Linda Johnson
Milwaukee, WI,WI
Summary
Demonstrates strong analytical, communication, and teamwork skills, with proven ability to quickly adapt to new environments. Eager to contribute to team success and further develop professional skills. Brings positive attitude and commitment to continuous learning and growth.
Overview
37
37
years of professional experience
Work History
Insurance Document Associate
Northwestern Mutual Life Insurance
04.2023 - 10.2023
- Responsible for completing document review and audit by appropriately identifying and pulling financial representative paper work from contacts.
- Responsible for examining outgoing client policy contracts to ensure it is ready to ship to clients.
- Ability to recognize and identify misrouted forms and documents organizes the documents according to guidelines.
- Responsible for labeling packages and prepping mail for FedEx shipments.
Insurance Authorization Assistant
Advocare Aurora Health
11.2022 - 04.2023
- Answered incoming phone calls to process requests, transfer calls, or relay messages to appropriate personnel.
- Boosted team productivity with regular preparation of detailed reports.
- Ensured smooth day-to-day operations by managing email correspondence and promptly addressing inquiries.
- Followed detailed directions from management to complete daily paperwork and computer data entry.
Per-Certification Specialist
Children's Hospital of Wisconsin
11.1999 - 09.2010
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
- Conducted thorough follow-ups with insurance companies, ensuring timely receipt of authorization numbers for approved services.
- Minimized claim denials by accurately coding procedures according to CPT guidelines before submission for approval.
- Resolved discrepancies with client applications to verify eligibility.
- Prepared and processed patient referrals.
Enrollment Service Representative
Family Health Plan
08.1986 - 11.1999
- Maintained up-to-date knowledge on program requirements and eligibility criteria to provide accurate guidance to prospective enrollees.
- Partnered with cross-functional teams to address complex enrollment issues, resulting in timely resolutions and improved client satisfaction.
- Maintained up-to-date knowledge of Insurance and service changes.
- Respond to inquiries form employers, members, and providers regarding membership status eligibility and benefits.
Education
High School Diploma -
Lincoln High School
Milwaukee, WISkills
- Courteous and professional
- Attention to detail
- Computer skills
- Flexible schedule
- Customer service orientation
- Problem-solving abilities
- Friendly and helpful
- Problem-solving
Accomplishments
- Documented and resolved issues which led to results.
- Accounts at discharge: 100%
- Accounts at billing: 100%
- Quarterly score: 100%
Timeline
Insurance Document Associate
Northwestern Mutual Life Insurance
04.2023 - 10.2023
Insurance Authorization Assistant
Advocare Aurora Health
11.2022 - 04.2023
Per-Certification Specialist
Children's Hospital of Wisconsin
11.1999 - 09.2010
Enrollment Service Representative
Family Health Plan
08.1986 - 11.1999
High School Diploma -
Lincoln High School
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