TJTracy Johnson
@tracyjohnson
Dedicated medical professional with extensive healthcare billing experience.
ZimbabweWhat I'm looking for
I am a passionate medical professional with a strong background in healthcare billing and patient coordination. My experience spans various roles, including Pharmacy Operations Coordinator and Care Coordinator, where I have honed my skills in managing insurance documentation and ensuring compliance with Medicare and commercial regulations. I pride myself on my ability to communicate effectively with both patients and healthcare providers, ensuring a seamless experience for all parties involved.
Throughout my career, I have demonstrated my commitment to patient care and operational efficiency. My role at Weight Watchers as a Pharmacy Operations Coordinator has allowed me to work closely with member experience teams to resolve insurance-related issues and enhance patient satisfaction. I have also successfully navigated high-pressure environments, such as my time at United Healthcare, where I managed high call volumes while ensuring timely authorizations and patient flow.
As a certified community health worker, I advocate for diversity and inclusivity in healthcare. I am proficient in various technologies, including EMR systems and communication platforms, which enable me to collaborate effectively with teams and improve patient outcomes. I am eager to bring my expertise and dedication to a new role where I can continue to make a positive impact in the healthcare sector.
Experience
Work history, roles, and key accomplishments
Pharmacy Operations Coordinator
Weight Watchers
Nov 2023 - Present (1 year 7 months)
Managed member experience by filing necessary insurance documents, including submitting prior authorizations and filing appeals. Identified and resolved issues related to insurance coverage, pharmacy fulfillment, and other related problems, communicating with members via chat and email.
Care Coordinator
Carecentrix
Apr 2022 - Present (3 years 2 months)
Collaborated with medical directors and nurses to process case approvals/denials, ensuring compliance with Medicare and commercial deadlines. Communicated case statuses to patients via outbound calls and managed email requests for denial resolution and other nursing assistance.
Customer Service Representative
Volt Temporary Agency
Feb 2021 - Present (4 years 4 months)
Handled high call volumes to schedule, reschedule, and cancel various patient appointments, including vaccinations, Medicare, primary care, cardiology, endoscopy, and acute care. Performed insurance verification and addressed patient inquiries and concerns.
Prior Authorization Representative
United Healthcare / Optum Care
Jun 2019 - Present (6 years)
Managed prior authorizations in a call center setting with high inbound call volume, viewing and resolving rejected authorizations, and coordinating benefits. Assigned patients to appropriate health practitioners, ensuring optimal patient flow through efficient admitting and discharge functions.
Admitting/Discharge Representative/Billing Temp
Unlimited
Aug 2011 - Present (13 years 10 months)
Provided customer service by handling inbound calls, greeting patients, and collecting demographics, insurance information, and signatures. Managed medical records, submitted prior authorizations, processed billing, and handled medical record requests, along with scheduling and canceling appointments.
Education
Degrees, certifications, and relevant coursework
Tracy hasn't added their education
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Tech stack
Software and tools used professionally
Availability
Location
ZimbabweAuthorized to work in
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