Summary
Overview
Work History
Education
Skills
Additional Information
Timeline
Generic

JOHNITA GRIFFITH

Hot Springs,AR

Summary

Hardworking and passionate job seeker with strong organizational skills eager to secure the medical claims job. Ready to help team achieve company goals. Clerk ll with vast knowledge of medical terminology and infection control standards. Expertise in developmental factors specific to medical claims. Proficient and caring team member offering outstanding customer and provider experience. Adept at addressing customer and provider needs with compassionate care and attention to detail. Diligent about maximizing satisfaction, safety and wellness while serving everyone of all backgrounds. Compassionate individual with established experience providing support to students. Demonstrated ability to create lesson plans and assess student progress. Enthusiastic employee with experience assisting teachers and providing instruction to students. Monitors student progress and provides guidance and support to teachers. Highly motivated team player with passion for helping others. Possesses excellent organizational and communication skills and provides individualized assistance and support. Experienced in delivering guidance and education on various topics such as academics, behavior management and technology. Demonstrated ability to foster positive relationships with students, parents and colleagues. Committed to providing culturally responsive support, meeting diverse needs of students. Patient demeanor creates environment where students feel comfortable asking questions while learning new concepts. Experienced professional committed to providing students with tools and resources to succeed academically. Highly organized and detail-oriented with passion for helping children reach academic goals. Enthusiastic employee experienced in providing staff support in educational or childcare environments. Worked with children individually and in small groups while providing basic reading, writing and math instruction and other education-related activities as assigned. Goal-oriented Para caring with students of different learning levels and backgrounds. Always ready to step in and positively impact student learning or teacher wellbeing with timely support. Reliable in maintaining orderly spaces and preparing daily materials. Enthusiastic Para, experienced in providing staff support in educational or childcare environments. Worked with children individually and in small groups while providing basic reading, writing and math instruction and other education-related activities as assigned. Enthusiastic Para, experienced in providing staff support in educational or childcare environments. Worked with children individually and in small groups while providing basic reading, writing and math instruction and other education-related activities as assigned. Goal-oriented para caring with students of different learning levels and backgrounds. Always ready to step in and positively impact student learning or teacher wellbeing with timely support. Reliable in maintaining orderly spaces and preparing daily materials. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level para professional position. Ready to help team achieve company goals. Dedicated administrative professional with successful experience in fast-paced office settings. Hardworking team player with expertise in completing various clerical tasks and offering staff support. Responsible, punctual and productive professional when working with little to no supervision. Proven track record of maintaining efficient office operations. Expertise in scheduling and coordinating meetings, managing travel and expense reports, and transcribing minutes. Highly efficient clerk well established in fast-paced and challenging environments. Eager to learn with aptitude for applying new knowledge with skill and efficiency. Highly efficient clerk well established in fast-paced and challenging environments. Eager to learn with aptitude for applying new knowledge with skill and efficiency. Professional and knowledgeable office clerk offering several years of experience in administrative support and customer service. Highly efficient planning, problem-solving, and communication skills. Resourceful and experienced worker offering expertise in customer service, travel coordination and file management. Detail-oriented team player with strong organizational skills. Handles multiple projects simultaneously with a high degree of accuracy. Experienced Clerk with exceptional typing and data entry abilities and results-driven nature. Knowledgeable about logging daily information, researching variances and maintaining thorough records. Accuracy-driven, service-oriented and diligent about completing tasks with little supervision. Caring healthcare aide with 10 years providing in-home care to over 30 patients. Detailed when reviewing instructions and medical charts to appropriately administer medications and treatments. Upbeat when entering patients' homes and throughout interactions for professional and personalized care services. Devoted care giver, providing exemplary service to individuals in residential care environments with utmost respect and consideration. Supportive care professional, monitoring client behaviors and encouraging participation in healthy activities as noted within care plan. Deliberate role model, demonstrating healthy behavior for daily living and social interactions. Dependable employee establishes rapport and trust with patients and helps complete daily living tasks to enhance quality of life. Driven to prioritize individual needs with attention to important details. Valued as accommodating, kind-hearted team player dedicated to expanding knowledge and responsibilities. Compassionate care giver assists elderly or disabled clients and patients from hospices or recovery centers. Observes and reports on patient status, cleans and organizes living quarters and provides companionship. Demonstrated knowledge of vital sign reading and proper aseptic and infection control policies. Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level care giver position. Ready to help team achieve company goals. Tactful Claims Specialist with expertise in settlement preparation, claims processing and appeal filing. Diplomatic and personable professional accustomed to handling sensitive, confidential information and investigating complex liability claims. Committed to maintaining customer satisfaction and contributing to company success. Pragmatic Insurance Verification Specialist touting 4 years of expertise in benefits explanation and coverage tracking. A team player with a vast knowledge of medical terms and working with all types of personalities effectively. Offering dynamic organizational skills and attention to detail. Highly trained professional with a background in verifying insurance benefits and creating appropriate patient documentation. An established Insurance Verification Specialist known for handling various office tasks with undeniable ease. Enthusiastic specialists examines claims, negotiates and processes settlements and verifies insurance coverage. Attentive team player consistently treats clients fairly and equitably. Motivated to succeed in fast-paced and deadline-driven professional environment.

Overview

10
10
years of professional experience

Work History

Care Coordinator

Home Instead Senior Care Home
06.2024 - Current
  • Used company software and databases to maintain records of services performed and patient conditions.
  • Managed patient caseloads effectively, ensuring timely follow-up and appropriate interventions.
  • Developed strong relationships with community partners, facilitating referrals and collaboration on behalf of patients.
  • Conducted regular evaluations of care plan effectiveness, making necessary adjustments based on feedback from patients and providers.
  • Built strong relationships with clients to deliver emotional support and companionship.
  • Maintained accurate and up-to-date documentation of patient records in accordance with HIPAA regulations.

Paraprofessional

Nichols Intermediate
01.2024 - Current
  • Oversaw students in classroom and common areas to monitor, enforce rules, and support lead teacher.
  • Promoted a respectful classroom culture by modeling appropriate behavior and reinforcing positive interactions among peers.
  • Supported special education teachers in implementing accommodations and modifications for students with diverse learning needs.
  • Strengthened student literacy skills through targeted reading intervention programs tailored to individual needs.
  • Oversaw groups of students at school and off-site locations, maintaining optimal safety, and security.
  • Relieved classroom teacher during breaks and maintained order and structure in classroom.
  • Assisted in the collection and analysis of data on student performance, contributing to ongoing progress monitoring efforts.
  • Organized and led practice, research and lab assignments.
  • Assisted classroom teacher in supervising snack time and indoor and outdoor play.
  • Helped teacher prepare instructional material and displays.
  • Utilized answer sheets and electronic marking devices to grade homework and tests, accurately computing and recording results.
  • Coordinated with multidisciplinary teams to evaluate student progress and adjust instructional strategies as needed.
  • Fostered a positive learning environment by establishing strong rapport with students, parents, and faculty members.
  • Assisted in the administration of standardized testing, ensuring accurate assessment of student performance levels.
  • Enhanced student support by delivering one-on-one and small group assistance in various subjects.
  • Enforced rules and instructions to maintain discipline.
  • Learned and adapted quickly to new technology and software applications.
  • Used strong analytical and problem-solving skills to develop effective solutions for challenging situations.
  • Provided professional services and support in a dynamic work environment.
  • Demonstrated strong organizational and time management skills while managing multiple projects.
  • Cultivated interpersonal skills by building positive relationships with others.
  • Used critical thinking to break down problems, evaluate solutions and make decisions.
  • Demonstrated a high level of initiative and creativity while tackling difficult tasks.
  • Paid attention to detail while completing assignments.
  • Identified issues, analyzed information and provided solutions to problems.
  • Worked effectively in fast-paced environments.
  • Demonstrated creativity and resourcefulness through the development of innovative solutions.
  • Worked flexible hours across night, weekend, and holiday shifts.
  • Acted as a team leader in group projects, delegating tasks and providing feedback.
  • Gained strong leadership skills by managing projects from start to finish.
  • Delivered services to customer locations within specific timeframes.
  • Resolved problems, improved operations and provided exceptional service.
  • Passionate about learning and committed to continual improvement.
  • Demonstrated respect, friendliness and willingness to help wherever needed.
  • Exercised leadership capabilities by successfully motivating and inspiring others.
  • Skilled at working independently and collaboratively in a team environment.
  • Prepared reports and maintained administrative records.
  • Assisted students in developing deeper understanding of course concepts by providing one-on-one support.
  • Monitored students in computer lab to enforce proper use of resources.
  • Facilitated communication between general education and special education staff, promoting effective collaboration on behalf of students'' best interests.
  • Graded and provided feedback on assignments.
  • Supervised students on field trips for safety and proper behavior in public settings.
  • Prepared instruction materials, constructed bulletin boards, and set up work areas.
  • Took part in professional development workshops to boost skills.
  • Assisted teachers in the development of engaging lesson materials aligned with curriculum standards for various subject areas.
  • Provided valuable feedback on instructional practices, contributing to continuous improvement efforts within the school community.
  • Tailored lesson plans for students with emotional and cognitive disabilities.
  • Demonstrated specific skills and activities for students to improve understanding and take excess workload off teachers.
  • Cleaned, organized and restocked classrooms for upcoming classes.
  • Supported school initiatives by participating in professional development opportunities and collaborating with colleagues on best practices for student growth and achievement.
  • Monitored students on field trips, handling roll call, and group movement to keep youths safe in public settings.
  • Planned and prepared bibliographies, charts and graphs.
  • Collaborated with parents and guardians to increase support and provide best learning environment.
  • Contributed to increased student retention by providing academic support and mentoring during after-school programs.
  • Supervised students during non-instructional periods such as lunch, recess, or field trips, ensuring safety at all times.
  • Stepped into non-classroom environments such as libraries to help staff manage demand.
  • Administered tests and assessments to evaluate student progress and performance.
  • Collaborated with teachers to develop and implement individualized education plans for students with special needs.
  • Enhanced classroom efficiency through organizing instructional materials, managing daily schedules, and preparing resources for lessons as needed.
  • Implemented behavior management techniques effectively to maintain a structured learning environment conducive to student success.
  • Assisted in maintaining engaging and respectful educational environment by promoting discipline and cooperation.
  • Improved classroom management by assisting teachers with behavioral interventions and monitoring student progress.
  • Maintained and operated classroom equipment to maximize use and lifespan.
  • Helped teachers manage bus loading and unloading.
  • Conducted weekly review sessions to help students prepare for exams.
  • Developed and implemented strategies to improve student engagement.
  • Assisted with school field trips and special events by collecting permission slips and payments.
  • Kept classrooms clean, neat, and properly sanitized for student health and classroom efficiency.
  • Delivered personalized educational, behavioral, and emotional support to individual students to enable positive learning outcomes.
  • Collaborated with instructors to develop engaging lesson plans.
  • Ensured compliance with state regulations by maintaining thorough documentation of services provided to students with disabilities.
  • Reported on student progress, behavior, and social skills to parents.
  • Increased parent engagement in their children''s education by participating in parent-teacher conferences and providing regular updates on student progress.
  • Developed and delivered presentations on course topics.

Caregiver, Special Needs

EAK Good Neighbor
03.2019 - Current
  • Enhanced the quality of life for special needs individuals by providing personalized care and attention.
  • Maintained confidentiality and privacy to protect individual's rights and well-being.
  • Provided personal care to maintain hygiene and prevent health problems.
  • Arranged transportation and accompanied patients to doctors' offices and errands.
  • Offered support to assist with supervising special needs individuals in home.
  • Maintained entire family's schedule and organized events.
  • Maintained strong connections within caregiver community to gain continuous knowledge.
  • Cooked meals and assisted patients with eating tasks to support healthy nutrition.
  • Engaged individuals in recreational and leisure activities to promote socialization and improve quality of life.
  • Offered respite care for families to support well-being and prevent burnout.
  • Handled incoming mail, bills and invoices and completed appropriate actions.
  • Evaluated client progress toward established annual and quarterly goals.
  • Maintained detailed records of clients'' progress towards personal goals, sharing updates regularly with families and healthcare teams.
  • Implemented behavior modification techniques to address challenging behaviors while maintaining respect for each individual''s unique needs.
  • Participated in ongoing professional development opportunities to stay current on best practices for supporting the specific needs of each client population served.
  • Served as a reliable resource for families in navigating community support services and resources relevant to their loved one''s unique needs.
  • Prepared meals and snacks and fed clients.
  • Kept complete and accurate records, documenting care and patient progress.
  • Liaised with key accounts to deliver targeted administrative household support.
  • Provided assistance to individuals with disabilities by helping with activities of daily living.
  • Supported clients'' educational goals through active participation in school activities and events.
  • Encouraged overall wellness through engaging exercise routines tailored to each client''s abilities and interests.
  • Administered medication to manage symptoms and promote healing.
  • Provided compassionate care for special needs clients, ensuring their comfort and dignity at all times.
  • Assisted with daily living activities, running errands, and household chores.
  • Helped with home management tasks, meal preparation, grocery shopping, and routine cleaning.
  • Improved clients'' communication skills through tailored speech therapy exercises and activities.
  • Ensured timely administration of medications and treatments as prescribed by medical professionals.
  • Guided patients to restroom to support bladder and bowel relief requirements.
  • Facilitated socialization opportunities for special needs individuals, promoting inclusion within the community.
  • Assisted patients with bathing, grooming, dressing, and oral hygiene care both in private residences and facilities.
  • Effectively collaborated with healthcare professionals to develop appropriate care plans for each client.
  • Assisted clients with daily living needs to maintain self-esteem and general wellness.
  • Supported daily hygiene needs of patients by assisting with bathing, dressing, dental care and personal grooming.
  • Identified needs and coordinated plans for travel and out-of-town functions.
  • Maintained disposition and personality to work harmoniously with wide variety of people and families.
  • Transported clients to and from medical appointments with safety and efficiency.
  • Developed strong relationships with clients and families, fostering trust and open communication regarding care plans.
  • Built and maintained rapport with clients and family members to facilitate trusting caregiver relationship.
  • Transported individuals to appointments and activities to facilitate access to healthcare and community engagement.
  • Prepared meals and snacks to provide proper nutrition and hydration.
  • Maintained clean and safe environment to prevent accidents and promote health.
  • Laundered items, changed sheets and made bed to keep patients' bedroom clean.
  • Communicated well both verbally and in writing with clients, guardians, and medical professionals.
  • Scheduled daily and weekly care hours for client caseload.
  • Monitored clients' overall health and well-being and noted significant changes.
  • Provided staff coaching, mentoring, and consultation to enhance performance and professional development.
  • Promoted a safe, nurturing environment by diligently monitoring clients'' health and wellbeing.
  • Recorded status and duties completed in logbooks for management.
  • Completed regular check-ins and progress report for each client.
  • Implemented physical therapy to support patient improvement in muscle tone, range of motion and injury recovery.
  • Increased client''s independence with consistent skill-building exercises and positive reinforcement.
  • Worked with individuals with special needs to increase social skills and independence.
  • Provided transportation to appointments, outings, or activities as needed, ensuring the safety of special needs individuals at all times.
  • Kept clients engaged in social networks and communities for personal health and growth.
  • Entrusted to handle confidential and sensitive situations in professional matter.
  • Assisted with financial and household management to enhance stability and security.
  • Developed strong crisis management skills, working proactively to diffuse challenging situations and maintain a calm, supportive environment for special needs individuals.
  • Assisted clients in achieving their daily goals by offering physical support and emotional encouragement.
  • Recorded patients' pulse, blood pressure and respirations (TPRs) to assess and document important health information.
  • Provided compassionate and patient-focused care to cultivate well-being.
  • Replaced bandages, dressings, and binders to care for wounds and encourage healing.
  • Provided emotional support to enhance well-being and coping skills.
  • Passionate about learning and committed to continual improvement.
  • Resolved problems, improved operations and provided exceptional service.
  • Gained extensive knowledge in data entry, analysis and reporting.
  • Adaptable and proficient in learning new concepts quickly and efficiently.
  • Exercised leadership capabilities by successfully motivating and inspiring others.
  • Proved successful working within tight deadlines and a fast-paced environment.
  • Applied effective time management techniques to meet tight deadlines.
  • Developed strong organizational and communication skills through coursework and volunteer activities.
  • Demonstrated strong organizational and time management skills while managing multiple projects.
  • Learned and adapted quickly to new technology and software applications.
  • Demonstrated a high level of initiative and creativity while tackling difficult tasks.
  • Worked well in a team setting, providing support and guidance.
  • Participated in team projects, demonstrating an ability to work collaboratively and effectively.
  • Proven ability to develop and implement creative solutions to complex problems.
  • Excellent communication skills, both verbal and written.
  • Demonstrated creativity and resourcefulness through the development of innovative solutions.
  • Managed time efficiently in order to complete all tasks within deadlines.
  • Delivered services to customer locations within specific timeframes.
  • Gained strong leadership skills by managing projects from start to finish.
  • Used strong analytical and problem-solving skills to develop effective solutions for challenging situations.

Clerk ll

Rusk State Hospital
07.2022 - 12.2024
  • Recognize, document, and alert appropriate supervisor of trends in claim.
  • Performs self-quality monitoring in order to develop and execute plans to meet established goals & meet established turnaround time and accuracy metrics
  • Provides ongoing feedback to help optimize quality performance
  • Collaborates with others and cross-departmentally to improve or streamline procedures
  • Audit charts daily
  • Create patient rosters, Make Timesheets Etc.
  • I work microsoft word, excel, outlook, teams, spreadsheet and powerpoint, as well as computer, phone, printer, fax, scan, webcam.
  • Monitored and tracked budgets and expenses.
  • Provided quality clerical support through data entry, document management, email correspondence, and overseeing operation of office equipment.
  • Strengthened relationships with vendors by maintaining open lines of communication and addressing concerns promptly.
  • Processed documents and materials to disseminate information to appropriate parties.
  • Maintained filing system and organized customer documents for easy retrieval of information.
  • Reduced errors in data entry by carefully inputting information into computer systems with attention to detail.
  • Managed calendars and scheduled appointments to maintain smooth flow of operations.
  • Processed mail accurately and efficiently, ensuring that all correspondence was distributed to correct recipients in timely manner.
  • Improved customer satisfaction by promptly answering inquiries and providing accurate information.
  • Managed incoming calls professionally, directing callers to appropriate personnel or taking detailed messages when necessary.
  • Created and maintained detailed records of all office activities.
  • Edited and proofread documents for accuracy and completeness.
  • Answered and managed incoming and outgoing calls while recording accurate messages for distribution to office staff.
  • Contributed successes of projects by conducting thorough research and compiling relevant information for use by team members.
  • Input data into spreadsheets and databases.
  • Compiled and analyzed data to produce reports.
  • Supported staff on special assignments and ad hoc projects.
  • Promptly received and forwarded incoming communications, such as phone calls, emails, and letters, to appropriate staff.
  • Booked and prepared meeting rooms, making arrangements for availability of refreshments.
  • Assisted with onboarding of new employees.
  • Fostered operational efficiency and compliance with company policies through effective coordination of office activities.
  • Processed incoming and outgoing mail and packages according to established procedures.
  • Reviewed files, records and other documents to obtain information to respond to requests.
  • Informed and supported business leaders through consistent communication and administrative support duties.
  • Verified transactions, product orders and shipping dates and entered information into databases and reports.
  • Increased efficiency by streamlining filing systems and organizing important documents.
  • Utilized office management software to record and track customer information.
  • Ensured confidentiality of sensitive documents through proper storage methods and restricted access control implementation.
  • Supported event planning initiatives through venue sourcing, material preparation and logistics coordination resulting in successful gatherings.
  • Assisted HR department in recruiting process by reviewing resumes and scheduling interviews leading to an improved talent pool.
  • Purchased and maintained office supplies.
  • Assisted in financial tasks such as invoicing, budget tracking, and expense report processing for optimal fiscal management.
  • Provided meeting support by taking minutes and dictations.
  • Utilized strong multitasking skills to manage multiple priorities and tasks, ensuring timely completion of each assignment.
  • Enhanced office organization with regular maintenance of files, records, and supplies inventory.
  • Trained new clerks on company procedures and software tools effectively contributing to their integration teams.
  • Managed incoming correspondence to enhance employee performance and reduce time spent on processing and responding.
  • Provided support for meetings by scheduling appointments, preparing materials, and taking detailed minutes.
  • Interacted with customers by phone, email, or in-person to provide information.
  • Produced high-quality communications for internal and external use.
  • Drove customer loyalty and consistent sales through friendly service and knowledgeable assistance.
  • Monitored office supplies and made arrangements for restocking of low-stock items.
  • Facilitated communication between departments through prompt forwarding of messages and coordination of inter-departmental meetings.
  • Maintains professional atmosphere within office setting through effective communication skills and polished presentation abilities.
  • Coordinated travel arrangements for staff members.
  • Supported administrative staff with timely completion of daily tasks, ensuring smooth office operations.
  • Coordinated and scheduled meetings and appointments.
  • Edited documents to keep company materials free of grammar errors.
  • Organized and detail-oriented with a strong work ethic.
  • Kept office supplies well organized and sufficiently stocked, placing orders promptly to replenish materials before depleted.
  • Skilled at working independently and collaboratively in a team environment.
  • Worked well team setting, providing support and guidance.
  • Excellent communication skills, both verbal and written.
  • Worked effectively in fast-paced environments.
  • Self-motivated, with strong sense of personal responsibility.
  • Acted as team leaders in group projects, delegating tasks and providing feedback.
  • Developed strong organizational and communication skills through coursework and volunteer activities.
  • Developed and maintained courteous and effective working relationships.
  • Strengthened communication skills through regular interactions with others.
  • Used critical thinking to break down problems, evaluate solutions and make decisions.
  • Passionate about learning and committed to continual improvement.
  • Demonstrated strong organizational and time management skills while managing multiple projects.
  • Managed time efficiently in order to complete all tasks within deadlines.
  • Applied effective time management techniques to meet tight deadlines.
  • Exercised leadership capabilities by successfully motivating and inspiring others.
  • Routed business correspondence, documents, and messages to correct departments and staff members.
  • Managed tax drawers, resolved variances and filed company receipts.
  • Issued invoices and followed up on outstanding payments to remind clients to pay on time.
  • Made travel arrangements for other employees' business trips, negotiating fair prices on behalf of company.
  • Coordinated travel arrangements for colleagues, including booking flights, hotels, transportation services for seamless business trips.

Customer Service Claims Specialist

Convergys
01.2015 - 07.2022
  • Review medical stop loss claim submissions
  • Audit claims against plan document, stop loss contract, and carrier standard
  • Facilitate financing of approved claims with finance
  • Pend claims and issue denials to third party administrator where appropriate
  • Elevate complex claim issues for clinician or management review
  • Properly documents claim file
  • Also not limited too auditing patient claims and talking to providers
  • Dealing with their anthem insurance as well as blue cross and blue shield
  • Compile periodic reporting for internal and external parties and advise on claim projections and development
  • I used anthem, citrix, microsoft word, excel, spreadsheet, outlook and teams
  • I also have used avatar.
  • Streamlined claims process for clients with proactive case management, regular updates, and prompt resolution.
  • Generated, posted and attached information to claim files.
  • Reviewed new files to determine current status of injury claim and to develop plan of action.
  • Drafted and reviewed legal documents utilizing knowledge of relevant clauses to minimize incurred liability.
  • Provided advice to customers regarding claims, rights and insurance processes to prevent disputes.
  • Responded to inquiries by answering questions, providing information and directing customers to appropriate resources.
  • Communicated effectively with staff members of operations, finance and clinical departments.
  • Reduced claim processing errors by conducting thorough investigations and accurately interpreting policy details.
  • Conducted full claim investigations and reported updates and legal actions.
  • Calculated adjustments, premiums and refunds.
  • Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
  • Modified, updated and processed existing policies.
  • Collaborated with cross-functional teams to optimize claims handling procedures, resulting in improved productivity.
  • Optimized work processes within the team by sharing best practices for evaluating evidence, validating coverage eligibility, and determining loss values.
  • Assured timely verification of insurance benefits prior to patient procedures or appointments.
  • Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.
  • Monitored compliance with regulations and industry best practices to promote fair and proper treatment for insured customers.
  • Handled high-pressure situations with professionalism and composure, consistently achieving positive outcomes for both clients and the organization.
  • Upheld company reputation by adhering strictly to ethical guidelines when managing sensitive cases, ensuring fair and impartial treatment for all parties involved.
  • Utilized appropriate cost containment techniques to reduce overall claim costs.
  • Developed strong working relationships with external partners such as adjusters, legal counsel, and medical professionals to facilitate efficient claim resolution processes.
  • Improved claim processing efficiency by streamlining workflows and implementing time-saving strategies.
  • Escalated files with significant indemnity exposure to supervisor for further investigation.
  • Enhanced customer satisfaction with timely communication, empathy, and clear explanations of claim outcomes.
  • Coordinated with contracting department to resolve payer issues.
  • Performed administrative duties by verifying documentation, researching facts and contacting other parties involved to determine fault percentages and minimize potential losses.
  • Maintained confidentiality of patient finances, records, and health statuses.
  • Spearheaded internal process improvement initiatives to optimize claims handling procedures, resulting in cost savings and increased efficiency.
  • Processed and recorded new policies and claims.
  • Identified fraudulent claims through diligent investigation and collaboration with law enforcement agencies when necessary.
  • Collaborated closely with underwriting teams to ensure appropriate risk assessment measures were applied during policy issuance.
  • Conducted thorough analysis of complex data sets for accurate valuation of losses in order to settle claims fairly.
  • Maintained accurate records by diligently updating claim files and ensuring all required documentation was submitted in a timely manner.
  • Settled complex claims fairly by applying critical thinking, negotiation skills, and detailed knowledge of insurance policies.
  • Reviewed outstanding requests and redirected workloads to complete projects on time.
  • Resolved problems, improved operations and provided exceptional service.
  • Demonstrated leadership skills in managing projects from concept to completion.
  • Learned and adapted quickly to new technology and software applications.
  • Worked flexible hours across night, weekend, and holiday shifts.
  • Provided professional services and support in a dynamic work environment.
  • Adaptable and proficient in learning new concepts quickly and efficiently.
  • Paid attention to detail while completing assignments.
  • Proven ability to develop and implement creative solutions to complex problems.
  • Acted as a team leader in group projects, delegating tasks and providing feedback.
  • Used strong analytical and problem-solving skills to develop effective solutions for challenging situations.
  • Gained strong leadership skills by managing projects from start to finish.
  • Self-motivated, with a strong sense of personal responsibility.
  • Excellent communication skills, both verbal and written.
  • Gained extensive knowledge in data entry, analysis and reporting.
  • Demonstrated a high level of initiative and creativity while tackling difficult tasks.
  • Passionate about learning and committed to continual improvement.
  • Negotiated with other involved parties to arrange settlements for maximum results.
  • Conducted risk evaluations on claims settlement proposals to encourage sound decision-making regarding settlement offers.
  • Made contact with insurance carriers to discuss policies and individual patient benefits.
  • Posted payments to accounts and maintained records.
  • Delivered comprehensive training sessions for new hires on claims handling procedures, policy interpretation basics, negotiation techniques, and other core competencies related to the role of a Claims Specialist.
  • Collaborated with legal counsel to make organizational claims decisions aligning with governing laws.
  • Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
  • Provided exceptional customer service during stressful situations by offering empathy and support while resolving issues efficiently.
  • Checked documentation for accuracy and validity on updated systems.
  • Maintained strong knowledge of basic medical terminology to better understand services and procedures.
  • Notified insurance agents and accounting departments of policy cancellations and changes.
  • Reviewed insurance and claims documents to verify required information and secure any missing data for settlements.
  • Verified client information by analyzing existing evidence on file.
  • Understood requirements for disputes, gathered evidence to support claims and prepared customer cases to handle appeals.
  • Demonstrated adaptability by successfully managing a diverse range of claim types, including property damage, bodily injury, liability disputes, and more.
  • Achieved performance targets consistently through attention to detail, effective time management, and strong decision-making abilities.
  • Followed up with customers on unresolved issues.
  • Prepared insurance claim forms or related documents and reviewed for completeness.
  • Communicated verification and authorization status updates with [Type] department to facilitate decision-making for patient admissions and insurance coverage.
  • Determined appropriateness of payers to protect organization and minimize risk.
  • Collected premiums and issued accurate receipts.
  • Exercised leadership capabilities by successfully motivating and inspiring others.
  • Developed strong organizational and communication skills through coursework and volunteer activities.
  • Demonstrated strong organizational and time management skills while managing multiple projects.
  • Managed time efficiently in order to complete all tasks within deadlines.

Transportation Assistant

EAK Good Neighbor
03.2017 - 03.2019
  • Negotiated contracts with carriers for favorable shipping rates that led to significant cost savings within the department budget allocation.
  • Maintained detailed records of vehicle inspections and maintenance, contributing to a safe working environment.
  • Responded to transportation questions and requests for information from children and parents.
  • Explained rules to passengers and helped correctly transfer between lines.
  • Partnered with transportation operators to keep bus routes moving on time.
  • Managed [Type] schedules to keep operations efficient and compliant.
  • Enhanced transportation efficiency by streamlining route planning and scheduling processes.
  • Provided customers with information on routes, timetables or concourses.
  • Guided and directed passengers during emergency situations to minimize impact of event and protect passengers and crew members.
  • Improved passenger comfort by distributing pillows and other items and managing noise environment.
  • Ensured compliance with federal regulations regarding weight limits, hours of service, and other safety protocol requirements for all drivers.
  • Collaborated with managers and other assistants to formulate and implement policies, procedures and objectives.
  • Promoted safe work practices to prevent incidents adhere to [Type] requirements.
  • Served passengers food and beverages and dispensed items for comfort and entertainment.
  • Provided boarding assistance to elderly, sick or injured people.
  • Coordinated schedules and communicated changes to customers.
  • Planned and oversaw [Type] transportation activities.
  • Assisted in the implementation of sustainable transportation practices – such as fuel-efficient vehicles and waste reduction measures – that both reduced costs and benefited the environment.
  • Checked on passengers regularly, verified compliance with safety requirements and identified assistance needs.
  • Researched and suggested cost-effective shipping methods.
  • Coordinated with warehouse workers on proper storage and distribution of products.
  • Multitasked effectively under high-pressure situations by managing multiple projects simultaneously without compromising attentiontodetail.
  • Managed fleet maintenance schedules proactively to minimize downtime and maintain optimal vehicle performance.
  • Assisted passengers needing medical assistance by performing CPR and basic first aid.
  • Offered timely and skilled emergency response and performed CPR or first aid.
  • Built and strengthened student, teacher and family relationships.
  • Collaborated with warehouse staff for efficient loading and unloading procedures, reducing downtime between stops.
  • Coordinated daily transportation operations, ensuring timely pick-ups and deliveries while minimizing delays.
  • Used [Software], [Software] and barcodes to track orders.
  • Facilitated optimal seating arrangements to maintain compliance standards.
  • Suggested improvements to management such as proposed fee and tariff increases or schedule changes.
  • Loaded and secured deliveries up to [Number] pounds.
  • Analyzed performance metrics to identify areas for improvement within the transportation process.
  • Worked with service providers to resolve issues and correct delays.
  • Identified appropriate travel routes in accordance with applicable traffic and bulk cargo transportation laws, regulations, protocols, and guidelines.
  • Conducted regular evaluations of staff performance – providing feedback when needed – fostering a professional work environment built on continuous improvement.
  • Established contingency plans to address unexpected disruptions or emergencies in the transportation process quickly.
  • Analyzed expenditures and other financial information to develop plans and budgets for increasing profits and improving services.
  • Kept close eye on passenger behavior and watched for injuries, illnesses, and disputes.
  • Resolved transportation issues promptly, maintaining strong relationships with clients and vendors.
  • Produced end-of-season reports to document strengths, weaknesses, and recommendations.
  • Reviewed and filed paperwork related to transportation schedules and costs.
  • Assisted in the development of transportation budgets, monitoring expenses and identifying cost-saving opportunities.
  • Worked closely with sales teams to coordinate product shipments in accordance with client demands and expectations accurately.
  • Maintained operations in compliance with [Type] regulations.
  • Secured passengers for transportation by buckling seatbelts or fastening wheelchairs with tie-down straps.
  • Optimized seating arrangements based on changing circumstances and passenger makeup.
  • Used [Software] to input, track and analyze data.
  • Assisted students with safe and orderly boarding and exiting of vehicle.
  • Planned and supervised shipments from production to end-users by scheduling daily and weekly routes.
  • Developed criteria and application instructions for federal and state public transportation programs.
  • Implemented new routing software to optimize delivery routes, conserving fuel costs and time on the road.
  • Partnered effectively with logistics departments in order to streamline interdepartmental communications that resulted in more cohesive teamwork and increased productivity.
  • Used [Software] to compile, formulate and audit transportation reports.
  • Developed training materials for new hires, facilitating their smooth integration into the team''s workflow.
  • Oriented and trained new drivers on policies and procedures.
  • Monitored driver performance regularly through GPS tracking systems, addressing any concerns or areas needing improvement as necessary.
  • Resolved problems, improved operations and provided exceptional service.
  • Proved successful working within tight deadlines and a fast-paced environment.
  • Used critical thinking to break down problems, evaluate solutions and make decisions.
  • Provided professional services and support in a dynamic work environment.
  • Applied effective time management techniques to meet tight deadlines.
  • Self-motivated, with a strong sense of personal responsibility.
  • Completed paperwork, recognizing discrepancies and promptly addressing for resolution.
  • Learned and adapted quickly to new technology and software applications.
  • Developed and maintained courteous and effective working relationships.
  • Developed strong organizational and communication skills through coursework and volunteer activities.
  • Paid attention to detail while completing assignments.
  • Cultivated interpersonal skills by building positive relationships with others.
  • Demonstrated strong organizational and time management skills while managing multiple projects.
  • Gained strong leadership skills by managing projects from start to finish.
  • Proven ability to learn quickly and adapt to new situations.
  • Acted as a team leader in group projects, delegating tasks and providing feedback.
  • Managed time efficiently in order to complete all tasks within deadlines.
  • Worked flexible hours across night, weekend, and holiday shifts.
  • Proven ability to develop and implement creative solutions to complex problems.
  • Used strong analytical and problem-solving skills to develop effective solutions for challenging situations.

Rehabilitation Technician

Rusk State Hospital
08.2016 - 10.2018
  • Demonstrated proper body mechanics and patient handling techniques for patient transfers and positioning.
  • Scheduled patient appointments to meet treatment requirements and provide quality care.
  • Assisted in patient care activities such as [Duty] and [Duty].
  • Followed all HIPAA rules and regulations regarding patient confidentiality.
  • Assisted physical therapists with patient examinations using manual therapy techniques and therapeutic exercise instruction.
  • Collaborated with physical therapist in creating patient treatment plans and specific home exercise programs.
  • Implemented kinesiology taping to improve joint range of motion and reduce inflammation.
  • Implemented creative solutions to address unique patient challenges, leading to increased success rates across treatment plans.
  • Followed discharge plans, identified concerns and reported issues to management for decision-making.
  • Implemented medical, behavioral and clinical team care plans and documented activities in medical systems.
  • Communicated with health and community partners to expedite services for new and existing customers.
  • Communicated with physicians to provide updates on patient care.
  • Monitored patient progress and reported changes to physical therapist.
  • Participated in continuous professional development opportunities to stay current on best practices in rehabilitative care.
  • Provided compassionate care to patients, ensuring their comfort during rehabilitation sessions.
  • Assisted therapists in creating individualized treatment plans for better patient outcomes.
  • Utilized therapeutic equipment effectively, resulting in improved patient progress.
  • Documented each patient case with updates in computer system.
  • Established collaborative relationships with patients through consistent and meaningful communication.
  • Built trusting relationships with patients and families, fostering a supportive atmosphere for recovery.
  • Monitored patient progress and reported changes to therapists, aiding in optimal treatment adjustments.
  • Checked physical therapy supplies, assisting with ordering and restocking.
  • Maintained a clean and organized therapy environment, promoting safety and efficiency.
  • Communicated back to nurses and therapists regarding patient performance and condition.
  • Managed inventory of supplies and ordered new materials when needed, maintaining a well-stocked therapy space.
  • Coordinated scheduling and documentation for multiple caseloads, streamlining administrative processes within the department.
  • Demonstrated excellent communication skills when explaining complex concepts to both patients and family members alike.
  • Helped develop care plans for patients with complex needs and assisted patients with using rehabilitation equipment.
  • Maintained medicine and equipment inventory, issued supplies to staff and notified personnel to procure more stock.
  • Conducted regular equipment maintenance checks, ensuring optimal functionality during therapy sessions.
  • Performed therapeutic massage, hot-cold packs placement, or electrical stimulation under direction of physical therapist.
  • Administered ultrasound, diathermy or other therapeutic modalities.
  • Prepared insightful reports on patient progress that were used by therapists during evaluations and treatment plan revisions.
  • Provided in-home therapeutic treatments to patients after hip replacement surgery.
  • Developed and facilitated patient specific stretching and strengthening programs.
  • Facilitated patient and family education and training on assistive device and adaptive equipment uses.
  • Collaborated with multidisciplinary teams to develop comprehensive rehabilitation strategies for patients.
  • Supported patients during physical therapy sessions, providing encouragement and motivation for continued progress.
  • Utilized gait belts, lifts, or slings to safely move and transfer patients.
  • Utilized aquatic therapy treatments for patients with orthopedic and neurological conditions.
  • Educated patients on proper use of assistive devices, reducing the risk of injury or further complications.
  • Maintained cleanliness and sanitation of clinic or treatment environment.
  • Improved patient mobility by conducting personalized stretching and strengthening exercises.
  • Answered telephones and performed light clerical duties to maintain smooth operations while attending to various program needs.
  • Informed nurses and therapists of any requests from physicians, patients and visitors.
  • Prepared for sessions by setting up patient treatment areas and equipment.
  • Educated patients and families on exercises and proper body mechanics.
  • Contributed to positive team dynamics by collaborating effectively with colleagues and assisting peers when necessary.
  • Transferred, moved and ambulated patients to and from departments with wheelchairs and stretchers.
  • Safeguarded confidential patient information according to HIPAA regulations while maintaining accurate records throughout the course of treatment.
  • Adapted treatment techniques as needed for varying patient conditions and needs, enhancing the effectiveness of therapy sessions.
  • Demonstrated a high level of initiative and creativity while tackling difficult tasks.
  • Proven ability to learn quickly and adapt to new situations.
  • Gained strong leadership skills by managing projects from start to finish.
  • Demonstrated strong organizational and time management skills while managing multiple projects.
  • Provided professional services and support in a dynamic work environment.
  • Demonstrated respect, friendliness and willingness to help wherever needed.
  • Paid attention to detail while completing assignments.
  • Organized and detail-oriented with a strong work ethic.
  • Self-motivated, with a strong sense of personal responsibility.
  • Worked well in a team setting, providing support and guidance.
  • Applied effective time management techniques to meet tight deadlines.
  • Assisted with day-to-day operations, working efficiently and productively with all team members.
  • Demonstrated leadership skills in managing projects from concept to completion.
  • Developed strong communication and organizational skills through working on group projects.
  • Used strong analytical and problem-solving skills to develop effective solutions for challenging situations.
  • Worked flexible hours across night, weekend, and holiday shifts.
  • Skilled at working independently and collaboratively in a team environment.
  • Demonstrated creativity and resourcefulness through the development of innovative solutions.
  • Developed strong organizational and communication skills through coursework and volunteer activities.
  • Identified issues, analyzed information and provided solutions to problems.

Claims Specialists

Etech
08.2014 - 01.2016
  • Answer phones and dealt with Verizon claims, also used click to chat and met the quota needed for quality assurance
  • Inbound calls were made as well as outbound
  • Percentages were made and met
  • Phone claims were handled.

Education

Medical Assistant - Medical Assisting

Penn Foster Career School
Scranton, PA

No Degree - Nursing

Tyler Junior College
Troup, TX
12.2016

High School Diploma -

Rusk High School
Rusk, TX
06.2014

High School Diploma - Nursing

Rusk High School
Rusk, TX
06.2014

Skills

Additional Information

I own a small t-shirt business on the side, it’s called Inspire Me Designz so I do know how to run a small business.

Timeline

Care Coordinator

Home Instead Senior Care Home
06.2024 - Current

Paraprofessional

Nichols Intermediate
01.2024 - Current

Clerk ll

Rusk State Hospital
07.2022 - 12.2024

Caregiver, Special Needs

EAK Good Neighbor
03.2019 - Current

Transportation Assistant

EAK Good Neighbor
03.2017 - 03.2019

Rehabilitation Technician

Rusk State Hospital
08.2016 - 10.2018

Customer Service Claims Specialist

Convergys
01.2015 - 07.2022

Claims Specialists

Etech
08.2014 - 01.2016

Medical Assistant - Medical Assisting

Penn Foster Career School

No Degree - Nursing

Tyler Junior College

High School Diploma -

Rusk High School

High School Diploma - Nursing

Rusk High School
JOHNITA GRIFFITH