Brooke Johnson
Memphis
Summary
Professional with strong background in claims management, prepared to make significant impact. Skilled in assessing and processing claims accurately, resolving complex issues, and ensuring customer satisfaction. Effective team collaborator with focus on achieving results and adapting to changing needs. Known for analytical thinking, communication skills, and attention to detail.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Denial Specialist
Shared Services
Memphis, TN
03.2023 - 01.2025
- Maintained knowledge of insurance coverage benefit levels, eligibility systems and verification processes.
- Improved claim denial resolution by thoroughly researching and identifying root causes of denials.
- Optimized workflows within the team by assigning tasks based on individual strengths and expertise in particular payers or denial reasons.
- Trained new employees on denial management best practices, fostering a knowledgeable and efficient workforce.
- Analyzed denial root causes to formulate resolution plans.
Claims Representative
Cigna
Memphis, TN
05.2020 - 12.2022
- Worked productively in fast-moving work environment to process large volumes of claims.
- Followed up with customers on unresolved issues.
- Improved customer satisfaction by providing timely and accurate information on claim status and resolution.
- Maintained compliance with industry regulations by adhering to established procedures and guidelines in claims handling.
- Enhanced claim processing efficiency by streamlining workflows and implementing best practices.
Education
Bachelor Of Administrative Studies -
University of Memphis
Memphis, TN12.2022
Associate Degree -
East Mississippi Community College
Scooba, MS07.2019
High School Diploma -
Columbus High School
Columbus, MS05.2018
Skills
- Eligibility determination
- Medicaid guidelines
- Appeals processing
- ICD-10 proficiency
- Claims analysis
- Medical coding
- Medical billing
- Customer service
- Problem-solving
- Time management
- Multitasking
- Critical thinking
Certification
- Basic Life Support Certification (BLS)
- Google IT Support Professional Certificate
- Certified Data Professional (CDP)
Timeline
Denial Specialist
Shared Services
03.2023 - 01.2025
Claims Representative
Cigna
05.2020 - 12.2022
Bachelor Of Administrative Studies -
University of Memphis
Associate Degree -
East Mississippi Community College
High School Diploma -
Columbus High School