Summary
Overview
Work History
Education
Skills
Timeline
Caressa Johnson

Caressa Johnson

Las Vegas,US

Summary

To seek and maintain full-time position that offers professional challenges addressing customer requests and concerns. Adept at multitasking in fast-paced environments, excellent time management and problem-solving skills. Upbeat and energetic handling difficult situations through resourcefulness and adaptability.

Overview

12
12
years of professional experience

Work History

Patient Services Coordinator

Tential/Optum
11.2022 - 01.2024
  • Managed sensitive patient data with strict adherence to HIPAA regulations, ensuring privacy and confidentiality at all times.
  • Responded effectively to challenging situations involving distressed or dissatisfied patients while maintaining a calm demeanor and positive attitude.
  • Enhanced patient satisfaction by efficiently scheduling appointments and handling registration tasks.
  • Communicated with primary care offices and insurance companies to obtain authorization.
  • Investigated, triaged and resolved patient issues to encourage positive experience during patient visit.
  • Worked with patients to ascertain issues and make referrals to appropriate specialists.
  • Implemented new computer software systems for patient management, leading to a smoother and more efficient registration process.
  • Mastered multiple software systems for seamless navigation during calls, improving efficiency and workflow.

Patient Scheduling Coordinator

Desert Radiology
07.2022 - 10.2022
  • Managed sensitive patient data with strict adherence to HIPAA regulations, ensuring privacy and confidentiality at all times.
  • Responded effectively to challenging situations involving distressed or dissatisfied patients while maintaining a calm demeanor and positive attitude.
  • Enhanced patient satisfaction by efficiently scheduling appointments and handling registration tasks.
  • Communicated with primary care offices and insurance companies to obtain authorization.
  • Investigated, triaged and resolved patient issues to encourage positive experience during patient visit.
  • Implemented new computer software systems for patient management, leading to a smoother and more efficient registration process.
  • Mastered multiple software systems for seamless navigation during calls, improving efficiency and workflow.
  • Worked closely with other departments to resolve complex medical conflicts or accommodate special requests from patients or physicians.

Customer Service Representative

Everise/C3
09.2019 - 05.2022
  • Demonstrated adaptability by quickly learning new technologies and processes as they were introduced into the workplace environment.
  • Responded proactively and positively to rapid change
  • Supported team members during periods of high call volume or challenging scenarios, fostering a collaborative work environment

Assisted customers with Medicare part C coverage:

  • Obtained prior authorization/orders,
  • Assisted with claims and appeals by documenting required information and sending to correct dept
  • Managed a high volume of inbound calls, promptly resolving issues while providing accurate information on policies, procedures and identifying gaps in coverage.
  • Collaborated with customers to resolve dispute's.
  • Facilitated effective communication between clients, families, and service providers, ensuring a seamless coordination of care
  • Conducted thorough needs assessments for each client, identifying suitable plan options based on individual requirements and financial capabilities
  • Enhanced client satisfaction by providing knowledgeable guidance on Medicare plan options and enrollment procedures

Scheduled emergency COVID-19 vaccinations throughout California:

  • Managed high-volume scheduling demands by prioritizing tasks according to urgency and resource availability.
  • Developed strong product knowledge to provide informed recommendations based on individual customer needs
  • Acted as a reliable point of contact for clients, addressing concerns or questions about their appointments with professionalism and tact
  • Provided roadside assistance to US residents:.
  • Managed high call volume while remaining calm and professional, ensuring accurate information was relayed to all parties involved.
  • Enhanced customer satisfaction by providing timely and efficient roadside assistance services.
  • Handled challenging situations with diplomacy, resolving conflicts between customers and service providers when necessary.
  • Investigated and resolved customer inquiries and complaints quickly
  • Provided compassionate support for distressed callers, calming their nerves while obtaining essential information for proper assistance coordination.
  • Maintained accurate records of all roadside assistance calls, aiding in data analysis and service improvements

Assisted Medicare customers with type D Medication inquiries and payments:

  • Posted payments to accounts and maintained records.
  • Provided ongoing support, addressing any concerns with clients'' situations promptly
  • Demonstrated excellent problem-solving skills in addressing complex client concerns, resulting in timely resolution and increased satisfaction
  • Assisted in resolving customer complaints and grievances

Handled Patient services for the Illinois Medicaid program:

  • Maintained compliance with local, state and federal regulations governing insurance, Medicaid requirements
  • Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts
  • Filed and tracked insurance claims and communicated claims status to patients
  • Advocated on behalf of clients to secure needed services and overcome barriers to access
  • Educated clients about their rights and responsibilities under the Medicaid program, empowering them to make informed decisions about their care options
  • Conducted thorough assessments to determine eligibility for various Medicaid services.
  • Provided comprehensive support to clients during the appeals process, ensuring accurate representation.

Assistant

Steinberg Diagnostic
11.2016 - 08.2018
  • Assisted Technologists with patient care, ensuring accurate information and smooth transitions
  • Managed patient preparation, paperwork, and communication, enhancing workflow efficiency
  • Supported sedation administration, ensuring patient comfort and safety during procedures
  • Organized documents, printed films and made CDs for doctor and patient records, maintaining data accuracy
  • Streamlined patient intake process, reducing wait times by 30%, improving patient satisfaction
  • Implemented a new filing system, reducing document retrieval time and improving workflow.

Assistant

Brad Locket Forum Tailoring
11.2011 - 06.2015
  • Priced and displayed merchandise, increasing sales and customer engagement by 90%
  • Assisted with tailoring tasks, ensuring precision and client satisfaction
  • Managed daily operations including bookkeeping, inventory, sales, and vendor relations
  • Implemented stock management, reducing inventory discrepancies by 10%
  • Coordinated custom fittings, providing client satisfaction and driving repeat business.

Education

GED -

Mira Loma Christian School, Riverside, CA
02.2011

Skills

  • Communication Skills
  • Healthcare Systems Knowledge
  • Insurance Verification
  • Patient Education
  • Multitasking and Organization
  • Customer Service
  • Flexible Schedule
  • Payment Processing
  • Phone and Email Etiquette
  • Quality Assurance
  • Paging Systems
  • Referral Coordination
  • Patient Confidentiality and Data Security
  • Resolving Problems
  • Benefits Explanation
  • Claims Handling and Coverage Verification
  • Registration and Scheduling

Timeline

Patient Services Coordinator - Tential/Optum
11.2022 - 01.2024
Patient Scheduling Coordinator - Desert Radiology
07.2022 - 10.2022
Customer Service Representative - Everise/C3
09.2019 - 05.2022
Assistant - Steinberg Diagnostic
11.2016 - 08.2018
Assistant - Brad Locket Forum Tailoring
11.2011 - 06.2015
Mira Loma Christian School - GED,
Caressa Johnson