MJ
Open to opportunities

Mary Johnson

@maryjohnson2

Results-driven professional with expertise in program administration and customer service.

United States
Message

What I'm looking for

I am looking for a role that values customer service excellence and offers opportunities for professional growth.

I am a results-driven professional with a strong track record in program administration, billing, customer service, and claims processing. My experience has equipped me with the skills necessary to excel in data analysis, problem-solving, and communication. I pride myself on maintaining accurate records and resolving customer issues efficiently, ensuring a high level of satisfaction.

Currently, I work at Everise, where I handle 50 to 100 inbound calls daily, guiding members through their benefits and providing essential information regarding their prescriptions. My commitment to excellence has been recognized through multiple certificates for outstanding customer satisfaction. Previously, I spent five years at Alorica, where I honed my skills in managing high-volume calls and enhancing client retention through effective communication and problem resolution.

With extensive experience in medical billing and administrative work at RMS Care Providers, I have developed a keen eye for detail and a proven ability to manage healthcare claims accurately. I am passionate about delivering world-class customer service and continuously strive to improve my skills and knowledge in the pharmaceutical industry.

Experience

Work history, roles, and key accomplishments

EV
Current

Pharmacy Benefit Specialist

Everise

Aug 2023 - Present (1 year 11 months)

Managed 50-100 daily inbound calls, assisting members with prescription refills and benefit inquiries. Provided medication cost quotes and escalated drug-related questions to pharmacists, consistently meeting performance goals for first call resolution and customer satisfaction.

AL

Call Center Representative

Alorica

Nov 2019 - Feb 2023 (3 years 3 months)

Handled high-volume inbound calls, effectively addressing client concerns and offering prompt solutions to enhance client retention. Maintained a calm demeanor under pressure, consistently delivering high-quality support to maximize customer satisfaction.

RP

Medical Billing Specialist

RMS Care Providers

Feb 2009 - Oct 2019 (10 years 8 months)

Managed and processed healthcare claims with high accuracy and efficiency, resolving discrepancies between medical records and insurance claims. Ensured compliance with government regulations and responded to insurance inquiries.

Education

Degrees, certifications, and relevant coursework

KU

Kaplan University

Bachelors, Accounting

Graduated with a Bachelor's degree in Accounting. The program provided a comprehensive understanding of accounting principles and practices.

Tech stack

Software and tools used professionally

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Mary Johnson - Pharmacy Benefit Specialist - Everise | Himalayas