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Jacinta “RTisTic Measures” Johnson

Jacinta “RTisTic Measures” Johnson

REIMBURSEMENT SPECIALIST | HEALTHCARE BILLING | HUB SERVICES

Memphis, ShelbyMember since December 31, 2024
Healthcare ReimbursementInsurance VerificationPrior AuthorizationCoordination of BenefitsClaims & DenialsCommercial InsuranceMedicare/MedicaidManufacturer & Copay AssistancePatient/Provider CommunicationHIPAAAS400Microsoft OfficeDentrixData EntryCustomer Service
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About

Healthcare reimbursement professional with 15+ years of experience in specialty pharmacy, healthcare administration, dental services, billing, and operations. Experienced with commercial insurance, Medicare/Medicaid, prior authorization, coordination of benefits, claims/denials, manufacturer and copay assistance, patient/provider communication, and HIPAA. Strong attention to accuracy, documentation, follow-through, and customer service.

Experience

Billing & Reimbursement Specialist II - Accredo Specialty Pharmacy Health Group - Memphis, TN

(2018-04 - 2021-04)

  • Investigated commercial, Medicare, and Medicaid coverage, eligibility, medication reimbursement requirements, and patient financial responsibility.
  • Reviewed prior authorization requirements and coordinated information with providers and insurance plans to support medication access.
  • Performed coordination of benefits involving primary and secondary coverage and investigated claim rejections/denials to identify causes and resolution steps.
  • Worked with manufacturer patient assistance and copay assistance programs to identify financial support options for eligible patients.
  • Communicated with patients, providers, and payers regarding coverage, benefits, claims, copayments, and reimbursement issues; used AS400 for patient debits/credits and accurate billing workflows.

Legal Operations Senior Associate - Google Operations Center - Southaven, MS

(2021-04 - 2024-09)

  • Processed high-volume requests and sensitive documentation while maintaining accuracy, confidentiality, compliance, and timely follow-through.
  • Used CRM/business systems to maintain records, track requests, review documentation, and coordinate with cross-functional teams.
  • Managed competing priorities in a fast-paced environment while maintaining consistent quality and productivity.

Certified Registered Dental Assistant / Office Manager - iSmile Family Dentistry, Inc. - Southaven, MS

(2013-02 - 2018)

  • Verified commercial dental insurance coverage and eligibility; communicated benefits, copayments, deductibles, and financial responsibility to patients.
  • Handled claims, reimbursement questions, coverage limitations, billing issues, and insurance communications while maintaining HIPAA-compliant patient records.
  • Built patient/provider relationships through professional, empathetic communication and strong customer service.

Stocker / Lead Trainer - O’Reilly Auto Parts Distribution Center - Memphis, TN

(2025-11)

  • Promoted to Lead Trainer; train employees on procedures and safety, support quality/accuracy, and cross-train in picking, cycle counting, and quality assurance.

Delivery Service Partner Driver — Part-Time - Vita Logistics LLC / Amazon - Memphis, TN

(2024)

  • Complete high-volume deliveries with accuracy, dependable service, time management, and customer focus.

Education

Diploma - Dental Assisting - Delta Technical College

Skills

REIMBURSEMENT SPECIALISTHEALTHCARE BILLINGHUB SERVICES

Reviews