Amy S. Johnson

Results-driven healthcare and legal professional with more than 20 years of experience in contract negotiation, provider credentialing, claims resolution, auditing, and legal support services. Proven ability to manage complex provider relations, ensure compliance with state and organizational guidelines, and improve workflow efficiency. Strong background in healthcare operations, legal research, contract administration, and customer relations.

Highly skilled in Microsoft Office Suite, CRM systems, and healthcare claims platforms with a reputation for accuracy, professionalism, and problem-solving.

Contract Negotiator / Strategic Network Account Manager - One Call CM - Jacksonville, FL

(2022-01 - 2026-03)

• Negotiate and renegotiate provider contracts to ensure network adequacy and competitive pricing.
• Review agreements for compliance with state regulations and organizational guidelines.
• Audit provider credentialing documentation for accuracy and completeness.
• Maintain and process provider records using Salesforce and internal systems.
• Build and maintain positive provider relationships while resolving concerns and minimizing provider abrasion.
• Assist with auditing initiatives, special projects, and process improvement efforts.

Associate Specialist, Provider Contracting - Molina Healthcare - Jackson, MS

(2020-02 - 2022-01)

• Reviewed practitioner and facility credentialing applications to ensure compliance with company standards.
• Conducted database research and verification of provider credentials and documentation.
• Processed provider files and maintained accurate records within CRM systems.
• Collaborated with providers to resolve credentialing and claims-related issues efficiently.
• Supported provider contracting operations through detailed documentation review and communication.

Claims Liaison II - Magnolia Health - Jackson, MS

(2012-02 - 2020-01)

• Investigated healthcare provider complaints and determined appropriate corrective actions.
• Analyzed claim denials and identified trends related to reimbursement and processing errors.
• Prepared claim impact reports and educated providers on billing and claims procedures.
• Audited provider contracts and claim payments to ensure reimbursement accuracy.
• Responded to Division of Medical inquiries and escalated issues as necessary.
• Identified configuration and system-related issues affecting claims processing.
• Developed workflow improvements to increase departmental efficiency.
• Utilized systems including CRM, Cenpatico, Portico, Omni, Amisys Advance, FileNet, and Cenprov.

Credentialing / Audit Specialist - Magnolia Health - Jackson, MS

(2012-02 - 2020-01)

• Negotiated and prepared standard provider contracts in accordance with state guidelines.
• Conducted credentialing audits for provider and practitioner applications.
• Verified provider data and ensured compliance with Centene standards and policies.
• Assisted with provider outreach, audit initiatives, and contract implementation projects.
• Resolved provider concerns related to credentialing and claims processing.

Administrative Assistant - Magnolia Health - Jackson, MS

(2012-02 - 2020-01)

• Coordinated contract processing from initiation through completion.
• Reviewed contracts for accuracy and monitored RightFax documentation systems.
• Managed provider correspondence and processed contract requests.
• Maintained databases and reports using Microsoft Excel.
• Scheduled meetings and prepared detailed meeting minutes.

Paralegal - Mississippi Center for Legal Services - Jackson, MS

(2006-03 - 2012-02)

• Drafted pleadings, legal correspondence, and court-related documentation.
• Communicated directly with clients regarding case information and service eligibility.
• Managed calls and operated a multi-line switchboard system.
• Scheduled court dates and prepared and filed legal documents with the court system.
• Participated in legal fairs, senior citizen outreach events, and estate planning workshops.

Legal Secretary - City Attorney's Office - Jackson, MS

(2005-08 - 2006-03)

• Prepared pleadings and maintained organized filing systems and legal indexes.
• Monitored legal deadlines and coordinated court hearing schedules.
• Communicated with court personnel and administrative legal staff regarding case matters.

Deposition Paralegal - Watkins & Eager PLLC - Jackson, MS

(2005-01 - 2005-08)

• Coordinated depositions with attorneys, physicians, nurses, and opposing counsel across multiple states.
• Scheduled court reporters and managed deposition logistics.
• Summarized deposition transcripts and prepared dismissal orders.

Legal Assistant - McDavid, Noblin and West, PLLC - Jackson, MS

(2002-10 - 2005-01)

• Prepared wills, testaments, and publication notices.
• Transcribed legal dictation and maintained client records and databases.
• Filed legal documents with state and court offices.

Associate's degree - paralegal studies - Hinds Community College