Casey Johnson
Orlando
Summary
Experienced Claims Insurance Specialist successful at managing high caseloads in fast-paced environments. Organized, driven and adaptable with excellent planning and problem-solving abilities. Offering over 10 years of experience and willingness to take on any challenge.
Overview
16
16
years of professional experience
Work History
Claims Benefit Specialist
CVS Aetna
03.2021 - Current
- Provide exceptional customer service by addressing client inquiries promptly and professionally.
- Enhance claim processing efficiency by streamlining workflows and implementing best practices.
- Maintains a high level of accuracy when inputting data into internal databases, ensuring all information was readily available for review by other team members as needed.
- Negotiates settlements on disputed claims, resulting in equitable resolutions for all parties involved.
Patient Service Representative
CVS Specialty Pharmacy
01.2020 - 03.2021
- Managed patient registration process, confirming data accuracy and completeness.
- Reviewed and corrected claim errors to facilitate smooth processing
- Generated monthly statements to check outstanding balances
- Provided exceptional customer service to patients, answering questions and addressing concerns.
Patient Service Representative
AETNA Specialty Pharmacy
01.2015 - 01.2020
- Provided patient with scheduled next appointment to maintain continuous care and facilitate treatment plan
- Demonstrated exceptional customer service to foster welcoming and professional environment for patients
- Communicated with physicians and insurance companies to obtain authorization
- Drove proactive patient outreach and follow-up on care and health maintenance
Patient Care Coordinator
CVS Caremark
01.2009 - 01.2012
- Collected patient demographics into database to establish patient's medical record
- Liaised with pharmaceutical representative to schedule appointments with physician
- Managed prescriptions accounts by submitting requests for new medications and refills
- Cross-trained to support team members with external partners
Education
Associate of Science - Social Work
Columbia College
Orlando, FLBachelor of Arts - Human Services
Columbia College
Orlando, FL06.2019
Skills
- Claims analysis
- Claim investigation
- Medical Insurance
- Patient Information Verification
- Billing Inquiries
- Medical Records Maintenance
Timeline
Claims Benefit Specialist
CVS Aetna
03.2021 - Current
Patient Service Representative
CVS Specialty Pharmacy
01.2020 - 03.2021
Patient Service Representative
AETNA Specialty Pharmacy
01.2015 - 01.2020
Patient Care Coordinator
CVS Caremark
01.2009 - 01.2012
Bachelor of Arts - Human Services
Columbia College
Associate of Science - Social Work
Columbia College
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