Yleshia Johnson
Everise-WellCare
Monroe,LA
3
years of professional experience
Dedicated healthcare and customer service professional with extensive experience supporting patients, customers, and business operations across healthcare, insurance, and remote service environments. Proficient in patient scheduling, insurance verification, claims auditing, medical documentation, customer relations, and administrative support. Recognized for exceptional communication skills, meticulous attention to detail, and strong problem-solving abilities while delivering compassionate service in compliance with HIPAA and organizational standards. Currently pursuing a Bachelor of Science in Health Care Administration to enhance expertise in the field.
Work History
Auditor / Customer Service Representative
1 Year 7 Months- Collaborated with underwriters, agents, and policyholders to resolve audit issues, clarify coverage, and resolve document issues.
- Communicated audit findings professionally to clients providing recommendations for corrective actions when necessary.
- Consistently exceeded productivity goals while maintaining high-quality audit standards in a fully remote environment.
- Audited insurance applications, claims, and policy documentation to ensure regulatory compliance and accuracy.
Patient Care Associate
1 Year 10 Months- Assisted healthcare professionals with patient assessments and treatment plans, ensuring accurate documentation.
- Coordinated appointments and maintained accurate patient records.
- Communicated effectively with patients, families, and healthcare professionals regarding care plans and procedures.
- Handled complex insurance pre-authorization processes accurately, enabling timely delivery of necessary medical services.
Customer Support Specialist
6 Months- Assisted customers with account management, payment processing, balance transfers, and card activation services.
- Resolved billing disputes and account issues while maintaining compliance with banking regulations.
- Educated customers on fraud prevention and account security procedures.
- Consistently delivered high-quality customer service in a high-volume call center environment.
Customer Service Representative
6 Months- Assisted members with vision benefits, eligibility verification, claims inquiries, and coverage questions.
- Managed high-volume inbound calls while maintaining HIPAA compliance.
- Scheduled patient appointments and coordinated follow-up services.
- Resolved prescription, billing, and claims-related concerns with professionalism and accuracy.
Education
Bachelor of Science - Health Care Administration
Medical Office Assistant - Health Care Administration
Medical Assistant - Associate's Degree
Skills
Excellent Written & Verbal Communication
Appointment Scheduling
Insurance Verification & Authorization
Patient Relations
Customer Service Expert
Claims Review & Auditing
Patient Scheduling & Coordination
Medical Documentation
Call Center Experience
EMR Systems
Timeline
Auditor / Customer Service Representative
Everise-WellCare
07.2024 - 02.2026Read More
Patient Care Associate
KEA
01.2024 - 11.2025Read More
Customer Support Specialist
Teleperformance FIS Global
07.2023 - 01.2024Read More
Customer Service Representative
Everise - Davis Vision
10.2022 - 04.2023Read More
Grand Canyon University
Bachelor of Science from Health Care Administration
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Grand Canyon University
Medical Office Assistant from Health Care Administration
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McCann School of Business & Technology
Medical Assistant from Associate's Degree
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