Johanna Lasker

Processing long term care insurance claims, determining benefit eligibility and communicating with claimants and providers.

• Delivered quality results with Overall Quality Score: 96% & Decision Accuracy: 100% ensuring compliance and accuracy in benefit eligibility determinations.
• Managed a high-volume caseload, closing 121 claims within my first year, demonstrating efficiency and strong organi

Led daily operations, communications, and training for up to 100 associates; served as liaison between leadership, nurse care managers, and staff.

·         Coached associates side by side and tracked quality trends, improving the team's total quality score and customer experience.
·         Authored standardized processes, job aids, and presentations that sped up intake and ensured consistent, c

Administered Chronic Care Condition Benefit claims by verifying coverage, assessing item qualification requirements, and facilitating purchases requested by care management nurses.

-Processed 15+ member requests daily with 99% accuracy, exceeding the target of 8–10 and improving operational efficiency.
-Designed and delivered 20+ training classes (1–30 participants), creating compliant curricula

Delivered nonclinical support via outbound campaigns to assess member needs and connect them with appropriate resources, improving wellness outcomes.

-Maintained 98%+ quality score on all calls by adhering to compliance and regulatory standards.
-Trained and mentored 12 new hires in one-on-one sessions, accelerating onboarding and improving team performance.
-Created and managed team documentatio

Coordinated patient referrals, insurance authorizations, and specialty appointments to ensure timely access to care and continuity of treatment.

-Managed 20+ daily referrals and authorizations and handled 100+ incoming/outgoing calls, ensuring timely and accurate patient care coordination.
-Maintained strong relationships with specialist offices and vendors, facilitating seamless communication an

Oversaw day-to-day operations of an ophthalmology practice, ensuring workflow efficiency, patient satisfaction, and adherence to medical and administrative protocols.

-Directed team compliance with HIPAA regulations and company standards, safeguarding patient privacy and data security.
-Assisted ophthalmologist during examinations and procedures, providing skilled clinical support and maintaining

Assisted healthcare provider with direct patient care, administrative tasks, and care coordination to support positive patient outcomes and efficient clinic operations.

-Coordinated treatment plans and surgical scheduling for patients, ensuring timely and accurate care.
-Triaged and roomed 50+ patients daily, maintaining efficient patient flow and minimizing wait times.
-Trained and supervised ne

Aug 2024 · Expired Aug 2026