Customer Service Medical

CHERYL A. JOHNSON

**** ******** *** **********, ** 95829 916-***-****

Professional Summary

Results-oriented, high-energy, hands-on professional, with a successful record of accomplishments in the medical field in management, training, and customer service, with a focus on training and development with an emphasis on providing the highest quality of service both internally and externally.

Related Skills

• Project Management

• Report Preparation

• Written Correspondence

• General Office Skills

• Computer Savvy

• Customer Service

• Scheduling

• Medical Billing & Coding ICD 9 & 10

• Contract Specialist

• Training & Development

• Front-Office Operations

• Professional Presentations

Education

Bryan University – Tempe, AZ 2015

Associate's Degree in Health Information Technology

Sacramento City College – General Education 2005

Phoenix University – Bachelors of Science Business Administration

Professional Knowledge

Reports/Presentation/Technology

•Prepared complex reports for managed-care organizations and insurance companies, ensuring full compliance with agency requirements and tight deadlines. Managed Care experience within a hospital and clinical setting. Experience with managed care products including PPO, HMO, POS, Medicare Products (Medicare risk), and Medicaid Managed Care.

•Worked collaboratively with Payers, Managed Care team, Revenue Cycle, Senior Leadership and other team members to develop long term contract strategy.

•Experience dealing with insurance eligibility, authorizations, referrals, and denials and appeals.

Education and Training

•Knowledge of principles and methods of curriculum and training design, teaching and instruction for individuals and groups, and the measurement of training effects.

Training and Development

•Trained super users on the new computer systems to assist with hands-on demonstration of application functions of the new computer system Kaiser and Sutter Medical Foundation transitioned to.

•Assisted managers with work flow restructuring, revamping policies and procedures, copay collection for inpatient and outpatient.

Interpersonal Skills

•Have strong interpersonal skills with a demonstrated ability to work well in collaborative environment.

•Passion for delivering high-quality service and customer/patient satisfaction.

•Experience in process control and continuous process improvement.

•Excellent analytical skills including ability to analyze and report on financial data.

•Committed to continuous learning and professional development.

Work Experience

State of California – Sacramento, CA – Disability Insurance Program Representative

Kaiser Permanente – Sacramento, CA – Department Clerk/Unit Secretary, Medical Records, Contract Specialist, Trainer, Staffing Coordinator

Sutter Medical Foundation – Sacramento, CA- Business Services Supervisor/Trainer

•In charge of medical billing, 100 registration/front office representatives multi-departments/facility. Patient/staff scheduling and supply inventories for hospital providing inpatient and outpatient services.

Foundation Health (Health Net) – Customer Service Representative/Supervisor/Trainer

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