Tanisha Johnson
Raytown,MO
Summary
Compassionate Medical Assistant with a knack for completing tasks efficiently and productively. Possess specialized skills in patient care, medical record management, and clinical procedures. Excel in communication, empathy, and adaptability, ensuring seamless support to healthcare teams and providing exceptional service to patients.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Prior Authorization Specialist
UnitedHealth Group
11.2020 - Current
- Computer Skills Microsoft Office Active Listening Data Entry Transaction Processing Order and Refund Processing Call Documentation Verbal and Written Communication Identify issues and communicate solutions and steps to customers pharmacies and physicians with prescription orders and reorders Make outbound calls to customers on prescription orders and payment issues Guide and educate callers on their prescription benefits use of plan formulary premiums and status of orders and claims or inquiries Ask appropriate questions and listen actively while documenting required information in computer systems Performed detailed medical reviews of prior authorization request following established criteria and protocols Determined which party would be liable for payment on medical services by thoroughly reviewing patient insurance coverage.
Production Operator
Johnson Controls
05.2016 - 07.2020
- Operate machinery used in the production process or assist machine operator Place products in equipment or on work surfaces for further processing inspecting Examine products to verify conformance to quality standards Start machines or equipment to begin production processes Inspected and repaired products to meet project expectations Recognized defective material and reported issues to management Moved items between machines conveyors and transport equipment to meet production needs.
Insurance Interviewer
Quest Diagnostics
10.2014 - 05.2016
- Assisted over 60+ clients praised by management for excellent service Delivered great customer service and obtain information on claims Process prepare and submit business or government forms such as submitting applications for coverage to insurance carriers Process and record new insurance policies and claims Correspond with insured or agent to obtain information or inform them account status or changes Handles all customer inquiries received by telephone regarding reporting of patient results inquiries of tests and services concerns of service failures and other duties to provide superior service Report laboratory results to clients and patients using established protocols Document reporting or call history in required format and maintain complete and accurate records Contact the client to resolve routine matters related to patient testing and result reporting.
Customer Service Representative
CVS
Kansas City
03.2010 - 10.2014
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service
- Remained calm and professional in stressful circumstances and effectively diffused tense situations
- Communicated with insurance companies for billing purposes
- Confirmed prescriptions for patients by placing calls and conferring with physicians' office staff
- Provided outstanding service to new and long-standing customers by attending closely to concerns and developing solutions.
Education
Medical Assistant - CCMA
Kansas City of Phlebotomy
07-2024
High School Diploma -
Kansas City High School
Kansas City, Missouri06.2006
Skills
- EMR Systems
- Medical Office Experience
- Understanding of Medical Terms
- Knowledgeable in [Software]
- Recordkeeping and Data Input
- Telephone Etiquette
- Proficiency in [Software]
- Medical Terminology
- Insurance procedures
- Insurance Verification
- Patient Scheduling
- Calm and level-headed under duress
- HIPAA Compliance
- Phlebotomy
Accomplishments
- Outstanding active listening and multitasking abilities. Enthusiastic client services professional
- Provided outstanding service to new and long-standing customers by attending closely
Languages
English
Certification
CCMA issued 07/16/2024
Certified Clinical Medical Assistant
Timeline
Prior Authorization Specialist
UnitedHealth Group
11.2020 - Current
Production Operator
Johnson Controls
05.2016 - 07.2020
Insurance Interviewer
Quest Diagnostics
10.2014 - 05.2016
Customer Service Representative
CVS
03.2010 - 10.2014
Medical Assistant - CCMA
Kansas City of Phlebotomy
High School Diploma -
Kansas City High School
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