Traci Johnson

Adept at navigating healthcare regulations and excelling in clinical documentation, I significantly enhanced patient support and information security at Prairie Quest Consulting. My expertise in medical billing and complaint resolution streamlined processes, achieving financial targets and improving patient satisfaction. Health Specialist with education and experience in clinical operations and healthcare delivery, supporting organizational implementation and maintenance of health delivery regulatory compliance and best practices. Develop policies and procedures, standard work and educational materials for providers. Serve as lead resource during compliance audits. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. Committed to ensuring customer satisfaction by providing exceptional service and unmatched support. Proficient in utilizing customer service best practices and adept at exploring different solutions to address customer needs effectively. Customer Service Representative bringing top-notch skills in oral and written communication, active listening and analytical problem-solving skills. Enhances customer experiences by employing service-oriented behaviors, understanding customer desires, ad providing customized solutions to build loyalty.

Serves as a SME with 18 years experience dealing with Humana, while assisting more than 3,900 beneficiaries in support of TRICARE Operations and Patient Administration (TOPA).

Able to effectively assist beneficiaries with problems relating to current or expired referral authorizations.

Working knowledge of Humana direct billing and erroneous charges with experience resolving those errors. I am aware of how to fix and resolve changes/charges with billing.

Work with the contractor to ensure timely and correct enrollment to proper PCM.

Posses excellent knowledge working with MCSC.

Ability to find conflict resolutions on daily/weekly basis.

Working with TOPA sending accurate QC processes on ROI.

Aware of and seen DTS function and requirements.

Accurately identify eligibility requirement while resolving a myriad of patient benefit issues.

Ability to assist with general complaints, PHI or direct complaints with follow through until completion while providing counseling on claims, change proposals and solving debts, at the lowest level maximizing executive staff goals and objectives.