Destinee Johnson
Tampa,FL
Summary
Experienced in the field of medical claims management. Possess thorough understanding and knowledge of health insurance policies, coding, billing procedures and compliance regulations. Strengths include efficiency in reviewing, analyzing and managing medical claims with accuracy. Notable impact made by reducing errors, streamlining processes and improving overall operational efficiency at previous employment.
Overview
7
7
years of professional experience
Work History
Customer Service Representative
Epiq Global
Tampa, FL
04.2024 - Current
- Answered customer inquiries and provided accurate information regarding products and services from Wells Fargo.
- Provided excellent customer service to resolve customer complaints in a timely manner.
- De-escalated problematic customer concerns, maintaining calm, friendly demeanor.
- Used approved scripts to de-escalate angry customers during telephone interactions.
- Kept records of customer interactions or transactions, thoroughly recording details of inquiries.
- Adjusted bills and refunded money to resolve customers' service or billing complaints.
Durable Medical Equipment Representative
Maximus Federal
Riverview, FL
07.2022 - 04.2024
- Submitted and tracked medical claims to insurance companies via electronic or paper methods on behalf of Medicare.
- Verified patient eligibility for medical claims and determined benefit coverage.
- Maintained accurate records of all claim activities for audit purposes.
- Processed appeals on rejected or partially paid claims, including filing additional paperwork as needed.
- Adhered to HIPAA regulations while managing confidential patient information.
- Reviewed denials, rejections, and underpayments from insurance carriers.
- Reviewed claims for accuracy before submitting for billing.
- Accurately processed large volume of medical claims every shift.
- Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
- Assisted claimants, providers and clients with problems or questions regarding claims.
Outbound Sales Representative
InfoCision
Ocala, FL
08.2021 - 08.2022
- Generated high quality sales leads through effective research methods for Sirius XM and Cox Communications.
- Achieved monthly sales targets set by management team.
- Monitored customer feedback regarding product performance and made appropriate adjustments accordingly.
- Processed orders, forms, applications and requests.
- Assisted with placement of orders, refunds, exchanges, cancellations.
- Performed follow-up calls to confirm satisfaction with products and services provided.
Summer Marketing Intern
Dellutri Law Firm
Tampa, FL
05.2018 - 08.2018
- Prepared weekly reports on marketing campaigns and presented findings to senior management team.
- Developed content for social media platforms, including blog posts and graphics.
- Assisted with the development of promotional materials such as brochures, flyers, and website content.
- Managed customer inquiries via phone and email, providing timely responses to ensure customer satisfaction.
Education
High School Diploma -
Spoto High School
Riverview, FL05-2017
Associate of Science -
Hillsborough Community College
Tampa, FLSkills
- Data Collection
- Account updating
- Consultative Sales
- Data Entry
- Complaint resolution
- Call Management
- Claims Processing
- Insurance Verification
- HIPAA knowledge
- Medical record review
- Customer Service
- Proficiency in all Microsoft Applications
Timeline
Customer Service Representative
Epiq Global
04.2024 - Current
Durable Medical Equipment Representative
Maximus Federal
07.2022 - 04.2024
Outbound Sales Representative
InfoCision
08.2021 - 08.2022
Summer Marketing Intern
Dellutri Law Firm
05.2018 - 08.2018
High School Diploma -
Spoto High School
Associate of Science -
Hillsborough Community College
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