Summary
Overview
Work History
Education
Skills
Assessments
Timeline
Generic

Tiarra Johnson

Gilmer,TX

Summary

Responsible Medical Claims Processor with strong attention to detail and juggles multiple tasks. A go-getter committed to handling claims expeditiously.

Overview

3
3
years of professional experience

Work History

Claims Examiner

Sutherland Global Service
02.2024 - Current
  • Handled sensitive information with discretion, ensuring confidentiality of personal and financial details for claimants throughout the claims examination process.
  • Utilized analytical skills to evaluate medical bills for accuracy and appropriateness of charges before approving payments as part of the claims process.
  • Participated in cross-functional team meetings to address organizational challenges related to claims management and develop solutions collaboratively.
  • Reduced claim processing time by implementing efficient workflow strategies and prioritizing tasks effectively.

Pharmacy Service Representative

Teleperformance
06.2023 - 02.2024
  • Take inbound calls and answer questions about medication delivery and scheduling medication delivery
  • Assisted customers in navigating insurance claims, resulting in fewer denials and improved coverage understanding.

Claims Technician

Kelly Services
06.2022 - 05.2023
  • Processed patient insurance
  • Performed data entry for patient records
  • Evaluated complex claims situations, providing expert guidance to support informed decision-making processes.

Customer Service Representative

Sykes Enterprises - Incorporated
09.2021 - 11.2021
  • Assisted customers with a warm and professional attitude
  • Processed orders
  • Assisted customers with questions
  • Interacted with customers through live chat
  • Kept records of customer complaints
  • Handled emails, inbound calls, and outbound calls
  • Booked appointments
  • Managed customer accounts
  • Handled billing issues and order inquiries

Education

High School Diploma -

Gilmer High School
Gilmer, TX
06.2010

Skills

  • Typing
  • Claims Processing
  • Verbal Communication
  • Data Verification
  • Medical Terminology
  • Insurance verification
  • Filing
  • Clerical experience
  • Organizational skills
  • Medical documentation
  • Medicare
  • Medical Records

Assessments

  • Customer service, Proficient, 03/01/23, Identifying and resolving common customer issues
  • Administrative assistant/receptionist, Proficient, 04/01/23, Using basic scheduling and organizational skills in an office setting
  • Verbal communication, Proficient, 04/01/23, Speaking clearly, correctly, and concisely
  • Protecting patient privacy, Proficient, 04/01/23, Understanding privacy rules and regulations associated with patient records
  • Medical receptionist skills, Proficient, 03/01/23, Managing physician schedules and maintaining accurate patient records
  • Call center customer service, Proficient, 04/01/23, Demonstrating customer service skills in a call center setting
  • Work style: Reliability, Proficient, 02/01/23, Tendency to be reliable, dependable, and act with integrity at work
  • Basic computer skills, Proficient, 04/01/23, Performing basic computer operations and troubleshooting common problems
  • Scheduling, Proficient, 06/01/23, Cross-referencing agendas and itineraries to avoid scheduling conflicts
  • Attention to detail, Proficient, 04/01/23, Identifying differences in materials, following instructions, and detecting details among distracting information
  • Workplace safety, Proficient, 03/01/23, Using safe practices at work
  • Medical billing, Proficient, 05/01/23, Understanding the procedures and forms used for medical billing
  • Case management & social work, Proficient, 03/01/23, Determining client needs, providing support resources, and collaborating with clients and multidisciplinary teams
  • Data entry: Attention to detail, Proficient, 03/01/23, Maintaining data integrity by detecting errors
  • Customer focus & orientation, Proficient, 03/01/23, Responding to customer situations with sensitivity
  • Medical billing, Proficient, 03/01/23, Understanding the procedures and forms used for medical billing

Timeline

Claims Examiner

Sutherland Global Service
02.2024 - Current

Pharmacy Service Representative

Teleperformance
06.2023 - 02.2024

Claims Technician

Kelly Services
06.2022 - 05.2023

Customer Service Representative

Sykes Enterprises - Incorporated
09.2021 - 11.2021

High School Diploma -

Gilmer High School
Tiarra Johnson