Antoneisha Johnson

Experienced Claims Coordinator and Healthcare Administrative Professional with 15+ years of experience supporting healthcare, claims administration, care coordination, workforce development, and nonprofit operations. Demonstrated success coordinating insurance verification, claims support, benefits eligibility, prior authorizations, documentation management, patient services, and cross-functional communication. Skilled in reviewing medical and insurance documentation, maintaining HIPAA compliance, resolving claims-related issues, coordinating with providers and insurance carriers, and managing high-volume administrative workflows.

Recognized for strong analytical abilities, exceptional customer service, attention to detail, and the ability to improve operational efficiency while delivering quality patient and client support.

Claims Specialist / Healthcare Coordinator at Cover By Love Healthcare Provider (Present)

Served as the primary point of contact for patients, providers, insurance carriers, and interdisciplinary care teams to coordinate healthcare services and resolve operational issues.

• Verified insurance eligibility, benefits, coverage limitations, copays, deductibles, and coinsurance prior to scheduling patient services.
• Reviewed insurance and medical documentation for completeness and accuracy while maintaining HIPAA compliance.
• Assisted with obtaining, tracking, and documenting prior authorizations to support timely delivery of healthcare services.
• Coordinated communication among providers, insurance companies, patients, and internal departments to resolve claims and authorization issues.
• Investigated insurance discrepancies and collaborated with providers and payers to achieve timely resolution.
• Maintained detailed documentation of insurance verification, authorization status, patient communications, and claims activities within electronic record systems.
• Monitored pending authorizations and proactively followed up with insurance companies to reduce delays and improve patient access to care.
• Coordinated patient appointments, transportation, referrals, and follow-up services to ensure continuity of care.
• Supported revenue cycle processes by helping prevent authorization denials through accurate documentation and verification.
• Managed multiple priorities within a high-volume healthcare environment while consistently delivering outstanding customer service.
• Protected confidential patient information in accordance with HIPAA regulations and organizational policies.

Career Services Coordinator / Transition Support Specialist at Eckerd Connect (2018-10 – 2025-02)

• Managed a high-volume caseload while maintaining accurate documentation, compliance records, and confidential client files.
• Conducted intake assessments and determined eligibility for employment, education, and supportive service programs.
• Coordinated transportation, housing referrals, workforce resources, and community services for program participants.
• Reviewed case documentation for completeness, accuracy, and regulatory compliance.
• Maintained detailed electronic case records and prepared reports for internal and external stakeholders.
• Collaborated with employers, community agencies, educational institutions, and multidisciplinary teams to coordinate services.
• Monitored participant progress and resolved barriers through proactive case management and resource coordination.
• Delivered workshops on employment readiness, interviewing, workplace professionalism, and career development.
• Assisted with onboarding activities, orientation, administrative support, and program documentation.
• Ensured compliance with organizational policies, federal guidelines, confidentiality standards, and HIPAA requirements when applicable.

Administrative Assistant at Academy of Excellence K-12 (2017-07 – 2018-08)

• Managed front-office operations and administrative support for school leadership.
• Coordinated calendars, meetings, student records, and confidential documentation.
• Prepared reports, correspondence, spreadsheets, and organizational communications.
• Maintained accurate electronic and paper filing systems.
• Assisted with enrollment, scheduling, and office workflow improvements.
• Provided exceptional customer service to students, parents, faculty, and community partners.
• Coordinated special events, meetings, and school activities.
• Supported compliance with organizational policies and administrative procedures.

Administrative Assistant at Human Resources of Miami (2017-04 – 2017-07)

• Supported daily human resources operations, including onboarding and personnel file management.
• Scheduled interviews, orientations, and employee training sessions.
• Maintained confidential employee records with a high degree of accuracy.
• Assisted with payroll documentation and administrative reporting.
• Performed high-volume data entry while maintaining attention to detail.
• Responded to employee inquiries and provided professional administrative support.
• Coordinated office communications and special projects for leadership.
• Assisted with maintaining HR compliance documentation.

High School Diploma – American Academy High School