NEHYAIRA JOHNSON
Athens
Summary
Detail-oriented professional with expertise in Data Communications, Data Recovery, and Disaster Recovery. Proven track record in Management, Leadership, and Communication, consistently delivering results and achieving organizational goals. Strong problem-solving and planning skills, complemented by effective time management and adaptability. Ready to leverage technical competencies to contribute immediately to company success.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Claims Benefit Specialist
CVS Aetna
04.2024 - Current
- Analyzed claims data to determine eligibility and ensure compliance with policy guidelines.
- Resolved complex benefit inquiries, providing exceptional customer service to members and providers.
- Collaborated with cross-functional teams to improve claims processing workflows and increase efficiency.
- Trained new staff on claims processing systems and best practices for benefit determination.
Billing Specialist
State Collection Service
06.2022 - 03.2024
- Resolved billing and payment issues through effective client communication.
- Provided thorough information to patients and account holders professionally and clearly.
- Facilitated payment arrangements on behalf of clients as needed.
- Adhered to client protocols while conducting all operational duties.
- Investigated client inquiries to ensure timely and accurate responses.
- Maintained accurate records of payments and bookkeeping transactions.
Private Insurance Agent
Independent Contractor
08.2021 - 06.2022
- Built collaborative relationships with prospective clients through networking and referrals.
- Facilitated timely distribution of policy proceeds after claims approval.
- Advised clients on tailored risk management strategies based on personal profiles.
- Prepared and presented comprehensive reports on initiative progress to management.
- Managed records and policy renewals to ensure administrative efficiency.
- Monitored insurance claims to enhance client satisfaction and company performance.
- Explained policy advantages and disadvantages to drive insurance plan sales.
Enrollment Specialist
SelectQuote
08.2021 - 12.2021
- Facilitated Medicare enrollment by guiding clients through plan selections.
- Managed incoming and outgoing calls while updating client information efficiently.
- Occasionally marketed and sold Prescription Drug Plans to potential clients.
- Expanded client base through networking and generating prospective customer lists.
- Executed administrative duties including record maintenance and policy renewals.
- Selected appropriate coverage types to underwrite client policies effectively.
QA Analyst
Nimble Therupatics
10.2019 - 08.2021
- Enhanced associate performance by monitoring call quality and compliance standards.
- Evaluated call responses to ensure high levels of customer service satisfaction.
- Developed quality control procedures to streamline operational efficiency and consistency.
- Identified and resolved quality issues by implementing effective recommendations.
- Ensured adherence to item specifications during testing procedures and evaluations.
Nanny/Personal Assistant
Private Family
10.2019 - 04.2021
- Provide quality care for children
- Assist parents with the care of their children
- Provide help for children in areas they have difficulty
- Assistant to mother in duties such as registering children, making appointments sending emails.
- Created stimulating and nurturing environment to enable children to feel safe.
Toddler Teacher
Latham Methodist Child Development Center
07.2019 - 10.2019
- Enhanced children's development by following DHR guidelines for ages 12-18 months.
- Maintained a safe classroom environment through thorough disinfection procedures.
- Conducted assessments to identify children's developmental needs and challenges effectively.
- Facilitated skill development using engaging games and activities aligned with lesson concepts.
- Supported children's basic needs through feeding, dressing, and diaper changing tasks.
- Defined clear learning objectives for lessons and communicated them to children.
Bookkeeper/Billing Specialist/Office Manager
Ramos Dentistry
08.2018 - 06.2019
- Streamlined payroll processing and bookkeeping, enhancing overall efficiency and accuracy.
- Maintained accurate records using QuickBooks in a fully paperless system.
- Executed financial calculations, ensuring precise amounts due and interest charges.
- Matched invoices with order forms to ensure accurate financial documentation.
- Utilized accounting software to efficiently record and analyze financial data.
- Identified discrepancies in financial records and reported them effectively.
Nanny/Babysitter/Tutor/Personal Assistant
Private Family
06.2017 - 06.2019
- Enhanced children's development by providing quality care and guidance.
- Supported parents in managing children's daily care and activities.
- Assisted children in overcoming challenges in various learning areas.
- Managed administrative tasks, including registration and appointment scheduling for children.
- Maintained a clean environment by performing essential housekeeping duties.
- Promoted social skills by modeling positive behaviors to children.
Sales Associate
Justice Tween Brands
11.2018 - 01.2019
- Enhanced customer experience by assisting with product selections and purchases.
- Maintained a clean and organized store environment for safety and efficiency.
- Supported retail operations by cross-training across multiple store departments.
- Updated signage and merchandise displays to align with visual presentation standards.
- Executed cleaning tasks to ensure a neat and orderly store layout.
- Promoted sales and promotions, driving customer engagement and interest.
Teacher Assistant
A Better Choice Childcare
05.2018 - 07.2018
- Aided Teachers in care of children participating in summer program
- Cleaned and disinfected the center
- Helped in preparing meals for children
- Worked and assisted in the office
Professor Assistant/ Student Participant
UAH REAP
06.2017 - 08.2017
- Enhanced research outcomes through collaboration in chemistry and engineering projects.
- Managed professor's administrative tasks, improving appointment scheduling and communication efficiency.
- Led staff meetings to streamline communication and address critical departmental issues.
- Boosted task completion efficiency by collaborating effectively with team members.
- Improved technical skills through continuous training and professional development sessions.
- Resolved minor issues and escalated significant technical challenges for timely solutions.
Sales Associate
Honey Baked Hams Company
10.2016 - 12.2016
- Enhanced customer satisfaction by guiding purchases based on individual needs.
- Maintained store cleanliness and organization to ensure an efficient shopping experience.
- Anticipated guest needs through proactive engagement and attentive service.
- Ensured store replenishment to uphold visual presentation standards consistently.
- Communicated customer feedback and suggestions effectively to management for improvements.
- Executed opening and closing checklists to streamline retail operations.
Program Assistant
Drake State Summer Bridge
06.2016 - 08.2016
- Facilitated group activities in Biology, Mathematics, and Chemistry courses.
- Assisted in Physics and Computer Science projects and discussions.
- Executed a personal design project showcasing innovative skills and creativity.
- Supported Professor with scheduling, email communication, and document management tasks.
- Conducted timely performance feedback and appraisals to enhance student engagement.
- Guided students on procedures for submitting lab reports effectively.
Education
Information Technology Management
Western Governors University
Salt Lake City, UT12-2025
Associate - Computer Information Systems
JF Drake
Huntsville, AL08.2020
Skills
- Computer Science
- Java
- Organizational Skills
- Python
- Certifications and Licenses
- Life and Health Insurance
- Microsoft Office( Powerpoint, Word, Excel)
- Effective time management
- Ability to follow directions full directions fully and efficiently
- Ability to work in a busy environment
- Ability to interact briefly and effectively with a customer in a pleasant manner
- Ability to meet deadlines
- Ability to remain calm in tense and worse situations
- Strong organizational Skills
- Medical Billing and Collections
- Billing Data Verification
- Discrepancy Resolution
- Invoice Documentation Management
- Error Revision
- Billing Systems and Software
- System Updates
- Billing Dispute Resolution
- Google Drive
- Information Updates
- Equipment Monitoring and Troubleshooting
- Records Organization and Review
- Claim Processing
- Audit Procedures
- Diagnostic Codes
- Statement Billings
- Web Applications
- Security Improvements
- Data Encryption
- Protecting Networks
- Reading Comprehension
- Implementing Security Programs
- Risk Management Framework
- Infrastructure Change
- Threat Detection
- Computational Tools
- Active Listening
- Complex Problem-Solving
- Erecting Firewalls
- Telecommunications Systems
Certification
Life And Health Insurance License
Timeline
Claims Benefit Specialist
CVS Aetna
04.2024 - Current
Billing Specialist
State Collection Service
06.2022 - 03.2024
Private Insurance Agent
Independent Contractor
08.2021 - 06.2022
Enrollment Specialist
SelectQuote
08.2021 - 12.2021
QA Analyst
Nimble Therupatics
10.2019 - 08.2021
Nanny/Personal Assistant
Private Family
10.2019 - 04.2021
Toddler Teacher
Latham Methodist Child Development Center
07.2019 - 10.2019
Sales Associate
Justice Tween Brands
11.2018 - 01.2019
Bookkeeper/Billing Specialist/Office Manager
Ramos Dentistry
08.2018 - 06.2019
Teacher Assistant
A Better Choice Childcare
05.2018 - 07.2018
Nanny/Babysitter/Tutor/Personal Assistant
Private Family
06.2017 - 06.2019
Professor Assistant/ Student Participant
UAH REAP
06.2017 - 08.2017
Sales Associate
Honey Baked Hams Company
10.2016 - 12.2016
Program Assistant
Drake State Summer Bridge
06.2016 - 08.2016
Associate - Computer Information Systems
JF Drake
Information Technology Management
Western Governors University