Kymberli Johnson
Missouri City,TX
Summary
Seasoned Specialist offering 15+ years of comprehensive experience interpreting and implementing quality assurance standards and investigating customer complaints and non-conformance issues. Practiced and knowledgeable professional possessing excellent problem solving and analytical skills paired with strong knowledge of QA terms, tools and methodologies. Committed to improving overall business processes.
Overview
20
20
years of professional experience
Work History
Health Pro Specialist II -Survivor Support
Alight Solutions
The Woodlands, TX
06.2021 - Current
- Developed and implemented advocacy campaigns to promote awareness of issues.
- Organized events and activities to engage members in advocacy efforts.
- Coordinated with partners to ensure alignment of messaging across multiple platforms.
- Prepared reports summarizing research findings regarding relevant policies or regulations.
- Completed reports, paperwork and documentation accurately and on time.
- Reached out to individuals via phone, email and SMS to deliver help and support.
- Made appropriate referrals and follow-up referrals to be certain families received needed services.
- Performed data input to document care and services plans, needs assessments and progress notes.
- Collaborated with community providers to identify and engage natural supporters.
- Coordinated with other departments to ensure efficient workflow processes.
- Maintained positive working relationship with fellow staff and management.
- Facilitated productive clinical and technical customer relationships through intentional external communications.
- Displayed strong telephone etiquette, effectively handling difficult calls.
- Worked closely with human resources to support employee management and organizational planning.
- Tracked project schedules and encouraged teams to complete tasks on time while staying on budget.
Health Unit Clerk
Harris Health Systems Ben Taub Hospital
Houston, TX
01.2018 - Current
- Facilitates and supports patient care activities to assure patient and family needs are met
- Communicates with other departments and healthcare providers to ensure care coordination
- Schedules patient’s tests and diagnose procedures
- Schedules physician appointments and tests prior to patient’s discharge home
- Manages prescriptions that print for patients
- Answers patient calls and communicated needs
- Works closely with the unit charge nurse
- Maintains awareness of the unit function and activities i.e
- Staff assignments, patient location, physician coverage, staff in-services, etc
- Facilitates communication between healthcare providers
- Keeps appropriate personnel informed of unit activities
- Assists family and visitors
- Screens telephone calls and visitor requests for patient information to protect patient confidentiality
- Assists with locating healthcare team members as requested
- Makes emergency calls upon the direction of the nurse/physician
- Implements downtime procedures to facilitate proper documentation is maintained with minimal disruption of unit activities
- Composing reports of unit activities and required follow-up to oncoming shift
- Maintains a hazard free work environment
- Participates in emergency and disaster plans and exercises
- Reports environment of care issues, submits work orders and follows up to assure resolutions
- Performs clerical duties and facilitates business processes on the unit according to standards.
Clinical Administrative Coordinator
United Healthcare
12.2012 - 10.2017
- Faxes (maintain, assign over 6,000 a month)
- Precepting
- Outbound calls
- Research
- Death tasks
- Nurseline
- Mail Incoming and Outgoing
- Reports
- Assisting coworkers
- Establish SRT (Secondary Review Team) Team
- Coordinate Volunteer Events
- Managed some of the accounting and recordkeeping tasks related to compensation, benefits and payroll
- Establish cross training between departments
- Develop Job Aids and SOP’s for various positions
- Intake
- Develop Team Mail distribution list
- Subject Matter Expert for my department
- Managed and maneuvered though all four of the UHC’s databases which included; CSP Facets, ICUE, Community Care and CareOne and the TMHP Portal for the state of Texas.
Various Positions
Burnett Staffing
06.2008 - 12.2012
- Duties vary by position.
Project Manager
AFC Transportation
08.2004 - 04.2008
- I was in charge of developing and maintaining routing and scheduling for over 40 routes for our Fort Bend Division
- I handled entrance and exit interviews
- Developing training and safety courses for employees, Supervised over 60 employees.
Education
Associates -
Houston, TX, Houston Community College
02.2024
HS Diploma -
Missouri City, TX, Willowridge HS
01.1988
Skills
- Established good working relationships with client, vendors, and community
- Increased company production by 15%
- Obtained over 15 years of experience in Customer Service
- Developed quality standards at work to create a better quality performance and standards
- Managing Risks and Issues
- Monitoring and Reporting Progress
- Team Leadership
- Strategic Influencing
- Business Partnering
- Working with Vendors
- Payroll and Benefits experience
- Scalability, Interoperability and Portability Analysis
- Controlling Quality
- Benefits Realization
- Experience working in environments, such as a call center or small clinical support team
- Ability to assist individual members and large group/commercial member representatives, as well as providers
- Ability to handle high-volume, high-impact interactions, across the care spectrum – coordinating services that save time, money and lives
- Supply Management
- Quality Assurance
- Customer Relations
- Documentation Management
- Team Building
- Organizational Skills
- Issue Research
- Task Prioritization
- Analytical Thinking
- Multitasking
- Time Management Abilities
Timeline
Health Pro Specialist II -Survivor Support
Alight Solutions
06.2021 - Current
Health Unit Clerk
Harris Health Systems Ben Taub Hospital
01.2018 - Current
Clinical Administrative Coordinator
United Healthcare
12.2012 - 10.2017
Various Positions
Burnett Staffing
06.2008 - 12.2012
Project Manager
AFC Transportation
08.2004 - 04.2008
Associates -
Houston, TX, Houston Community College
HS Diploma -
Missouri City, TX, Willowridge HS
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