Michele Johnson
***** ******** **., ********, ** 90703 Phone: 562-***-**** Email: *********@*****.***
About Me
I am a confident, effective problem solver with strong communication skills. I have over ten years of administrative experience in retail, education, health care. I am result-driven, strategic thinker with a positive attitude and a team-oriented approach. Proficient in Microsoft Office, SAP, Citrix
Professional Experience
Providence March 2023-Present
Sr Utilization Management Assistant
Coordinate with hospital coordinators and health plans regarding inpatient notification of an admission and/or patient transfers.
Run insurance verification on inpatient authorization request to obtain auth for admissions.
Acts as liaison to facilitate and manage request for admissions in timely manner for transfers and authorizations for admissions.
Continuous communication with hospital coordinators and case mangers on updates on the request for admission.
Keck Medicine of University of Southern California October 2016-June 2024
Self-Collector/ Customer Service Patient Accounting
Knowledgeable in insurance billing, claims; financial assistance, governmental programs, medical group risks and collections.
Receive and manage all incoming inquiries from any customer; while providing excellent customer service to patient and insurance billers.
Knowledge of ICD-10, CPT-4 and interpret managed contracts payer policies and procedures.
Managed high volume inbound patient calls.
Hoag Hospital Newport Beach April 2015-October 2016
Sr. Administrative Assistant, Palliative Care
Manage assignments and workload of Palliative Care team, including physicians, social workers, nurses, and chaplains
Prepare department memorandums and financial reports
Daily Data entry and statistic compilation on daily operations
Manage employee files
Department gate keeper
Hoag Hospital Newport Beach September 2013 – April 2014
Clinical Support for Heart and Vascular Institute
Maintained patient schedules for Cath Lab, Arrhythmia Center, Heart Valve Center, Vascular Lab and outpatient services
Provided administrative support to physicians, management, and other clinical staff
Back office and front office support
Hoag Hospital Newport Beach October 2012—September 2013
Centralized Patient Specialist
Managed high volume patient calls, scheduling for entire hospital, including same day services
Provided patient education, managed full registration, and perform insurance verification
Prioritized calls and ensured high patient satisfaction
Liaison between department heads and home based employees
Managed meetings, events, and travel arrangements throughout the organization
Education
California State University, Fullerton, CA December 2001
Bachelors of Arts in Communication Studies with an emphasis in Radio, Television, and Film