Summary
Overview
Work History
Education
Skills
Timeline
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Tonya M Johnson

Philadelphia,PA

Summary

Committed job seeker with a history of meeting company needs with consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.

Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.

Overview

25
25
years of professional experience

Work History

Intake Coordinator/ Staffing /Scheduling Specialist

Care and Help 4 The Seniors
Phila, PA
07.2018 - Current
  • Remotely conduct patient intake interviews to collect medical information and insurance details.
  • Maintain clinical records and required paperwork in compliance with agency standards.
  • Make outbound calls to providers to obtain information necessary to create or update authorization.
  • Maintain a positive attitude and effectively de-escalated clients during crisis situations.
  • Conducted patient intake interviews to collect medical information insurance details and obtain authorization
  • Assisted in recruiting and hiring process by sourcing, screening, and interviewing applicants.
  • Collaborated with hiring managers to identify staffing needs, develop job descriptions, and define qualifications required for roles.
  • Provided guidance and support to managers regarding recruitment processes, including interview techniques and selection criteria.
  • Ensured compliance with federal and state laws related to employment practices.
  • Monitored performance of staff members throughout their assignment duration, Assessed employee qualifications and task performance
  • Coordinated and planned work shift schedules according to availability.
  • Located ways to expedite candidate screening and hiring processes to promptly fill staff vacancies..

Professional Account Sales Associate

Home Depot
Philadelphia, PA
04.2017 - 02.2023
  • Used excellent verbal skills to engage customers in conversation and effectively determine needs and requirements.
  • Operated register, handled cash and processed credit card transactions.
  • Produced sales documents, finalized deals and filed records.
  • Drove sales of company products and services by meeting with customers using strategic and organized approach.
  • Conferred with management to offer feedback on operations and promotions based on customer preferences and purchasing habits.
  • Listened to customer needs to identify and recommend best products and services.

Sr. Specialist Claims Examiner

AmeriHealth Caritas
Philadelphia, PA
05.2011 - 12.2022
  • Reviewed and resolved open claims and change orders to determine entitlement for additional payment.
  • Researched and followed up on denied insurance claims.
  • Evaluated acceptability of claims from third-parties and gathered comprehensive information.
  • Maintained thorough understanding of fraudulent and illegal practices.
  • Consulted accountants, engineers, lawyers and physicians when needed.

Claims Accounts Receivable

Temple Physicians Inc.
Philadelphia, PA
10.1998 - 05.2012
  • Created spreadsheets to analyze and summarize incoming cash receipts for CEO, CFO and other executives.
  • Checked postings and documents for correctness, accuracy and proper coding.
  • Reconciled or entered report discrepancies found in financial records.
  • Recorded debit, credit and account transactions in computer spreadsheets and databases.

Education

Medical Claims Examination

Amerihealth Training
Philadelphia, PAA
05.2014

High School Diploma -

Cecilian Academy
Philadelphia, PA
05.1986

HHA Exchange Training Program
Philadelphia, PA
2021

Skills

  • Team Training and Development
  • Client Account Management
  • Policy Management Expertise
  • Client Retention
  • Critical Thinking
  • Electronic Visit Verification system Compliance
  • HHA Exchange System
  • Staffing and Scheduling
  • Maximus System
  • ICD 10 and !CD 9 coding

Timeline

Intake Coordinator/ Staffing /Scheduling Specialist

Care and Help 4 The Seniors
07.2018 - Current

Professional Account Sales Associate

Home Depot
04.2017 - 02.2023

Sr. Specialist Claims Examiner

AmeriHealth Caritas
05.2011 - 12.2022

Claims Accounts Receivable

Temple Physicians Inc.
10.1998 - 05.2012

Medical Claims Examination

Amerihealth Training

High School Diploma -

Cecilian Academy

HHA Exchange Training Program

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Tonya M Johnson