Ebony Johnson
Cameron,NC
Summary
Organized Bookkeeper proficient in QuickBooks and Adobe software. Executed bookkeeping tasks for large corporations and excelled at quickly learning new accounting methods and procedures. Excellent accounting skills and attention to detail leading to decreased loss of revenue.
Overview
7
7
years of professional experience
Work History
Substitute Teacher K-12
ESS
03.2023 - Current
- Maintained day-to-day classroom management and discipline to promote learning initiatives for 30+ students
- Provided instruction for students in core subject areas
- Upheld classroom routines to support student environments and maintain consistent schedules
- Supervised lunchroom and recess activities
- Kept students on-task with proactive behavior modification and positive reinforcement strategies
- Adapted lesson plans and student activities to meet needs of students with special learning needs.
- Followed classroom plans left by class teacher to continue student education and reinforce core concepts
Customer Service Representative
ShareCare
09.2022 - 02.2023
- Provided primary customer support to internal and external customers
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns
- Answered customer telephone calls promptly to avoid on-hold wait times
- Collected and analyzed customer information to prepare product or service reports
- Used company troubleshooting resolution trees to evaluate technical problems and find appropriate solutions
- Updated account information to maintain customer records
- Clarified customer issues and determined the root cause of problems to resolve product or service complaints.
Prior Authorization Specialist
Blue Cross and Blue Shield
11.2021 - 09.2022
- Explained eligibility requirements, application details, payment methods and applicants' legal rights during intake assessment
- Worked with clinical and operations teams to facilitate client placement and obtain appropriate services for clients
- Determined eligibility for counseling and referral for over 65 clients daily
- Input all patient data regarding claims and prior authorizations into the system accurately
- Verified eligibility and compliance with authorization requirements for service providers
- Triaged unscheduled and emergency authorizations, directing submissions to appropriate personnel for rapid response
- Used computer-aided guidance packages such as skills assessment tools, career planners, psychometric tests and personal inventories to assist clients in determining strengths and weaknesses.
Reimbursement Specialist
Trial Card
07.2018 - 07.2021
- Used dynamic communication, effective leadership and problem-resolution skills to liaise between management, clinical staff and patients
- Provided accurate information to all parties, including patients, insurance providers, healthcare staff and office personnel by using effective written and verbal communication skills
- Contacted insurance companies to obtain the necessary preauthorizations needed for upcoming tests and procedures
- Determine which party would be liable for payment of medical services by thoroughly reviewing patient insurance coverage
- Identified reasons behind denied claims and worked closely with insurance carriers to promote resolutions
- Used Salesforce to input claims, prior authorization and other important medical data into the system
- Partner with a patient care coordinator to serve as an advocate to patients and health care professionals regarding insurance coverage, medical billing, reimbursement process, and general access for complex pharmaceuticals
- Follow program guidelines and deescalate complex cases according to program policy and procedures
- As a program's 'eyes and ears', works with the Program Manager, and Client on a day-to-day basis to maintain open lines of communication and share awareness regarding therapy access restrictions, policy changes and other changes in the reimbursement landscape.
Bookkeeper
Lowes Hardware
03.2017 - 04.2019
- Maintained and processed invoices, deposits, and money logs.
- Tracked expenses and income for businesses while organizing and maintaining bank statements for checking accounts.
- Reviewed and filed financial documents, coded accounting entries for data processing, and posted daily receipts and payments in accordance with all corporate protocols.
- Established QuickBooks accounting system to reflect accurate financial records.
Insurance Resolution Specialist
Patient Financial Services
09.2017 - 07.2018
- Assist 50-100 Texas base providers by resolving open account balances
- Analyzed claims to determine ICD-10 coding errors
- Improve and maintain client/member relations by implementing HIPAA and excellent customer service
- Demonstrated strong conflict/resolutions skills when contacting insurance companies to verify the patient's medical coverage
- Determine which party would be liable for payment of medical services
- Coordinated directly with Commercial, Private and Government insurances to determine claim processing requirements
- Review and Edit an average of 65+ claims per day.
Education
Bachelor of Business Administration -
North Carolina Central University
Durham, NC06.2025
High School Diploma -
Lee County High School
Sanford, NC06.2014
Skills
- Seasoned conflict and resolution skills
- Skilled Collaborator
- Rapid and Adaptive
- Effective Cross Functional Communicator
- Solutions Oriented Professional
- High Achiever
- Data Entry
- Bookkeeping Software
Timeline
Substitute Teacher K-12
ESS
03.2023 - Current
Customer Service Representative
ShareCare
09.2022 - 02.2023
Prior Authorization Specialist
Blue Cross and Blue Shield
11.2021 - 09.2022
Reimbursement Specialist
Trial Card
07.2018 - 07.2021
Insurance Resolution Specialist
Patient Financial Services
09.2017 - 07.2018
Bookkeeper
Lowes Hardware
03.2017 - 04.2019
Bachelor of Business Administration -
North Carolina Central University
High School Diploma -
Lee County High School
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