Kellyann Johnson
Fortson,GA
Summary
Approachable Medical Insurance Specialist proudly offering many years of experience in handling multiple administrative responsibilities in fast-paced Emergency Room, Professional office and remote environments. Hardworking professional, interacting with providers and patients to discuss claim status or denials. Attentive to details and highly collaborative. Detail-oriented Medical Insurance Verification Specialist with strong analytical and communication skills. Proven ability to maintain accurate documentation and ensure patient eligibility for insurance coverage.
Overview
9
9
years of professional experience
Work History
Patient Access Representative
Piedmont Hospital Northside ER
Columbus, Georgia
06.2025 - Current
- Streamlined patient registration and verification processes for efficiency.
- Coordinated insurance information and conducted eligibility checks for patients.
- Ensured confidentiality of patient records in compliance with regulations.
- Applied HIPAA privacy and security regulations when handling patient information.
Medical Insurance Verification Specialist
LifeStance Health
Columbus
08.2023 - 02.2024
- Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
- Maintained accurate documentation on all pre-authorization requests, denials and appeals.
- Developed a working knowledge of insurance plans, including Medicare and Medicaid regulations and requirements.
- Verified that patients had proper insurance coverage prior to procedures or appointment scheduling.
Medical Insurance Subject Matter Expert
Anthem Blue Cross and Blue Shield
Columbus, GA
10.2017 - 08.2023
- Assist agents via live chat while they are actively on a call with our member
- Provide one-on-one support or coaching for each team member, this helps drive continuous team improvement.
- Resolve issues quickly through meticulous research and quick decision making.
- Maintain a pleasant and cordial attitude at all times, even when issues arise.
- Take supervisor calls for any member or Medical billing issues while assisting in chat
Education
Associate of Science - Health Care Management
Ultimate Medical Academy - Clearwater
Clearwater, FL05.2020
Certification - Medical Administration And Electronic Health Specialist CPT And ICD-9 Coding, HIPAA Guidelines Etc.
Medcerts
11.2015
Business Administration
Everest University
Skills
- Organized and Meticulous
- Analytical problem solver
- Medicaid and Medicare knowledge
- Medical Billing
- Secure data practices
- Microsoft Office / Excel
- Insurance plan verification
- Patient Relationship Management
- Insurance verification
- Communication and Interpersonal Skills
Accomplishments
- Medical Insurance Verification Specialist
- Six year employee with Anthem BCBS
- Customer Service Subject Matter Expert
- Calls and Quality Lead/Subject Matter Expert
Timeline
Patient Access Representative
Piedmont Hospital Northside ER
06.2025 - Current
Medical Insurance Verification Specialist
LifeStance Health
08.2023 - 02.2024
Medical Insurance Subject Matter Expert
Anthem Blue Cross and Blue Shield
10.2017 - 08.2023
Business Administration
Everest University
Certification - Medical Administration And Electronic Health Specialist CPT And ICD-9 Coding, HIPAA Guidelines Etc.
Medcerts
Associate of Science - Health Care Management
Ultimate Medical Academy - Clearwater