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Alysha JohnsonAJ
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Alysha Johnson

@alyshajohnson

Healthcare and benefits operations professional skilled in eligibility, compliance, and data review.

United States
Message

What I'm looking for

I’m looking for a remote-ready role in healthcare benefits operations where I can own eligibility reviews, ensure HIPAA-compliant documentation accuracy, and improve processes through careful case analysis and customer support.

I’m a detail-oriented healthcare and benefits professional with experience supporting government assistance programs, reviewing eligibility requirements, analyzing documentation, and ensuring compliance with state and federal regulations. I’m also a Certified Coding Specialist (CCS) with a Health Information Technology background, and I bring strong analytical skills, attention to detail, and a commitment to accuracy when handling sensitive information.

Most recently as a Program Technician with the State of Missouri Department of Social Services, I reviewed client applications and eligibility documentation to ensure accurate benefit determinations and compliance. I conducted detailed case reviews, reduced processing errors through thorough documentation verification and discrepancy resolution, and assisted applicants while maintaining confidentiality and providing exceptional customer support. I also researched complex eligibility issues, collaborated with internal departments, identified potential fraud, and trained new team members on policies, procedures, and system utilization.

Earlier, as a Review Analyst at Edco Health Info Solutions, I reviewed and validated medical records for accuracy and completeness while maintaining HIPAA compliance, performing high-volume data entry, and updating healthcare databases and electronic records systems. I also bring operational and customer-facing experience from owning and operating TopShelf Savings LLC, where I managed business operations and process improvements to support quality and efficiency.

Experience

Work history, roles, and key accomplishments

State of Missouri Department of Social Services logoSS

Program Technician

State of Missouri Department of Social Services

Jun 2022 - Oct 2025 (3 years 4 months)

Reviewed client applications and eligibility documentation to support accurate benefit determinations and compliance with state and federal guidelines. Conducted detailed case reviews, identified discrepancies and potential fraud, assisted applicants, and maintained accurate electronic records while supporting a high-volume caseload.

ES

Review Analyst

Edco Health Info Solutions

Jan 2016 - Dec 2018 (2 years 11 months)

Reviewed and validated medical records and healthcare documentation for accuracy and completeness. Performed quality checks to identify discrepancies, maintained HIPAA compliance with sensitive patient information, and updated healthcare databases/electronic records systems.

Education

Degrees, certifications, and relevant coursework

Ozarks Technical Community College logoOC

Ozarks Technical Community College

Associate degree, Health Information Technology

Earned an associate degree in Health Information Technology at Ozarks Technical Community College. Holds the Certified Coding Specialist (CCS) credential.

Tech stack

Software and tools used professionally

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