Keonta Johnson
Dallas,TX
Summary
I have 6 years of experience in customer service, and I am knowledgeable in Availity and CRM systems. I also possess excellent writing and oral communication skills. I am proficient in claims management, knowledge of medical terminology coding (ICD-10, CPT, HCPS), and insurance industry practices, with the ability to manage multiple tasks and prioritize effectively in a fast-paced environment.
Overview
7
7
years of professional experience
Work History
Claim Healthcare Specialists
Cigna
05.2022 - 07.2025
- I reviewed assessments and processed insurance claims to determine coverage. Made sure benefit payments were accurate. Analyzed insurance policy details and plan provisions to ensure claims are handled correctly and in compliance with company guidelines. I examined the submitted medical claims to ensure they are accurate, complete, and comply with insurance policy terms and regulatory guidelines.
Healthcare Coordinator
United Healthcare
02.2020 - 05.2022
- I served as a liaison between patients, their families, providers, and insurance companies to ensure that all needs were met and rights were protected. I also developed and executed care plans, monitoring patient progress and making necessary adjustments to treatment. Handled administrative tasks such as entering dates, adjusting claims, and determining benefit amounts or coverage based on policy provisions.
Healthcare Billing Specialists
Stone Mountain Enterprises
09.2018 - 02.2020
- Translate patient diagnoses, treatments, and procedures into universal codes for insurance billing purposes. Prepared and submitted accurate claims to insurance companies and over third-party payers for services rendered. I reviewed questionable claims, investigated discrepancies, and gathered additional information from providers or other sources to establish the validity of a claim.
Education
Diploma -
Dunbar High School
Fort Worth, TX06.2001
Skills
- Excellent verbal and communication skills, Strong problem-solving and conflict resolution abilities, The ability to manage multiple tasks and prioritize effectively, attention to detail and accuracy in data entry and documentation, strong customer service orientation and interpersonal skills, proficiency in claims management, knowledge of medical terminology coding (ICD-10, CPT, HCPS) and insurance industry practices, with the ability to maintain multiple tasks and prioritize effectively in a fast-paced environment
Timeline
Claim Healthcare Specialists
Cigna
05.2022 - 07.2025
Healthcare Coordinator
United Healthcare
02.2020 - 05.2022
Healthcare Billing Specialists
Stone Mountain Enterprises
09.2018 - 02.2020
Diploma -
Dunbar High School
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