Tonja Johnson Email & Phone Number

Atlanta

Liaison between Stratose and providers to address questions regarding repricing claim status, program participation and demographic updates. Maintain HIPAA guidelines with business units. Attempt first call resolution through provider education on both inbound and outbound calls. Troubleshoot system applications for clients when necessary.Service Member.

Knowledge on Software Development and Software Testing life cycles.Knowledge in testing applications and manual testing techniques. Ability to work as a team member to perform Functional, GUI and Database testing. Training in advanced visualization, mobility, quality assurance, along with other aspects of Information Technology.

Responsible for participating in the departments regulatory activities related to the DOI (GA Dept of Insurance), CMS (Center of Medicare and Medicaid Services) and OPM (Office of Personnel Management) regulatory agencies for Kaiser product and service offerings. Partner with Quality Assurance Analyst, department analysts, vendors & KPIT to deploy benefits.

Provided administrative support to the Director of Clinical Education and assisted other department leaders with administrative duties. Preparation of business correspondence, employee orientation manuals, and quarterly reports. Responsibilities included scheduling patient for rehabilitation appointments. Maintained medical records and clinical manager.

Decatur, GA

Duties included filing insurance claims for a seven doctor Internal Medicine practice. Reviewed insurance explanation of benefits daily to verify accuracy of payment from health insurance carrier. Posted payments daily to patient accounts to update account receivables. Prepared and answered correspondence to and from insurance carriers concerning insurance.