Summary
Overview
Work History
Education
Skills
Timeline
Generic

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
Orlando, FL
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
Orlando, FL
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
Orlando, FL
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
Orlando, FL
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, FL

Bachelor of Arts - Human Services

Columbia College
Orlando, FL
06.2019

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
Casey Johnson