordinator

ChenMed
Miami, FL
04.2020 - 08.2024
  • Developed and maintained relationships with referral sources to ensure a successful referral process.
  • Created and implemented a system for tracking referrals, follow-ups, and outcomes.
  • Provided training to staff on the referral process and how to use the electronic health records system.
  • Prepared referral documents containing patient information, diagnosis codes, treatment plans, and provider information.
  • Analyzed trends in claim denials or delays to identify areas for improvement within the organization.
  • Processed authorization requests from referring physicians in a timely manner.
  • Assisted in developing policies and procedures related to the referral process.
  • Conducted regular meetings with primary care physicians to discuss strategies for improving the referral process.
  • Worked closely with insurance companies to ensure that patients received appropriate coverage for their referrals.
  • Conducted research into medical terminology related to healthcare claims processing activities.
  • Documented changes in claim statuses using specialized software systems.
  • Researched providers to determine if they are in-network or out-of-network for the patient's health plan.

Customer Support Specialist

Manatee County Rural Health Services
Bradenton, FL
02.2017 - 04.2020
  • Provided technical support to customers by responding to inquiries and resolving issues in a timely manner.
  • Responded to customer emails and phone calls promptly, courteously, and professionally.
  • Researched customer inquiries using available resources such as FAQs and online forums.
  • Recorded all customer interactions into the database system accurately and completely.
  • Followed up with customers after issue resolution to ensure their satisfaction with the outcome.

Education

High School Diploma -

Palmetto High School
Palmetto, FL
05-2015

Skills

  • Policy Knowledge
  • ICD and CPT coding
  • Time Management
  • Healthcare regulations
  • Microsoft Office
  • HIPAA Compliance
  • Insurance Verification
  • Decision-Making
  • Claims Processing
  • Medical Terminology

Timeline

Claims Representative

Sunlife Financial
08.2023 - Current

Lead Referral Coordinator

ChenMed
04.2020 - 08.2024

Customer Support Specialist

Manatee County Rural Health Services
02.2017 - 04.2020

High School Diploma -

Palmetto High School

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Brooklynn Johnson