Everett Johnson Ii Email & Phone Number

Jacksonville, Fl, Us

Jacksonville, Florida, United States

In this role, I manage the PEP and Transportation divisions of the income-based scholarship, overseeing the program's and cross-functional team's operations and goals. I collaborate with the team to coordinate daily activities, ensure compliance with legislation and internal policies, and monitor the achievement of objectives.

4655 Salisbury Rd, Jacksonville Fl 32256, United States

Jacksonville, Florida

Responsible for assisting operations management with managing the day-to-day activities in the SUFS service center department, including but not limited to: quality control, customer service delight, and ensuring all service channels are working at an optimal level. Responsible for maintaining data integrity, instilling best practices for customer confidentiality and maintaining adherence to state/federal compliance with the programs. Demands a high degree of adaptability and flexibility in a fast-paced, rapidly changing environment.

Jacksonville, Florida Area

Responsible for assisting operations management with managing the day-to-day activities in the SUFS service center department, including but not limited to: quality control, customer service delight, and ensuring all service channels are working at an optimal level. Responsible for maintaining data integrity, instilling best practices for customer confidentiality and maintaining adherence to state/federal compliance with the programs. Demands a high degree of adaptability and flexibility in a fast-paced, rapidly changing environment.

Jacksonville, Florida Area

Create, lead and manage the training program for the Operations Department. This includes, but is not limited to: the development of training content, delivery of instructor led training sessions as necessary, providing on-demand training when there is an area of weakness, planning training for a large group when updates to policies, procedures or systems are made, as well as supporting the team with continually improving processes. Support the operations team in its mission to deliver a positive and impactful training experience to the staff while ensuring documentation is always kept up-to-date.

Jacksonville, Florida Area

• Responsible for handling inbound and outbound calls in a call center environment from new andexisting customers regarding a variety of request.• Maintain complete and accurate records of client interaction including phone calls and/or emails,utilizing internal and external software.• Key data from application images into applicable system.• Accurately processes applications and determine eligibility by reviewing documentation andcalculating income in accordance with established guidelines.• Seek and suggest efficiencies for manual and online entry operations.• Identify processing deficiencies and initiate corrective actions by informing management.• Research and identify potential application processing issues.

Jacksonville, Florida, United States

Jacksonville, Florida Area

Freelance Gospel Jazz Musician, Alto Saxophone

Jacksonville, Florida Area

• Answers questions and resolves issues based on phone calls/letters from members, providers, and plan sponsors. Triages resulting rework to appropriate staff. Documents and tracks contacts with members, providers and plan sponsors. • Explains member's rights and responsibilities in accordance with contract. • Processes claim referrals, new claim handoffs, nurse reviews, complaints (member/provider), grievance and appeals (member/provider) via target system. • Educates providers on our self-service options; Assists providers with credentialing and re-credentialing issues. • Responds to requests received from Aetna's Law Document Center regarding litigation; lawsuits. • Handles extensive file review requests. Assists in preparation of complaint trend reports. Assists in compiling claim data for customer audits. • Determines medical necessity, applicable coverage provisions and verifies member plan eligibility relating to incoming correspondence and internal referrals. • Handles incoming requests for appeals and pre-authorizations not handled by Clinical Claim Management .• Performs review of member claim history to ensure accurate tracking of benefit maximums and/or coinsurance/deductible. Performs financial data maintenance as necessary. • Uses applicable system tools and resources to produce quality letters and spreadsheets in response to inquiries received

Jacksonville, Florida Area

• Accountable for providing high-level, positive interactions with customers.• Data entry, cash management.• Customer service included assisting customers with shopping needs

Organizational Leadership

Education record

Education record