Katelyn Johnson
Lake Charles
Summary
Dynamic professional with extensive experience in the Healthcare and Insurance fields, excelling in customer service and workflow management. Proven track record in optimizing service delivery and enhancing patient or client satisfaction by applying strong attention to detail and excellent communication skills, to consistently achieve performance benchmarks in fast-paced environments. Strong understanding of process optimization and team coordination.
Overview
5
5
years of professional experience
Work History
Group Services Specialist
Louisiana Blue
05.2023 - Current
- Managed high-volume workloads, prioritizing tasks to ensure timely completion and quality results.
- Assisted brokers and group leaders across the state with inquiries regarding their group claims, billing statements, enrollments, and benefits.
- Developed strong relationships with clients, fostering trust and loyalty through exceptional service delivery.
- Assisted sales teams in implementing customized insurance policies for clients based on their unique needs and requirements by onboarding clients to underwriting for approval.
Precertification Specialist
Center for Orthopaedics and Spine
02.2023 - 08.2023
- Maintained strict adherence to HIPAA regulations by safeguarding confidential patient information during all aspects of the precertification process.
- Expedited treatment commencement by promptly acquiring authorizations for medically necessary services within required timeframes.
- Reduced patient wait times for approval by diligently reviewing medical records and obtaining necessary documentation.
- Contributed extensively to departmental goals through consistent achievement of individual performance benchmarks related to precertification accuracy and timeliness.
Insurance Specialist
Lake Charles Memorial Health System
02.2022 - 02.2023
- Enhanced customer satisfaction by addressing insurance-related inquiries and resolving issues promptly.
- Processed eligibility and benefits verification and authorization requests for inpatient and outpatient care.
- Tracked pending authorizations to resolve discrepancies and avoid revenue loss.
- Communicated effectively with members of operations, finance, and clinical departments.
ER Lead Patient Access Representative
Lake Charles Memorial Health System
01.2021 - 01.2022
- Improved revenue cycle management by verifying insurance eligibility and collecting ER copayments.
- Enhanced patient satisfaction by streamlining registration processes and ensuring timely care was received based on complaint.
- Maintained strict adherence to HIPAA regulations, protecting sensitive patient information from unauthorized access or disclosure.
- Mentored junior Patient Access Representatives, providing guidance and support for their professional development.
Patient Access Representative
Lake Charles Memorial Health System
06.2020 - 01.2022
- Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
- Stayed calm under pressure to and successfully dealt with difficult situations.
- Adapted quickly to changing demands within the healthcare environment, demonstrating flexibility and a strong commitment to quality patient care.
- Provided excellent customer service through active listening skills, understanding patient needs, and offering tailored solutions where applicable.
- Maintained accurate patient records, contributing to a well-organized database for seamless information access across departments.
Education
Bachelor of General Studies - General Studies
McNeese State University
Lake Charles, LA12-2023
Skills
- Customer service expertise
- Workflow management
- Sales operations support
- Service delivery optimization
- Attention to detail
- Excellent communication
- Proficient in task management
- Dedicated work ethic
- Team collaboration
Timeline
Group Services Specialist
Louisiana Blue
05.2023 - Current
Precertification Specialist
Center for Orthopaedics and Spine
02.2023 - 08.2023
Insurance Specialist
Lake Charles Memorial Health System
02.2022 - 02.2023
ER Lead Patient Access Representative
Lake Charles Memorial Health System
01.2021 - 01.2022
Patient Access Representative
Lake Charles Memorial Health System
06.2020 - 01.2022
Bachelor of General Studies - General Studies
McNeese State University
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