MARANDA JOHNSON
Orlando
Summary
Experienced professional with a strong background in specialized tasks and a proven track record of achieving results through targeted initiatives. Implements effective strategies to enhance operational efficiency and support team objectives. Proficient in problem-solving and project management, consistently delivering successful outcomes. Committed to driving continuous improvement and contributing to the overall success of the organization.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Payor Specialist II
Rotech Healthcare Inc.
05.2022 - 10.2024
- Manage Medicaid, Medicare and Commercial insurance provider portals
- Processed enrollments, changes, cancellations, and terminations according to established guidelines
- Implemented new training programs for staff, leading to higher employee retention rates and better overall performance.
Referral Coordinator
AeroCare Holdings, Inc
04.2021 - 04.2022
- Served as a liaison between primary care physicians, specialists, and patients to ensure timely access to needed services.
- Managed electronic health records efficiently, safeguarding sensitive patient information while expediting the referral process.
- Called insurance companies to get precertification and other benefits information on behalf of patients.
- Established strong relationships with external providers, facilitating seamless communication and collaboration in patient care.
Social Worker Assistant
Lotus nursing and rehabilitation center
01.2020 - 06.2021
- Follow up with clients to monitor their progress and ensure they are receiving the services they need
- Interviewed clients, families, or groups to assess situations, limitations and issues and implement services to address needs.
- Upheld ethical standards of social work practice, ensuring that all actions were in the best interest of clients and their families.
- Assisted social workers in developing comprehensive care plans for clients, improving their quality of life.
Medical Billing Lead
Bailey's Medical Equipment & Supplies
04.2017 - 12.2019
- Conducted regular audits of billing activities to ensure compliance with company policies and regulatory standards
- Enhanced revenue by streamlining medical billing processes and improving accuracy in claims submissions.
- Conducted regular audits of billing records to maintain compliance with industry standards and regulations.
- Identified trends in denied claims, addressing root causes to prevent future issues and improve overall success rates.
Customer Service Advocate
United Health Group
10.2015 - 03.2017
- Insurance verification
- Claim processing for prescriptions and other pharmaceutical purposes
- Request Prior Authorizations to insurance companies
- Promoted superior experience by addressing customer concerns, demonstrating empathy, and resolving problems swiftly.
- Enhanced customer satisfaction by promptly addressing and resolving inquiries and issues.
Education
Associate's degree - Human Resources
Rasmussen College
Altamonte Springs, FL03-2026
Skills
- Customer Relations
- Credit and collections
- Quality Assurance
- ICD coding
- EMR Systems
- Organizational Skills
- Data Entry
- Customer Service
Certification
Certified Notary Public
Timeline
Payor Specialist II
Rotech Healthcare Inc.
05.2022 - 10.2024
Referral Coordinator
AeroCare Holdings, Inc
04.2021 - 04.2022
Social Worker Assistant
Lotus nursing and rehabilitation center
01.2020 - 06.2021
Medical Billing Lead
Bailey's Medical Equipment & Supplies
04.2017 - 12.2019
Customer Service Advocate
United Health Group
10.2015 - 03.2017
Associate's degree - Human Resources
Rasmussen College
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