Jolyen Kay Johnson

**** ******* **. ***** ****, Texas 77591, 409-***-****, adv206@r.postjobfree.com

Summary of qualifications: 20 years in sales, supervision, and customer relations. Highly organized, dedicated with a positive attitude. Excellent written, oral and interpersonal communication skills. Supervise employees in a professional and tactful manner.

Railcrew Xpress

Employment 12/17 – 04/2020

Provided crew transportation to class-one railways in the United States. Transport railroad crew members, including engineers, conductors, repair crews, maintenance crews, and other crew members of the railroad industry between various points through its fleet of vans.

Safe, reliable, and timely transportation provided to crew members for supplies to refineries to assist in trains and track switching.

Agent Studio

“Escapade Travel”

Independent Contractor 04/2017 – Current

Your Travel Biz

“Kay’s Magical Travel”

Independent Contractor 07/2008 – 05/2016

Referring Travel Agent

Sell transportation, and hotel lodgings for entertainment activities to individuals and groups tours and planned trips. I offer my suggestions and advice on destinations, plan trips and itineraries, and travel arrangements made to run smoothly as possible for potential clients.

Employment 03/2003-04/2008

University of Texas Medical Branch Galveston, Texas

Claims Processing Specialist:

Review claim documents for required data elements including elements including eligibility, benefits and authorizations, rejecting those claims determined to be incomplete or duplicate.

Determine payment to be made by reviewing hospital and physician contracts and current payment practices.

Enter claim data into claims payment system in a timely and accurate manner, with emphasis on claim cost management.

Maintain tracking and filing system, monitoring of pending claims.

Assist in researching of claim payments, refunds and auditing.

Clerk III

• Determines work priorities. Assign and schedules work lead for the office

• Develop and refine office policies and procedures

• Print, sort and entry referrals received daily (Date Entry)

• Complete reports for services that are out of compliance

• Complete radiology request forms

• Makes copies, send faxes, pick-up, sort and distribute mail

• Computer skills required in the office, MS software including Word, Excel. UTMB’s Invision, mainframe AS400.

• Use of Medical Terminology

• Organizes own work assignments to contribute to smooth workflow

• Trains supportive personnel in new procedures and new employees on duties performed

• Performs related duties as required 2/1998-3/2003

American National Insurance Company Galveston, Texas

Health Customer Service Associate

• Answer 5 0-100 calls per day in a call center

• Verify Medical benefits with providers such as Doctor offices, clinics, hospitals etc.

• Explain medical benefit policies to policy holders

• Verify claim status with Doctor’s office and hospitals

• Verify underwriting issues with Insurance agents

• Policy changes such as, beneficiary designations, address change, billing cycle changes, and benefits.

• Trained knowledge of individual health insurance plans. PPO Medicare

• Developed strong people skills, excellent written and oral communication skills, technical and administrative skills, and personal computing skills

• Developed analytical thinking requiring research and resolve problems accurately and efficiently

• Adaptability to new products and procedures for departmental networking providing support to policyholders with complex questions relating to policy provisions and/or information relating to company requirements and practices

• Provided accurate prompt, and courteous responses to obtain a positive and favorable company image

1996-3/1997

Crosby Junior High School Hitchcock, Texas

Paraprofessional

• Conducted physical education classes with students aged 11-15

• Assisted in maintaining discipline in alternative education

• Accurately documented student attendance, behavior and lesson

• Assisted students in following Campus Discipline Management Plan

• Developed mentoring and crisis management skills in alternative education setting

• Developed communication skills with at-risk students and parents

1994-1996

JCPENNEY Texas City, Texas

Sales Associate

• Assisted customers in making a satisfactory shoe selection

• Developed communication skills through interpersonal involvement with customers

• Utilized excellent organizational skills to maintain inventory of wide shoe selection to best serve the needs of the customers

• Accurately conducted sales transactions and utilized catalog ordering to serve the needs of the customers

1994-1988

Weiner’s Texas City, Texas

Area Coordinator

• Supervised, trained, and scheduled employees under direct supervision

• Assisted managers in check approvals, signing voided transaction and cash reports

• Transferred merchandise and maintained inventory on computer

• Participated as a member of the inventory team at other store locations

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