Tyrima Johnson
Waterloo,IA
Summary
Dedicated and results-oriented professional with extensive experience in customer service, claims processing, and collections. Proven track record of providing exceptional customer support while efficiently managing claims and ensuring compliance with regulations. Skilled in effective communication, empathetic listening, and problem resolution to deliver high levels of customer satisfaction. Proficient in navigating billing systems, analyzing claims, and negotiating payment arrangements to optimize collections. Adept at multitasking in fast-paced environments and collaborating with cross-functional teams to achieve organizational goals. Motivated Patient Account Representative offering five years of healthcare and customer service experience. Highly effective time management, conflict resolution and communication skills. Hardworking Patient Account Representative dedicated to customer service and patient care. Outgoing and flexible team player. Talent for developing creative solutions that satisfy all parties. Self-motivated Benefits Specialist demonstrating superior understanding of employee benefits laws and human resource software systems. Astute professional providing benefits support in fast-paced corporate settings.
Overview
6
6
years of professional experience
Work History
Patient Account Specialist
Can-Am Consultants
09.2021 - Current
- Provided exceptional customer service, addressing patient inquiries and concerns in timely and professional manner.
- Utilized billing software to track payment histories and generate reports on collection performance.
- Achieved collection rate of over 90% by effectively managing delinquent accounts and resolving billing disputes.
- Developed and implemented payment plans tailored to individual patient needs, improving overall collection rates.
- Maintained high levels of data accuracy with meticulous attention to detail in processing insurance claims and updating patient records.
- Electronically submitted bills according to compliance guidelines.
- Identified opportunities for process improvements within client organizations, providing actionable recommendations that led to increased operational efficiency.
- Collaborated closely with external auditors to ensure smooth flow of information between both parties during year-end audits.
- Implemented new procedures for tracking patient cases, improving overall office organization and workflow.
- Increased revenue for practice by diligently working towards obtaining maximum reimbursements from insurers.
Data Entry Coordinator
CBE Group
01.2019 - 09.2021
- Conducted thorough research and documentation of claim inquiries, ensuring accurate and timely resolution.
- Reviewed and analyzed claims documentation to determine eligibility, coverage, and benefit payments.
- Collaborated with cross-functional teams to resolve complex claims issues efficiently and effectively.
- Maintained detailed records of claims activity and documentation, ensuring compliance with regulatory requirements and company standards, resulting in 100% audit success rate.
- Maintained high levels of focus, entering large volumes of data accurately within tight deadlines.
- Collaborated with cross-functional teams to ensure timely and accurate data input for various projects.
Customer Service Representative
Wells Fargo
12.2017 - 01.2019
- Effectively managed high volume of inquiries daily, maintaining 98% resolution rate within established service level agreements.
- Demonstrated exceptional verbal and written communication skills, ensuring clear and concise communication with customers across various channels.
- Adapted quickly to changing needs and situations, maintaining flexible approach to provide personalized solutions.
- Collaborated with team members to share best practices and insights, contributing to positive and collaborative work environment.
- Handled customer inquiries and suggestions courteously and professionally.
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
Education
High School Diploma -
East High School
Waterloo, IA05.2011
Skills
- Excellent Written and Verbal Communication
- Active Listening
- Time Management
- Coding Accuracy
- Regulatory Compliance
- Database Management
- Healthcare Knowledge
- Claims Processing
- Billing Software Proficiency
- Attention To Detail
- HIPAA understanding
- Medicare and Medicaid knowledge
- Team Collaboration
- Knowledge of COB
- Data Entry
- Knowledge Of Medical Billing And Coding
Timeline
Patient Account Specialist
Can-Am Consultants
09.2021 - Current
Data Entry Coordinator
CBE Group
01.2019 - 09.2021
Customer Service Representative
Wells Fargo
12.2017 - 01.2019
High School Diploma -
East High School
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