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@bcbsnc.com
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Pleshette Johnson is listed as Operations Specialist at BCBSNC at BCBSNC, a with 4989 employees, based in Durham, North Carolina, United States. AeroLeads shows a work email signal at bcbsnc.com and a matched LinkedIn profile for Pleshette Johnson.
Pleshette Johnson previously worked as Operations Specialist at Bcbsnc and Resolution Coordinator at Bcbsnc. Pleshette Johnson holds Diploma, Medical Coding And Billing from Penn Foster.
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AeroLeads found 1 current-domain work email signal for Pleshette Johnson. Compare company email patterns before reaching out.
An enthusiastic, self starter in the Healthcare Field; with a wide variety of experiences such as: customer service, appeals, and authorizations. Self confident in providing superior service, and driven by positive results. Not afraid to take the initiative and see projects through to the end with positive outcomes. Proficient in the Microsoft Suite including Access and Visio. Also proficient in various computer systems used in the Healthcare Field.
Listed skills include Medicare, Call Center, Process Improvement, Health Insurance, and 5 others.
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A career timeline built from the work history available for this profile.
•Made direct outreach to targeted members utilizing effective engagement strategies and motivational interviewing techniques.•Coached, educated and guided members in case management and health program participation.•Identified trends based on forecasted information in order to achieve optimum fulfillment accuracy, efficiency and customer satisfaction.
Durham, Nc
•Coordinated and assigned disposition of reconsideration for level 1 appeal's, and/ or provider courtesy reviews.•Determined appropriate response letter based on disposition.•Assisted with internal and external communication related to grievances and appeals.
Durham, Nc
•Loaded authorizations for inpatient admissions.•Worked cases for pharmacy authorizations and procedures that are included on the pre-approval list.•Handled pre-certification requests via phone, fax and voicemail.
Made direct outreach to targeted members utilizing effective engagement strategies and motivationalinterviewing techniques.•Coached, educated and guided members in case management and health program participation.•Identified trends based on forecasted information in order to achieve optimum fulfillment accuracy,efficiency and customer satisfaction.
Coordinated and assigned disposition of reconsideration for level 1 appeal's, and/ or provider courtesyreviews.•Determined appropriate response letter based on disposition.•Assisted with internal and external communication related to grievances and appeals.
Loaded authorizations for inpatient admissions.•Worked cases for pharmacy authorizations and procedures that are included on the pre-approval list.•Handled pre-certification requests via phone, fax and voicemail.
Served as Initial service contact for BCBSNC customers for Blue Advantage Individual Policies.•Opened, researched, and closed customer and provider inquiries relating to billing, coverage changes,and claims.
Answered a large volume of incoming customer support calls.•Paged technicians to problem sites.•Updated Misys clients' with status on support calls.
Other employees you can reach at bluecrossnc.com. View company contacts for 4989 employees →
Margo Clark
Colleague at BcbsncWinston-Salem, North Carolina, United States
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DR
Dene Rittman
Colleague at BcbsncWake Forest, North Carolina, United States
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SB
Sonia Boles
Colleague at BcbsncWinston-Salem, North Carolina, United States
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SM
Sarah Mcdaniel
Colleague at BcbsncChapel Hill, North Carolina, United States
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VB
Vicki Brown
Colleague at BcbsncDurham, North Carolina, United States
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RD
Robert Duong
Colleague at BcbsncMorrisville, North Carolina, United States
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MR
Megan Riley Gauss
Colleague at BcbsncRaleigh, North Carolina, United States
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RH
Rhonda Headen
Colleague at BcbsncRaleigh-Durham-Chapel Hill Area, United States
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JG
Jim Gleiter
Colleague at BcbsncChapel Hill, North Carolina, United States
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AM
Amy Morgan
Colleague at BcbsncGalax, Virginia, United States
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Activities and Societies: Student Activities Programming Board Minority Student Union
Quick answers generated from the profile data available on this page.
Pleshette Johnson works for BCBSNC.
Pleshette Johnson is listed as Operations Specialist at BCBSNC at BCBSNC.
AeroLeads has found 1 work email signal at @bcbsnc.com for Pleshette Johnson at BCBSNC.
Pleshette Johnson is based in Durham, North Carolina, United States while working with BCBSNC.
Pleshette Johnson has worked for Bcbsnc, Blue Cross Blue Shield Of North Carolina, and Misys Healthcare System.
Pleshette Johnson's colleagues at BCBSNC include Margo Clark, Dene Rittman, Sonia Boles, Sarah Mcdaniel, and Vicki Brown.
You can use AeroLeads to view verified contact signals for Pleshette Johnson at BCBSNC, including work email, phone, and LinkedIn data when available.
Pleshette Johnson holds Diploma, Medical Coding And Billing from Penn Foster.
Pleshette Johnson is listed with skills including Medicare, Call Center, Process Improvement, Health Insurance, Insurance, Medical Terminoloy, Hipaa, and Healthcare Appeals.
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