Shamiria Johnson
Dallas,TX
Summary
Skilled in scheduling patients using Epic Systems, including coordinating Medicare Annual Wellness Visits and Emergency Room follow-up appointments. Currently completing a Medical Front Office certificate with clinical externship experience at Texas Digestive Disease Consultants. Strong background in patient communication, care coordination, and healthcare documentation.
Overview
3
3
years of professional experience
1
1
Certification
Work History
Clinical Extern
Texas Digestive Disease Consultants
01.2026
- Completing required clinical hours in a gastroenterology specialty clinic
- Observing front office operations including patient intake, scheduling workflow, and chart preparation
- Assisting staff with maintaining accurate electronic medical records while following HIPAA compliance
- Gaining exposure to specialty clinic patient coordination and medical office procedures
Customer Service Representative
Sedgwick
11.2024 - 10.2025
- Process employee FMLA and disability claims in compliance with federal regulations and company policies
- Provide guidance on eligibility, documentation requirements, and absence reporting procedures
- Maintain detailed and confidential medical records while adhering to HIPAA standards
- Navigate multiple systems to update claim statuses and resolve employee inquiries efficiently
Intake Representative
The Cigna Group
03.2024 - 09.2024
- Initiated and managed prior authorizations for diagnostic procedures including CT and MRI services
- Verified CPT and ICD-10 codes to ensure accuracy and prevent authorization delays
- Coordinated with provider offices, imaging facilities, and internal teams to obtain required clinical information
- Delivered clear, professional phone support to patients and providers throughout the authorization process
Customer Service Representative
Optum
Plano, TX
03.2023 - 10.2023
- Managed 80+ daily provider calls related to insurance payments, billing discrepancies, and claim status inquiries
- Resolved complex issues by navigating multiple internal systems and payer guidelines
- Consistently met quality and productivity benchmarks, earning a 100% QA rating
- Recognized in the employee spotlight for strong performance and customer satisfaction
Claims Associate
State Farm
Dallas, TX
10.2022 - 02.2023
- Assisted policyholders with auto insurance claims from initial intake through resolution
- Coordinated roadside service requests and explained coverage details to customers
- Maintained accurate claim documentation and followed up on required forms and evidence
- Provided empathetic customer service during stressful situations
Education
High School Diploma - undefined
Newman Smith High School
Medical Front Office Certificate - undefined
Dallas College
05.2026
Skills
- Patient Scheduling
- Care Coordination
- EMR/EHR Documentation
- Medicare AWVs
- Insurance Authorization & Claims
- ICD-10/CPT
- HIPAA Compliance
- High-Volume Call Handling
- Customer Service
- Microsoft Office
Certification
Licensed Life & Health Insurance (Primerica)
Timeline
Clinical Extern
Texas Digestive Disease Consultants
01.2026
Customer Service Representative
Sedgwick
11.2024 - 10.2025
Intake Representative
The Cigna Group
03.2024 - 09.2024
Customer Service Representative
Optum
03.2023 - 10.2023
Claims Associate
State Farm
10.2022 - 02.2023
High School Diploma - undefined
Newman Smith High School
Medical Front Office Certificate - undefined
Dallas College