DEMETRICE JOHNSON
Houston,TX
Summary
Knowledgeable and dedicated professional with extensive experience. Solid collaborator with outgoing, positive demeanor and proven skills in establishing rapport with clients. Motivated to maintain customer satisfaction and contribute to company success.
Overview
11
11
years of professional experience
Work History
CLAIMS SPECIALIST
FOUNDEVER
04.2023 - 12.2024
- Communicating with insurance agents and beneficiaries
- Reviewing claim submissions and verifying the information
- Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
- Developed strong working relationships with external partners such as adjusters, legal counsel, and medical professionals to facilitate efficient claim resolution processes.
OUTREACH SPECIALIST
ACCOLADE
11.2021 - 02.2023
- Provided outstanding customer service, supported positive relationships with consumers by reaching out to offer assistance with benefit questions and getting them to utilize the extra benefits offered
- Increased community engagement by implementing targeted outreach strategies and regularly participating in relevant events.
- Recorded, transcribed and maintained confidential client information into applicant tracking system and database.
INTAKE COORDINATOR
St. Joseph Hospital
08.2015 - 10.2021
- Documented patients’ medical information, case history, and insurance details to facilitate smooth appointments and payment processing, answer phone calls
- Provided excellent customer service to patients, family members, and healthcare providers during the intake process.
- Maintained strict confidentiality of patient information, adhering to HIPAA guidelines and company policies.
- Collaborated with healthcare professionals to ensure patients received appropriate services and resources.
MENTAL HEALTH TECHNICIAN
St. Joseph Hospital
05.2014 - 08.2015
- Performed regular patient safety checks and documented results to establish well-being
- Provided crisis intervention and de-escalation techniques for patients experiencing emotional distress or exhibiting aggressive behaviors.
- Observed patient behaviors and mental status and notified RN of unusual or potentially dangerous occurrences.
Skills
- Ability to multi-task
- Documentation
- Meticulous
- Patient Rapport
- Medical Terminology
- Claims
- Written and Verbal Communication
- Critical Thinking
- Teamwork and Collaboration
- Active Listening
- Customer service optimization
- Product Upselling
- Interpersonal Skills
- Problem Resolution
- Calm and Professional Under Pressure
Timeline
CLAIMS SPECIALIST
FOUNDEVER
04.2023 - 12.2024
OUTREACH SPECIALIST
ACCOLADE
11.2021 - 02.2023
INTAKE COORDINATOR
St. Joseph Hospital
08.2015 - 10.2021
MENTAL HEALTH TECHNICIAN
St. Joseph Hospital
05.2014 - 08.2015
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