Summary
Overview
Work History
Education
Skills
Certification
Languages
Timeline
Generic

Terica T. Johnson

Summary

Administrative and Office Assistant experienced in providing administrative, operational, sales, and general business support across dynamic industries. Maintains confidentiality and accuracy throughout all operations, assembles and analyzes sensitive/confidential information, produces reports, composes/edits memos, spreadsheets, and company correspondence, schedules meetings/conference rooms, builds client rapport, manages calendars, coordinates activities, disseminates information across departments, operates/troubleshoots office equipment, and meets concurrent deadlines in fast-paced industries.

Overview

20
20
years of professional experience
1
1
Certification

Work History

Patient Care Coordinator

Optum
05.2022 - Current
  • Liaison between Doctors office Patient and Pharmacist
  • Process information to determine financial assistance eligibility
  • Complete form for Prior Authorizations needed to fulfill prescription request.
  • Initiating PA requests
  • Reviewing clinical documentation
  • Reviewing provider PA submission preferences
  • Validating insurance types (Medicaid, Medicare, Commercial, etc.)
  • Accessing multiple Optum resources to check PA status and benefits
  • Problem-solve with decisiveness and urgency and escalate to operations partners, team leads, management and other stakeholders
  • Ensure patients and providers are supported by following escalation through to finish
  • Enters notes/information into pharmacy processing system.
  • Focus on patient care and quality assurance

ADMINISTRATIVE COORDINATOR

WELLMED MEDICAL MANAGEMENT
03.2020 - 05.2022
  • Support Case management outreach through extraction of payer reports.
  • Partnership with Case Managers to ensure quality of care for patients.
  • Audit Patient Clinic Records to complete GPro

Case Manager

Cardinal Health
11.2019 - 03.2020
  • Communicate with patients regarding current and passed medications.
  • Assist with processing application for approval

PATIENT TECHNICAL ADVOCATE

INOGEN
10.2015 - 12.2017
  • De-escalate calls, received high priority calls from customers and formed a solution to meet customers’ needs
  • Correspond with colleagues and 3rd parties for resolutions and or problem solving
  • Troubleshooting, the oxygen concentrators with patients
  • Assist with training, developed new training material to streamline technical processes
  • Payment processing

ADMINISTRATIVE ASSISTANT, CREDENTIALING REPRESENTATIVE, AND CLIENT ENGAGEMENT SPECIALIST

PROSTAFF/KELLY SERVICES
01.2009 - 01.2015
  • Company Overview: Delivered world-class administrative and client support to highly regulated industries and organizations, including Blue Cross Blue Shield, PFSWeb, Lancome Cosmetics, Banc Tec, Arbitron, and Appraisal Bank.
  • Prioritized concurrent administrative projects to meet aggressive deadlines
  • Built and fostered loyal alliances with key clients, providers, and industry stakeholders
  • Maintained confidentiality and accuracy while managing highly sensitive and confidential paperwork, files, and data.
  • Drove compliance with organizational, industry, and government regulations
  • Assigned technical/business training to staff members
  • Aggregated and evaluated data to author business reports/forms/invoices/agendas/memos.
  • Tapped into technical expertise and accuracy
  • Delivered world-class administrative and client support to highly regulated industries and organizations, including Blue Cross Blue Shield, PFSWeb, Lancome Cosmetics, Banc Tec, Arbitron, and Appraisal Bank.

ADMINISTRATIVE ASSISTANT AND CUSTOMER SERVICE PROFESSIONAL

MASTEC ADVANCED TECHNOLOGIES
01.2006 - 01.2009
  • Maximized customer loyalty, minimized defection to competitor organizations, and surged profits/revenues across the organization
  • Facilitated training for staff members
  • Recognized for superior work ethic, leadership, and knowledge
  • Processed accounts payables and invoices
  • Answered and routed high-volume phone calls

Education

High School Diploma -

Texas Success Academy
Arlington
05-2021

Skills

  • Critical thinking skills
  • HIPAA compliance
  • Organizational skills
  • Attention to detail
  • Office administration

Certification

Medical Coding (CPC) in Process

Languages

English
Full Professional

Timeline

Patient Care Coordinator

Optum
05.2022 - Current

ADMINISTRATIVE COORDINATOR

WELLMED MEDICAL MANAGEMENT
03.2020 - 05.2022

Case Manager

Cardinal Health
11.2019 - 03.2020

PATIENT TECHNICAL ADVOCATE

INOGEN
10.2015 - 12.2017

ADMINISTRATIVE ASSISTANT, CREDENTIALING REPRESENTATIVE, AND CLIENT ENGAGEMENT SPECIALIST

PROSTAFF/KELLY SERVICES
01.2009 - 01.2015

ADMINISTRATIVE ASSISTANT AND CUSTOMER SERVICE PROFESSIONAL

MASTEC ADVANCED TECHNOLOGIES
01.2006 - 01.2009

High School Diploma -

Texas Success Academy
Terica T. Johnson