Customer Service High School
Resume:
BARBARA ANN JOHNSON
COLUMBUS, GEORGIA 31907
EDUCATION:
COLLEGE:
PHILLIPS JUNIOR COLLEGE – DIPLOMA JANUARY 1988
WORD PROCESSING: COURSES INCLUDED – TYPING, WORD PROCESSING, BASIS ACCOUNTING, PAYROLL ACCOUNTING, RECORDDS MANAGEMENT, AND GENERAL OFFICE PROCEDURES.
HIGH SCHOOL:
SHAW HIGH SCHOOL – DIPLOMA JUNE 1980
EXPERIENCE:
WELLPOINT – BLUE CROSS/BLUE SHIELD OF GA – 2009-2015
CLAIMS SPECIALIST III
DUTIES INCLUDE: PROCESSING OF PROFESSIONAL AND FACILITY OUTPATIENT CLAIMS. REQUESTING MEDICAL RECORDS ON BLUE2 SQUARED SYSTEM. ENTERING PROFESSIONAL AND FACILITY CLAIMS IN HPA (HOME PLAN AID) SYSTEM. ENTERING CLAIMS CORRECTIONS IN DDC. THIS INCLUDED HMO, PPO, POS, AND INDIVIDUAL CLAIMS.
WELLPOINT – BLUE CROSS/BLUE SHIELD OF GA – 2006-2008:
ADJUSTMENT SPECIALIST III
DUTIES INCLUDE: ADJUSTMENTS OF PROFESSIONAL AND FACILITY CLAIMS FROM QUEUS. PROCESSING OF PROFESSIONAL AND FACILITY CLAIMS FROM QUEUES. ADJUSTMENTS OF PROFESSIONAL AND FACILITY CLAIMS FROM IMAGES. THIS INCLUDED HMO, PPO, POS, AND INDIVIDUAL CLAIMS.
WELLPOINT – BLUE CROSS/BLUE SHIELD OF GA – 1991-2005:
CLAIMS SPECIALIST III
DUTIES INCLUDE: PROCESSING OF PROFESSIONAL CLAIMS, LARGE DOLLAR CLAIMS PROCESSING, ANESTHESIA CLAIMS PROCESSING, CODING OF CLAIMS. SOME CUSTOMER SERVICE ON PHONES. ASSISTED WITH TRAINING NEW ASSOCIATES WITHIN THE UNIT. ALSO ADIDED WITH AUDITING QUALITY CHECKING WITHIN THE UNIT.
COLUMBUS HEALTH DEPARTMENT – OCTOBER 1987-SEPTEMBER 1991:
SECRETARY/TYPIST
DUTIES INCLUDE: TYPING, FILING, ANSWERING PHONES, MAKING DUPLICATION COPIES, AND MANY OTHER ADMINISTRATIVE TASKSFOR A STAFF OF SEVEN(7).
WEST CENTRAL GEORGIA REGIONAL HOSPITAL – AUGUST 1987-OCTOBER 1987:
CLERICAL ASSISTANT
DUTIES INCLUDE: TYPING OF PSYCHO/SOCIAL HISTORIES AND UPDATES. THIS POSITION WAS ON A VOLUNTARY BASIS.
GULF STATES MORTGAGE COPANY – OCTOBER 1986-JANUARY 1987:
FILE CLERK
DUTIES INCLUDE: EXTENSIVE FILING OF INSURANCE PAYMENTS AND CORRESPONDENCES IN NUMERICAL ORDER. THIS POSITION WAS THROUGH AND EMPLOYMENT AGENCY.
COLUMBUS CHAMBER OF COMMERCE – OCTOBER 1985-JANUARY 1986:
SECRETARY ASSISTANT
DUTIES INCLUDE: EXTENSIVE FILING OF BOND ISSUES, MAKING DUPLICATION COPIES, ANSWERING PHONES, STUFFING ENVELOPES, AND LITE TYPING. THIS POSITION WAS ON A VOLUNTARY BASIS AS PART OF A CLASS ASSIGMENT THROUGH PHILLIPS JUNIOR COLLEGE.
WORK RELATED SYSTEMS:
CPS
Q-CARE
WGS
BLUE2 SQUARED
HPA
PEGA
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