Bruce Johnson

• Process State and SSI offsets
• stay current with state and federal leaves and laws
• evaluate eligibility
• evaluate functional capacity

examinations

• Collaborated with medical professionals to verify treatment plans

• Managed 250-300 claims per day.
  
• Maintained contact with claimants, medical provider and employer to determine treatment and claim status.
• Verified eligibility and determined fair compensation.
• Reviewed medical treatment records and determine inpact of ones condition.
• Read over benefit policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
• Organized, planned, and documented materials for Short Term Disability claims.
• Identified and forwarded claims to specialized internal and external resources in areas such as medical review, investigations, appeals, SSI, ADA Specialist and clients.
• Applied fundamental liability concepts, practices and procedures of state or federal laws and requirements.
• Reviewed new files to determine current status of injury claim and to develop plan of action.
• Reviewed and analyzed suspicious and potentially fraudulent claims.

• Facilitate and administer comprehensive assessments of personal and work readiness needs of clients/students in conjunction with on-going counseling support.
• Develop and identify curricula designed to address soft skills, dysfunctional behavior, personal development, and workplace readiness.
• Address employment and educational deficiencies for youth participating in workforce programs to increase job retention.
• Research and identify appropriate social services including counseling and case management for program participants.
• Provide guidance and support for workforce and educational assessment and testing for post-secondary acceptance and/or job readiness.

• Maintain comprehensive and up to date list of individuals in service queue.
• Provide reports & approved the medical doctor's schedule. Develop and facilitate group programming for children, adolescent, addiction/mental health.
• Responsible for strictly following agency procedures and funding guidelines concurrent with protecting consumer rights as they relate to health programs and services.
• Implement, evaluate health projects, and monitored their progress to identify and rectify problems.
• Assess current programs and reports to community and medical professionals on their progress.
• Respond to telephone inquiries regarding services.
• Develop effective working relations with medical team and facilitate multiple care aspects.

• Implemented service management plans and updated clients progress related to program requirements.
• Provided direction and resources to residents to enhance their independence.
• Supported and created initial treatment and aftercare plan.
• Facilitate therapist treatment plans and follow up on evaluations.
• Managed patient appointment schedules, and ensured timely collection of payments for medical services rendered.
• Assisted Quality Assurance with upkeep of medical records policies and procedures.
• Maintained, stored and retrieved medical records data in accordance with federal, state, and accrediting agencies' requirements.
• Established and maintained client files and maintained contact notes with medical providers and staff.
• Provide crisis counseling for individuals, adults and teenagers, with suicidal ideation.

• Managed administrative responsibility and implemented functions to monitor business operations.
• Supervised facilities functions in a production setting, while monitoring building operations.
• Assisted and supported financial department, preparing budgets and other reports/statements.
• Developed logistics in organization records, files and statements in an effective manner.