Mary Johnson
@maryjohnson2
Results-driven professional with expertise in program administration and customer service.
What I'm looking for
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
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.
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.
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
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
Availability
Location
Authorized to work in
Job categories
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