WILLIAM JOHNSON
Savannah
Summary
Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
2
2
years of professional experience
Work History
NSA Negotiation Specialist
Clear Health Strategies
03.2022 - 11.2023
- Negotiated agreement, while following state/federal laws
- Educated providers on the Federal No Surprises Act
- Prepared and reviewed insurance-claim forms and related documents for completeness
- Assisted claimants, providers and clients with problems or questions regarding claims
- Collaborated with fellow team members to manage large volume of claims
- Organized information by using spreadsheets, databases or word processing applications.
Claim Pricing Specialist
Clear Health Strategies
11.2022 - 09.2022
- Utilizes pricing tools & resources to validate pricing
- Manually enters claims per request
- Compiles and maintains a shared RBP Resource Center of reference
- Identifies Proxy MPINs as needed for the various CHS pricing methodologies
- Ensures accuracy and efficiency in the RBP product
- Responds to clients within appropriate timeframe
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service
- Generated, posted and attached information to claims in the system.
Appeal Specialist
Clear Health Strategies
10.2021 - 03.2022
- Prepared and reviewed insurance-claim forms and related documents for completeness
- Assisted claimants, providers and clients with problems or questions regarding claims
- Collaborated with fellow team members to manage large volume of claims
- Organized information by using spreadsheets, databases or word processing applications.
Education
High School Diploma -
Hardin County High School
Savannah, TN05.2018
Skills
- Team Collaboration
- Problem Solving
- Utilizing Pricing tools & Resources
- Agile Adaptability
- Time Management
- Strategic Problem-Solving
Additional Information
- Decision Making
- Accuracy
- Technical
- Data Entry
- Strategic Problem-Solving
- Agile Adaptability
- Collaborative Teamwork
- Stellar Customer Service
- Dynamic Leadership
Timeline
Claim Pricing Specialist
Clear Health Strategies
11.2022 - 09.2022
NSA Negotiation Specialist
Clear Health Strategies
03.2022 - 11.2023
Appeal Specialist
Clear Health Strategies
10.2021 - 03.2022
High School Diploma -
Hardin County High School
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